How many shoppable procedure prices are published for Texoma Medical Center?

Texoma Medical Center in Denison, TX currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Texoma Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Texoma Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Texoma Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Texoma Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 389 Beds · rural Updated: 1/1/2026

Texoma Medical Center

5016 S Us Highway 75, Denison, TX 75020 · 117 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.31×vs. Fair Market Price

Typical commercial prices here are +31% above the fair benchmark (1.31×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness51

Price Logic96

Peer Alignment57

Clean Billing89

Real Cash Discount98

High-Markup Tier

3-Star CMS clinical quality rating paired with 1.31× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 7,056), Texoma Medical Center commands a 1.31× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#204 of 307 in TX · 66th State Percentile#2,277 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.08× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 15% of shoppable procedures (98/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (65/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.31× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.31× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 7,056) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.81× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 1.08× · Q50 1.31× · Q75 1.44×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.6× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.2× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Texoma Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,454	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,363	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,607	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,854	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,700	$8,223	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$4,317	$2,975	1.5×
Total hip replacement CPT Code: `27130`	—	$4,169	$13,413	0.3×
Total knee replacement CPT Code: `27447`	—	$4,167	$13,523	0.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,891	$2,680	1.5×
Inguinal hernia repair CPT Code: `49505`	$4,695	$3,012	$3,629	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,715	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	—	$2,715	$3,446	0.8×
Blood transfusion CPT Code: `36430`	$2,185	$2,185	$498	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,044	$2,540	0.8×
Trauma team activation HCPCS Code: `G0390`	$10,681	$1,985	$1,453	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	$2,317	$1,013	$855	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,021	$1,256	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$975	$975	$201	4.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$877	$877	$148	5.9×
Upper endoscopy with biopsy CPT Code: `43239`	$3,838	$798	$987	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$779	$981	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$10,576	$776	$1,021	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$15,409	$747	$448	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$12,105	$747	$511	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$699	$699	$64	10.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$689	$689	$185	3.7×
Screening mammogram (both breasts) CPT Code: `77067`	$642	$642	$123	5.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$602	$602	$181	3.3×
Family therapy session CPT Code: `90847`	$562	$562	$173	3.2×
Speech therapy (group session) CPT Code: `92508`	$522	$522	$27	19.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$522	$522	$166	3.1×
Speech therapy (language evaluation) CPT Code: `92507`	$453	$453	$86	5.3×
Group therapy session CPT Code: `90853`	$446	$446	$100	4.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,056	$467	$272	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$9,638	$467	$303	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$9,071	$467	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$4,408	$467	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$8,210	$467	$369	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$7,285	$362	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,228	$362	$258	1.4×
Rabies immune globulin HCPCS Code: `90375`	$2,710	$331	$322	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$285	$285	$34	8.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$276	$276	$40	6.9×
Orthotic fitting and training CPT Code: `97760`	$259	$259	$51	5.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,698	$256	$583	0.4×
Physical therapy (gait training) CPT Code: `97116`	$230	$230	$33	7.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$230	$230	$35	6.6×
Occupational therapy (self-care training) CPT Code: `97535`	$249	$249	$38	6.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$232	$232	$38	6.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$226	$226	$38	5.9×
Prosthetic fitting and training CPT Code: `97761`	$217	$217	$45	4.8×
X-ray, lower back CPT Code: `72110`	$1,565	$221	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,949	$221	$126	1.8×
Ultrasound, pelvis CPT Code: `76856`	$1,721	$221	$130	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,586	$221	$132	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,324	$221	$134	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$5,510	$221	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$4,709	$221	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$4,382	$221	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$4,386	$221	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,818	$221	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,935	$221	$169	1.3×
X-ray, pelvis CPT Code: `72170`	$822	$221	$110	unverified
Care planning with family CPT Code: `90887`	$190	$190	$107	1.8×
X-ray, chest (single view) CPT Code: `71045`	$803	$164	$92	1.8×
X-ray, shoulder CPT Code: `73030`	$1,364	$164	$92	1.8×
X-ray, foot CPT Code: `73630`	$1,243	$164	$92	1.8×
X-ray, chest (two views) CPT Code: `71046`	$1,231	$164	$93	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,671	$164	$93	1.8×
X-ray, hand CPT Code: `73130`	$1,458	$164	$93	1.8×
X-ray, hip CPT Code: `73502`	$860	$164	$93	1.8×
X-ray, ankle CPT Code: `73610`	$1,428	$164	$93	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,786	$163	$151	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,043	$1,043	$203	5.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,001	$1,001	$111	9.0×
Pneumococcal vaccine HCPCS Code: `90732`	$1,001	$1,001	$140	7.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$729	$729	$56	13.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$614	$614	$39	15.7×
Hepatitis B vaccine HCPCS Code: `90744`	$467	$467	$37	12.6×
Typhoid vaccine HCPCS Code: `90675`	$1,999	$362	$347	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$182	$182	$25	7.3×
Drug screening test HCPCS Code: `G0480`	$462	$149	$116	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$166	$59	$35	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$95	$69	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$101	$69	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$119	$69	$49	1.4×
Blood test, vitamin D CPT Code: `82306`	$332	$40	$31	1.3×
Blood test, calcium CPT Code: `82310`	$330	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$132	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$405	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$296	$11	$8	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$240	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$245	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$377	$12	$9	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$481	$25	$19	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$228	$13	$10	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$582	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	$292	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$284	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$438	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$211	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$491	$23	$18	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$756	$14	$11	1.3×
Culture, blood CPT Code: `87040`	$530	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$244	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$388	$20	$16	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$95	$39	$86	0.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$242	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$187	$5	$4	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$491	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$668	$11	$9	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$183	$17	$14	1.2×
Blood test, potassium CPT Code: `84132`	$190	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$204	$6	$5	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$311	$24	$20	1.2×
Blood test, hemoglobin CPT Code: `85018`	$95	$3	$3	1.0×
Blood antibody screen CPT Code: `86850`	$282	$13	$46	0.3×

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Texoma Medical Center (Zero PHI Required)

CMS CCN: 450324

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,454

1. Amount on Your Bill or Quote ($) Pre-filled with Texoma Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Texoma Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$42,315 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($73,090) is $42,315 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 752128961

Filing Period: 198703

Public IRS & CMS ownership records classify Texoma Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait116 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Texoma Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-13·administrative_or_closure
Met Requirements
Recorded
2023-02-14·administrative_or_closure
Closure Notice
Recorded
2022-07-27·cap_corrective_action
CAP Request
Recorded
2021-09-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (597 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Texoma Medical Center.

Price Index: 1.59× regional baseline

Quality: 53/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-68.5%

UnitedHealthcare

-59.6%

Superior

-47.3%

Humana

+82.0%

Median Household Income$70,455U.S. Census ACS

Local Uninsured Share15.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 78/100 · Corroborated CMS CCN 450324 EIN 752128961

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 450324) ↗ Verify IRS Form 990 (EIN 752128961) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows3,200 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450324

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy