How many shoppable procedure prices are published for The Medical Center of Southeast Texas?

The Medical Center of Southeast Texas in Port Arthur, TX currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The Medical Center of Southeast Texas's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The Medical Center of Southeast Texas's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is The Medical Center of Southeast Texas's CMS Care Compare overall star rating?

CMS Care Compare assigns The Medical Center of Southeast Texas an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Physician 196 Beds · urban Updated: 2026-09-02

The Medical Center of Southeast Texas

2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 · 117 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.05×vs. Fair Market Price

Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 79% of the Time

File Completeness85

Price Logic85

Peer Alignment73

Clean Billing91

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.05× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

The Medical Center of Southeast Texas maintains elevated commercial insurance contracts (1.05× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 79% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#86 of 307 in TX · 27th State Percentile#1,529 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 79% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (61/100 safety score) with 55% patient recommendation
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 (1.05× 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.
Captive ER (0.8×) & laboratory (1.0×) services average 1.08× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.18×) jump +16% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 3,961) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.08× Divergence

1.3× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.91× · Q50 1.02× · Q75 1.18×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

1.1× MedicareGood

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

79% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 61/100Elevated

Procedure Prices at The Medical Center of Southeast Texas

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
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,128	$17,358	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,228	$17,228	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$15,912	$15,912	$17,936	0.9×
Total hip replacement CPT Code: `27130`	$12,674	$10,732	$13,413	0.8×
Total knee replacement CPT Code: `27447`	$12,674	$10,732	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,701	$8,701	$8,223	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$7,564	$2,680	unverified
C-section delivery (full package) CPT Code: `59510`	—	$7,564	$2,975	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,976	$4,996	$6,109	0.8×
Inguinal hernia repair CPT Code: `49505`	$3,539	$3,121	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,234	$2,949	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	$3,234	$2,949	$3,446	0.9×
Breast lump removal CPT Code: `19120`	$3,870	$2,790	$3,875	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$2,281	$2,281	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,402	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,183	$1,163	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$849	$1,138	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$897	$897	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$919	$890	$981	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$540	$645	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$698	$554	$855	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$378	$502	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$345	$443	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$345	$443	$511	0.9×
Blood transfusion CPT Code: `36430`	$436	$373	$498	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$236	$299	$303	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$236	$311	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$236	$306	$338	0.9×
Rabies immune globulin HCPCS Code: `90375`	—	—	$322	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$236	$280	$272	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$173	$250	$258	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$216	$213	$201	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$173	$211	$242	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$99	$226	$148	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$184	$110	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$103	$149	$132	1.1×
Family therapy session CPT Code: `90847`	$175	$162	$173	0.9×
Ultrasound, pelvis CPT Code: `76856`	$103	$126	$130	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$103	$126	$134	0.9×
CT scan, sinuses CPT Code: `70486`	$103	$151	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$103	$151	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$103	$151	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$103	$151	$169	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$103	$173	$160	unverified
CT scan, pelvis CPT Code: `72192`	$103	$173	$163	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$128	$123	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$175	$134	$185	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$151	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$58	$154	$64	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$72	$99	$86	1.2×
Group therapy session CPT Code: `90853`	$100	$100	$100	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$103	$121	$126	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$175	$124	$181	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$93	$87	1.1×
X-ray, hip CPT Code: `73502`	$86	$90	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$86	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$86	$86	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$86	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$86	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	$86	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$86	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$103	$103	$112	0.9×
X-ray, chest (single view) CPT Code: `71045`	$86	$83	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$103	$93	$110	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$61	$86	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$175	$99	$166	0.6×
Typhoid vaccine HCPCS Code: `90675`	—	—	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	—	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$111	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$79	$35	2.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$34	$14	2.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$54	$39	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$30	$47	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$33	$49	$40	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$26	$41	$34	1.2×
Blood antibody screen CPT Code: `86850`	$52	$52	$46	1.1×
Orthotic fitting and training CPT Code: `97760`	$43	$46	$51	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$27	$57	$35	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$13	$10	1.3×
Blood test, magnesium CPT Code: `83735`	$7	$9	$7	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$32	$25	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$39	$44	$37	1.2×
Physical therapy (gait training) CPT Code: `97116`	$27	$38	$33	1.2×
Blood test, vitamin D CPT Code: `82306`	$29	$34	$31	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$31	$38	$38	1.0×
Drug screening test HCPCS Code: `G0480`	$57	$57	$116	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$5	$4	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$5	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$5	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$13	$11	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$7	$6	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$7	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$8	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$15	$14	1.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$29	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$2	$3	$3	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$46	$28	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$46	$28	$49	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$27	$49	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$16	$86	0.2×
Blood test, amylase CPT Code: `82150`	$6	$10	$7	unverified
Blood test, calcium CPT Code: `82310`	$5	$7	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$15	$18	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$23	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$18	$15	unverified
Culture, blood CPT Code: `87040`	$10	$14	$11	unverified
Culture, bacterial CPT Code: `87070`	$8	$13	$9	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$1	$1	$140	unverified

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 The Medical Center of Southeast Texas (Zero PHI Required)

CMS CCN: 450518

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $17,128

Insurer Median $17,358

1. Amount on Your Bill or Quote ($) Pre-filled with The Medical Center of Southeast Texas’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 Save $24,531 Paying Cash

Self-Pay Cash Rate ($17,128) Beats Your Bill

The Medical Center of Southeast Texas's published 45 CFR § 180 self-pay cash rate is $17,128 (vs. $17,358 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$22,227 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($41,659) is $22,227 above the denoised Fair BaseRate ($19,432) and 3.0× the $14,044 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: 994785659

Public IRS & CMS ownership records classify The Medical Center of Southeast Texas 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 Composite61/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait205 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-03-11·administrative_or_closure
Closure Notice
Recorded
2025-02-11·cap_corrective_action
CAP Request
Recorded
2024-10-21·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (308 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

Regional Quality & Price Benchmark

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

Price Index: 1.03× regional baseline

Quality: 50/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Selectcare

-67.9%

Median Household Income$59,934U.S. Census ACS

Local Uninsured Share21.3%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 86/100 · Verified CMS CCN 450518 EIN 994785659

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450518) ↗ Verify IRS Form 990 (EIN 994785659) ↗ CMS HCRIS Cost Reports ↗

Published MRF File994785659_hsa-port-arthur-llc_standardcharges.csv

Publication / Vintage2026-09-02 · 209.87 MB

Validated Rate Rows6,757 (CMS v3.0.0)

File Integrity Digesta77607a92549705d48e3…

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