How many shoppable procedure prices are published for Titus Regional Medical Center?

Titus Regional Medical Center in Mount Pleasant, TX currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Titus Regional Medical Center 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 Government - Hospital District or Authority 49 Beds · rural Updated: 2026-01-01

Titus Regional Medical Center

2001 N Jefferson, Mount Pleasant, TX 75455 · 102 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.27×vs. Fair Market Price

Typical commercial prices here are +27% above the fair benchmark (1.27×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 66% of the Time

File Completeness48

Price Logic90

Peer Alignment70

Clean Billing64

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.27× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +111% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Titus Regional Medical Center prices routine shoppable procedures at 1.8× Medicare (median 0.96× Fair BaseRate) while upper-quartile commercial rates jump +111% to 2.03× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#194 of 307 in TX · 62nd State Percentile#2,197 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.63× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 66% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 70% 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)

Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
Commercial insurance median sits at 0.96× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.03×) jump +111% above the median procedure ratio (Q50 0.96×)
Consolidated metro market (HHI 7,094) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.61× Divergence

1.1× Medicare

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

Quantile Tail Spread+111% Upper Tail

Q25 0.63× · Q50 0.96× · Q75 2.03×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.7× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

0.7× MedicareGood

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

66% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Titus Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$2,812	$3,697	$13,523	0.3×
Trauma team activation HCPCS Code: `G0390`	$3,090	$3,090	$1,453	2.1×
Total hip replacement CPT Code: `27130`	$2,813	$2,714	$13,413	0.2×
Bunion correction surgery CPT Code: `28296`	$1,882	$2,340	$3,446	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,366	$2,277	$6,109	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,115	$1,858	$3,372	0.6×
Inguinal hernia repair CPT Code: `49505`	$1,079	$1,798	$3,629	0.5×
Breast lump removal CPT Code: `19120`	$1,006	$1,676	$3,875	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,333	$1,418	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$720	$1,013	$448	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$720	$1,013	$303	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,008	$962	$338	2.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,008	$962	$343	2.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,008	$962	$369	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$691	$931	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,454	$934	$1,021	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,211	$950	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$970	$854	$242	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$643	$787	$981	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$820	$787	$1,256	0.6×
Blood transfusion CPT Code: `36430`	$606	$606	$498	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,060	$626	$855	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$720	$546	$160	3.4×
CT scan, pelvis CPT Code: `72192`	$720	$546	$163	3.3×
CT scan, chest (no contrast) CPT Code: `71250`	$720	$546	$167	3.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$720	$546	$168	3.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$720	$546	$169	3.2×
CT scan, sinuses CPT Code: `70486`	$720	$546	$166	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$604	$234	$272	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$121	$184	$86	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$437	$199	$148	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$361	$150	$123	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$307	$161	$134	1.2×
Ultrasound, pelvis CPT Code: `76856`	$286	$138	$130	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$253	$129	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$265	$134	$181	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,106	$140	$583	0.2×
Occupational therapy (self-care training) CPT Code: `97535`	$69	$82	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$61	$83	$40	2.1×
Orthotic fitting and training CPT Code: `97760`	$61	$90	$51	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$155	$112	$86	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$233	$119	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$328	$115	$132	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$177	$101	$166	0.6×
Culture, bacterial CPT Code: `87070`	$406	$406	$9	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$201	$201	$140	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$126	$109	$56	1.9×
Drug screening test HCPCS Code: `G0480`	$364	$114	$116	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$61	$75	$35	2.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$36	$36	$10	3.6×
Speech therapy (group session) CPT Code: `92508`	$92	$55	$27	2.0×
Physical therapy (gait training) CPT Code: `97116`	$56	$67	$33	2.0×
Prosthetic fitting and training CPT Code: `97761`	$80	$79	$45	1.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	$79	$38	unverified
Flu vaccine injection HCPCS Code: `G0008`	$87	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$87	$42	$49	0.9×
Group therapy session CPT Code: `90853`	$53	$51	$100	0.5×
Physical therapy (manual therapy) CPT Code: `97140`	$58	$70	$34	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$25	$33	$14	2.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$61	$30	$31	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$141	$45	$93	0.5×
X-ray, hip CPT Code: `73502`	$141	$45	$93	0.5×
X-ray, chest (two views) CPT Code: `71046`	$141	$44	$93	0.5×
X-ray, lower back CPT Code: `72110`	$273	$52	$112	0.5×
Blood test, calcium CPT Code: `82310`	$25	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$86	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$93	$13	$14	0.9×
X-ray, shoulder CPT Code: `73030`	$141	$38	$92	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$46	$11	$11	1.0×
X-ray, chest (single view) CPT Code: `71045`	$133	$36	$92	0.4×
X-ray, hand CPT Code: `73130`	$133	$35	$93	0.4×
X-ray, ankle CPT Code: `73610`	$141	$35	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$27	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$82	$8	$9	0.9×
X-ray, foot CPT Code: `73630`	$141	$33	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$178	$35	$110	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$8	$7	$3	2.3×
Blood test, magnesium CPT Code: `83735`	$46	$15	$7	2.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$10	$5	2.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$34	$29	$25	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$75	$14	$14	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$311	$33	$201	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$51	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$44	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$27	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$25	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$6	$6	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$62	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$88	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$58	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$120	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$97	$10	$11	0.9×
Blood test, amylase CPT Code: `82150`	$49	$6	$7	0.9×
Blood test, hemoglobin CPT Code: `85018`	$21	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$79	$26	$39	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$80	$20	$37	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$127	$26	$64	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$63	$7	$25	0.3×
Blood antibody screen CPT Code: `86850`	$43	$10	$46	0.2×

Showing top 25 high-impact procedures of 102 total

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

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

CMS CCN: 450080

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $2,812

Insurer Median $3,697

1. Amount on Your Bill or Quote ($) Pre-filled with Titus Regional 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 Save $1,874 Paying Cash

Self-Pay Cash Rate ($2,812) Beats Your Bill

Titus Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $2,812 (vs. $3,697 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,523 Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).

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)

Public IRS & CMS ownership records classify Titus Regional 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 Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait187 min

Left ER Before Seen1%

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

Source: CMS Hospital Care Compare (379 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 Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 1.00× regional baseline

Quality: 68/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-67.3%

Median Household Income$59,220U.S. Census ACS

Local Uninsured Share21.2%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 74/100 · Corroborated CMS CCN 450080

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450080) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filebwfegtc8pfb7cevjbxrzpsu6eksznd44.csv

Publication / Vintage2026-01-01 · 1.32 MB

Validated Rate Rows865 (CMS v2.0.0)

File Integrity DigestVerified · CCN 450080

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