How many shoppable procedure prices are published for Tops Surgical Specialty Hospital?

Tops Surgical Specialty Hospital in Houston, TX currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tops Surgical Specialty Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tops Surgical Specialty Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Physician 15 Beds · urban Updated: 2026-04-15

Tops Surgical Specialty Hospital

17080 Red Oak Drive, Houston, TX 77090 · 114 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness95

Price Logic76

Peer Alignment68

Clean Billing73

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Tops Surgical Specialty Hospital prices shoppable and inpatient services (1.5× to 1.4× Medicare, divergence 0.93×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#84 of 307 in TX · 27th State Percentile#1,444 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 25% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 84% patient recommendation (73/100 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 (1.03× 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 1.17× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.03× 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.
Unnegotiated chargemaster list prices average 14.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.93× Divergence

1.4× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.95× · Q50 1.17× · Q75 1.31×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

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

0.5× MedicareGood

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

25% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Tops Surgical Specialty Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

Sort:

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`	—	$46,788	$30,775	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$31,682	$19,087	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$30,990	$19,432	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$30,165	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,554	$8,223	1.5×
Total knee replacement CPT Code: `27447`	$3,691	$4,745	$13,523	0.4×
C-section delivery (full package) CPT Code: `59510`	—	$4,209	$2,975	1.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,986	$2,680	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,498	$3,803	$6,109	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,498	$3,366	$3,372	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$3,352	$1,453	unverified
Total hip replacement CPT Code: `27130`	$2,132	$3,228	$13,413	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,923	$3,035	$3,629	0.8×
Bunion correction surgery CPT Code: `28296`	$2,132	$2,888	$3,446	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$1,343	$2,490	$2,540	1.0×
Breast lump removal CPT Code: `19120`	$1,343	$2,369	$3,875	0.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,704	$1,795	$1,021	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$474	$1,349	$981	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$474	$1,349	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$474	$1,232	$987	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$474	$1,054	$855	1.2×
Blood transfusion CPT Code: `36430`	$474	$998	$498	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,478	$497	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,100	$514	$511	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$485	$583	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$235	$443	$86	5.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,085	$414	$272	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,478	$311	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	—	$311	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	—	$311	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	—	$311	$369	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	—	$273	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$279	$123	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,108	$242	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,528	$245	$258	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$182	$87	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$204	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$191	$181	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$190	$196	$64	unverified
X-ray, lower back CPT Code: `72110`	$344	$147	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$321	$147	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$381	$148	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$340	$148	$132	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$164	$148	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$321	$148	$134	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$135	$123	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$673	$151	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$1,245	$151	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,215	$152	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,726	$151	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,588	$151	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,412	$151	$169	0.9×
Physical therapy (gait training) CPT Code: `97116`	$191	$108	$33	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$124	$38	3.3×
Family therapy session CPT Code: `90847`	—	$146	$173	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$144	$40	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$214	$109	$35	3.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$129	$166	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	—	$123	$38	unverified
Speech therapy (group session) CPT Code: `92508`	—	$82	$27	3.0×
Physical therapy (manual therapy) CPT Code: `97140`	$114	$99	$34	2.9×
X-ray, chest (single view) CPT Code: `71045`	$237	$109	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$276	$109	$93	1.2×
X-ray, hip CPT Code: `73502`	$183	$109	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$208	$106	$93	1.1×
X-ray, hand CPT Code: `73130`	$424	$96	$93	1.0×
X-ray, ankle CPT Code: `73610`	$402	$96	$93	1.0×
X-ray, foot CPT Code: `73630`	$448	$94	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$222	$112	$110	1.0×
X-ray, shoulder CPT Code: `73030`	$241	$85	$92	0.9×
Care planning with family CPT Code: `90887`	—	$93	$107	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$88	$128	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$109	$231	0.5×
Psychological testing by technician CPT Code: `96138`	—	$92	$395	0.2×
Drug screening test HCPCS Code: `G0480`	$114	$122	$116	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$83	$48	1.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$63	$63	$201	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	$37	$14	2.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$54	$33	1.6×
Blood test, vitamin D CPT Code: `82306`	$114	$36	$31	1.2×
Blood test, calcium CPT Code: `82310`	$137	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$72	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$137	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	$137	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$102	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$137	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$290	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$284	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$172	$11	$9	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$33	$27	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$137	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$137	$23	$19	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$137	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$137	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$137	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$137	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$168	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$137	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$420	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$206	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$284	$21	$18	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$23	$20	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$344	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	$137	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$344	$10	$9	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$34	$35	1.0×
Group therapy session CPT Code: `90853`	—	$35	$100	0.3×
Blood test, magnesium CPT Code: `83735`	$137	$8	$7	1.1×
Blood test, hemoglobin CPT Code: `85018`	$85	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$107	$5	$5	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$21	$25	0.8×
Blood antibody screen CPT Code: `86850`	$161	$14	$46	0.3×
Community mental health services HCPCS Code: `H0038`	—	$1	$16	0.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$18	$18	$56	unverified

Showing top 25 high-impact procedures of 114 total

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

Audit a Bill or Quote at Tops Surgical Specialty Hospital (Zero PHI Required)

CMS CCN: 450774

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $46,788

1. Amount on Your Bill or Quote ($) Pre-filled with Tops Surgical Specialty Hospital’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 Tops Surgical Specialty Hospital'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 +$81,516 Above Fair BaseRate

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

Your bill ($112,291) is $81,516 above the denoised Fair BaseRate ($30,775) and 4.8× 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: 760246499

Public IRS & CMS ownership records classify Tops Surgical Specialty Hospital 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 Composite73/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)81%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

CMS Price Transparency Administrative Enforcement Log

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

2025-07-15·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (140 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 Tops Surgical Specialty Hospital.

Price Index: 0.60× regional baseline

Quality: 70/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Oscar Health

-53.5%

Health Net

-46.3%

Aetna

+90.1%

Ambetter (Centene)

+111.5%

Median Household Income$73,104U.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 82/100 · Corroborated CMS CCN 450774 EIN 760246499

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450774) ↗ Verify IRS Form 990 (EIN 760246499) ↗ CMS HCRIS Cost Reports ↗

Published MRF File760246499_TOPSSurgicalSpecialtyHospital_standardcharges.json

Publication / Vintage2026-04-15 · 63.75 MB

Validated Rate Rows2,095 (CMS v3.0.0)

File Integrity Digestf42913f713c0b5135462…

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

Tops Surgical Specialty Hospital

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Tops Surgical Specialty Hospital

Audit a Bill or Quote at Tops Surgical Specialty Hospital (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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