How many shoppable procedure prices are published for United Regional Health Care System?

United Regional Health Care System in Wichita Falls, TX currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do United Regional Health Care System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, United Regional Health Care System's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is United Regional Health Care System's CMS Care Compare overall star rating?

CMS Care Compare assigns United Regional Health Care System 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 Voluntary non-profit - Private 244 Beds · urban Updated: 11/15/2025

United Regional Health Care System

1600 11Th Street, Wichita Falls, TX 76301 · 107 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness56

Price Logic100

Peer Alignment95

Clean Billing59

Real Cash Discount41

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

United Regional Health Care System maintains low, disciplined commercial pricing across both routine shoppable procedures (1.2× Medicare, p50 0.89× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 0.90× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#25 of 307 in TX · 7th State Percentile#605 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (41/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 71% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.89× 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 0.89× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 6,663) 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 & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+1% Upper Tail

Q25 0.86× · Q50 0.89× · Q75 0.90×

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

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

1.4× MedicareGood

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

0% Cash Edge · 41/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at United Regional Health Care System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 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`	$76,545	$27,462	$30,775	0.9×
Total knee replacement CPT Code: `27447`	$23,587	$23,587	$13,523	1.7×
Total hip replacement CPT Code: `27130`	$20,503	$20,503	$13,413	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$18,690	$18,690	$6,109	3.1×
Bunion correction surgery CPT Code: `28296`	$18,013	$18,013	$3,446	5.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$56,931	$17,463	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$42,500	$16,780	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$50,849	$16,100	$17,936	0.9×
Inguinal hernia repair CPT Code: `49505`	$10,479	$10,479	$3,629	2.9×
Colonoscopy with biopsy CPT Code: `45380`	$7,475	$7,475	$1,256	6.0×
Upper endoscopy with biopsy CPT Code: `43239`	$7,282	$7,282	$987	7.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$26,376	$6,944	$8,223	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$6,533	$6,533	$981	6.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$6,540	$6,540	$3,372	1.9×
Breast lump removal CPT Code: `19120`	$6,331	$6,331	$3,875	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,488	$5,488	$448	12.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,043	$5,043	$303	16.6×
Injection procedure for pain management HCPCS Code: `G0260`	$3,395	$3,395	$855	4.0×
MRI, lower back (no contrast) CPT Code: `72148`	$3,005	$3,005	$338	8.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,823	$2,823	$369	7.7×
Trauma team activation HCPCS Code: `G0390`	$2,680	$2,680	$1,453	1.8×
CT scan, chest (no contrast) CPT Code: `71250`	$2,421	$2,421	$167	14.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,421	$2,421	$168	14.4×
Rabies immune globulin HCPCS Code: `90375`	$2,413	$2,413	$322	7.5×
CT scan, pelvis CPT Code: `72192`	$2,387	$2,387	$163	14.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,307	$2,307	$343	6.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,166	$2,166	$169	12.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,117	$2,117	$258	8.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,928	$1,928	$583	3.3×
CT scan, sinuses CPT Code: `70486`	$1,815	$1,815	$166	10.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,735	$1,735	$242	7.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,638	$1,638	$272	6.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,560	$1,560	$511	3.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,526	$1,526	$160	9.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,245	$1,245	$134	9.3×
Ultrasound, pelvis CPT Code: `76856`	$1,003	$1,003	$130	7.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$904	$904	$126	7.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$887	$887	$132	6.7×
X-ray, lower back CPT Code: `72110`	$682	$682	$112	6.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$609	$609	$151	4.0×
X-ray, hip CPT Code: `73502`	$534	$534	$93	5.7×
Blood transfusion CPT Code: `36430`	$543	$543	$498	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$462	$462	$93	5.0×
X-ray, shoulder CPT Code: `73030`	$417	$417	$92	4.5×
X-ray, foot CPT Code: `73630`	$389	$389	$92	4.2×
X-ray, hand CPT Code: `73130`	$389	$389	$93	4.2×
X-ray, ankle CPT Code: `73610`	$389	$389	$93	4.2×
X-ray, chest (two views) CPT Code: `71046`	$282	$282	$93	3.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$304	$304	$148	2.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$245	$245	$64	3.8×
X-ray, chest (single view) CPT Code: `71045`	$243	$243	$92	2.6×
X-ray, pelvis CPT Code: `72170`	$251	$251	$110	2.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$257	$257	$201	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$185	$185	$38	4.9×
Speech therapy (language evaluation) CPT Code: `92507`	$181	$181	$86	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$133	$133	$34	3.9×
Screening mammogram (both breasts) CPT Code: `77067`	$133	$133	$123	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$100	$100	$14	7.1×
Physical therapy (gait training) CPT Code: `97116`	$105	$105	$33	3.2×
Speech therapy (group session) CPT Code: `92508`	$83	$83	$27	3.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$105	$105	$35	3.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$105	$105	$38	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$105	$105	$38	2.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$105	$105	$40	2.6×
Prosthetic fitting and training CPT Code: `97761`	$105	$105	$45	2.3×
Orthotic fitting and training CPT Code: `97760`	$105	$105	$51	2.1×
Typhoid vaccine HCPCS Code: `90675`	$1,541	$1,541	$347	4.4×
Pneumococcal vaccine HCPCS Code: `90732`	$801	$801	$140	5.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$668	$668	$111	6.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$441	$441	$56	7.9×
Culture, blood CPT Code: `87040`	$319	$319	$11	29.0×
Hepatitis B vaccine HCPCS Code: `90744`	$332	$332	$37	9.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$333	$333	$39	8.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$272	$272	$11	24.7×
Hepatitis C antibody test CPT Code: `86803`	$279	$279	$15	18.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$255	$255	$25	10.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$222	$222	$14	15.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$218	$218	$14	15.6×
Blood test, vitamin B12 CPT Code: `82607`	$233	$233	$16	14.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$233	$233	$18	12.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$233	$233	$19	12.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$233	$233	$20	11.7×
Blood test, basic metabolic panel CPT Code: `80048`	$187	$187	$9	20.8×
Blood test, vitamin D CPT Code: `82306`	$211	$211	$31	6.8×
Drug screening test HCPCS Code: `G0480`	$236	$236	$116	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$184	$184	$8	23.0×
Culture, bacterial CPT Code: `87070`	$184	$184	$9	20.4×
Blood antibody screen CPT Code: `86850`	$182	$182	$46	4.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$154	$154	$6	25.7×
Blood test, lipase CPT Code: `83690`	$148	$148	$7	21.1×
Blood test, liver function panel CPT Code: `80076`	$173	$173	$9	19.2×
Blood test, magnesium CPT Code: `83735`	$144	$144	$7	20.6×
Blood test, amylase CPT Code: `82150`	$139	$139	$7	19.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$158	$158	$10	15.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$95	$95	$3	31.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$89	$89	$4	22.3×
Blood test, calcium CPT Code: `82310`	$110	$110	$5	22.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$110	$110	$5	22.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$84	$84	$4	21.0×
Blood test, sodium CPT Code: `84295`	$103	$103	$5	20.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$101	$101	$5	20.2×
Blood test, potassium CPT Code: `84132`	$98	$98	$5	19.6×
Blood test, hemoglobin CPT Code: `85018`	$63	$63	$3	21.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$57	$57	$35	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$64	$64	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$64	$64	$49	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$72	$72	$86	0.8×

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 30.5%

Audit a Bill or Quote at United Regional Health Care System (Zero PHI Required)

CMS CCN: 450010

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $76,545

Insurer Median $27,462

1. Amount on Your Bill or Quote ($) Pre-filled with United Regional Health Care System’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 501(r) AGB Cap: $24,591 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $24,591

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (30.5% of gross = $24,591).

Step 2 · Cash vs. Insurance Arbitrage Save $4,029 Paying Cash

Self-Pay Cash Rate ($76,545) Beats Your Bill

United Regional Health Care System's published 45 CFR § 180 self-pay cash rate is $76,545 (vs. $27,462 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$49,799 Above Fair BaseRate

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

Your bill ($80,574) is $49,799 above the denoised Fair BaseRate ($30,775) and 3.4× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 751912147

Filing Period: 198501

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (30.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite72/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait166 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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 United Regional Health Care System. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-14·administrative_or_closure
Closure Notice
Recorded
2025-08-07·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (505 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for United Regional Health Care System.

Price Index: 1.11× regional baseline

Quality: 73/100 CMS composite

Median Household Income$62,168U.S. Census ACS

Local Uninsured Share15.2%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 72/100 · Corroborated CMS CCN 450010 EIN 751912147

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 450010) ↗ Verify IRS Form 990 (EIN 751912147) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage11/15/2025

Validated Rate Rows15 (CMS v2.0.0)

File Integrity DigestVerified · CCN 450010

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