How many shoppable procedure prices are published for UT Health East Texas Jacksonville Hospital?

UT Health East Texas Jacksonville Hospital in Jacksonville, TX currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Acute Care Hospital Proprietary 38 Beds · rural Updated: 2/12/2026

UT Health East Texas Jacksonville Hospital

501 S Ragsdale, Jacksonville, TX 75766 · 90 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 99% of the Time

File Completeness66

Price Logic99

Peer Alignment60

Clean Billing76

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

UT Health East Texas Jacksonville Hospital concentrates commercial margin in outpatient surgical suites (5.8× Medicare) and specialty drug infusions (4.7× Medicare) relative to routine diagnostics (16.5×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in TXU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 99% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (74/100 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)

Outpatient surgery & OR suites carry a 5.8× markup over Medicare rates
Captive ER (4.3×) & laboratory (37.6×) services average 1.27× higher multiples than routine shoppable care (14.3×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 4,619) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

14.3× Medicare

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

Back-Door Captive & ER1.27× Divergence

18.2× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

14.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

5.8× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

16.5× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.3× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

37.6× MedicareWatchout

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

4.7× MedicareWatchout

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

99% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at UT Health East Texas Jacksonville Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$2,761	$2,761	$322	8.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,134	$1,134	$448	2.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,018	$1,018	$511	2.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$868	$868	$303	2.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$833	$833	$258	3.2×
MRI, knee or other leg joint CPT Code: `73721`	$782	$782	$369	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$734	$734	$242	3.0×
MRI, brain (no contrast) CPT Code: `70551`	$753	$753	$343	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	$704	$704	$338	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$650	$650	$583	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$652	$652	$1,256	0.5×
CT scan, pelvis CPT Code: `72192`	$579	$579	$163	3.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$592	$592	$981	0.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$607	$607	$1,021	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$562	$562	$160	3.5×
CT scan, chest (no contrast) CPT Code: `71250`	$579	$579	$167	3.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$579	$579	$168	3.4×
CT scan, sinuses CPT Code: `70486`	$562	$562	$166	3.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$562	$562	$169	3.3×
Trauma team activation HCPCS Code: `G0390`	$579	$579	$1,453	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$539	$539	$987	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$375	$375	$151	2.5×
Blood transfusion CPT Code: `36430`	$395	$395	$498	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$297	$297	$134	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$287	$287	$272	1.1×
X-ray, lower back CPT Code: `72110`	$258	$258	$112	2.3×
Ultrasound, pelvis CPT Code: `76856`	$241	$241	$130	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	$237	$237	$855	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$175	$175	$132	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$146	$146	$126	1.2×
X-ray, foot CPT Code: `73630`	$114	$114	$92	1.2×
X-ray, hand CPT Code: `73130`	$114	$114	$93	1.2×
X-ray, ankle CPT Code: `73610`	$114	$114	$93	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	$86	$64	1.3×
X-ray, shoulder CPT Code: `73030`	$103	$103	$92	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$85	$85	$86	1.0×
X-ray, chest (two views) CPT Code: `71046`	$82	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$82	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$82	$82	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$82	$82	$110	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$104	$104	$148	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$242	$242	$203	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$155	$155	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$123	$123	$111	1.1×
Hepatitis C antibody test CPT Code: `86803`	$87	$87	$15	5.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$61	$11	5.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$77	$77	$14	5.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$91	$91	$19	4.8×
Blood test, basic metabolic panel CPT Code: `80048`	$49	$49	$9	5.4×
Blood test, vitamin B12 CPT Code: `82607`	$74	$74	$16	4.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$83	$83	$18	4.6×
Drug screening test HCPCS Code: `G0480`	$86	$86	$116	0.7×
Blood test, liver function panel CPT Code: `80076`	$47	$47	$9	5.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$30	$30	$6	5.0×
Blood test, lipase CPT Code: `83690`	$34	$34	$7	4.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$48	$10	4.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$67	$67	$14	4.8×
Culture, blood CPT Code: `87040`	$51	$51	$11	4.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$65	$65	$56	1.2×
X-ray, chest (single view) CPT Code: `71045`	$72	$72	$92	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$70	$70	$123	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$33	$5	6.6×
Blood test, calcium CPT Code: `82310`	$26	$26	$5	5.2×
Blood antibody screen CPT Code: `86850`	$47	$47	$46	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$20	$4	5.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$20	$20	$4	5.0×
Blood test, sodium CPT Code: `84295`	$24	$24	$5	4.8×
Culture, bacterial CPT Code: `87070`	$43	$43	$9	4.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$38	$8	4.8×
Blood test, magnesium CPT Code: `83735`	$33	$33	$7	4.7×
Blood test, potassium CPT Code: `84132`	$23	$23	$5	4.6×
Blood test, amylase CPT Code: `82150`	$32	$32	$7	4.6×
Physical therapy (gait training) CPT Code: `97116`	$40	$40	$33	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$39	$39	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$38	$39	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$48	$48	$201	0.2×
Blood test, hemoglobin CPT Code: `85018`	$12	$12	$3	4.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	$20	$5	4.0×
Blood test, vitamin D CPT Code: `82306`	$39	$39	$31	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$23	$23	$20	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$34	$35	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$26	$26	$38	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$22	$22	$40	0.6×
Physical therapy (manual therapy) CPT Code: `97140`	$18	$18	$34	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$12	$12	$38	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$12	$12	$48	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$12	$12	$49	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$20	$20	$86	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$10	$10	$49	0.2×

Showing top 25 high-impact procedures of 90 total

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

Audit a Bill or Quote at UT Health East Texas Jacksonville Hospital (Zero PHI Required)

CMS CCN: 450194

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $2,761

Insurer Median $2,761

1. Amount on Your Bill or Quote ($) Pre-filled with UT Health East Texas Jacksonville 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 Save $24,851 Paying Cash

Self-Pay Cash Rate ($2,761) Beats Your Bill

UT Health East Texas Jacksonville Hospital's published 45 CFR § 180 self-pay cash rate is $2,761 (vs. $2,761 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$27,290 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($27,612) is $27,290 above the denoised Fair BaseRate ($322) and 100.4× the $275 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)

Public IRS & CMS ownership records classify UT Health East Texas Jacksonville 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 Composite74/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait93 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 (129 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 UT Health East Texas Jacksonville Hospital.

Price Index: 1.00× regional baseline

Quality: 70/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+100.8%

Median Household Income$59,830U.S. Census ACS

Local Uninsured Share20.4%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 81/100 · Corroborated CMS CCN 450194

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 450194) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2/12/2026

Validated Rate Rows1,712 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450194

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