How many shoppable procedure prices are published for Winkler County Memorial Hospital?

Winkler County Memorial Hospital in Kermit, TX currently has 85 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Winkler County Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Winkler County Memorial Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 16 Beds · rural Updated: 2026-07-27

Winkler County Memorial Hospital

821 Jeffee Drive, Kermit, TX 79745 · 85 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.21×vs. Fair Market Price

Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 43% of the Time

File Completeness90

Price Logic49

Peer Alignment70

Clean Billing62

Real Cash Discount100

Premium Quality Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +105% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Winkler County Memorial Hospital prices routine shoppable procedures at 1.8× Medicare (median 0.94× Fair BaseRate) while upper-quartile commercial rates jump +105% to 1.93× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#166 of 307 in TX · 53rd State Percentile#2,048 of 3,385 in U.S. · 60th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.57× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (85/100 safety score) with 72% 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 2.2× markup over Medicare rates
Commercial insurance median sits at 0.94× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.93×) jump +105% above the median procedure ratio (Q50 0.94×)
Unnegotiated chargemaster list prices average 12.7× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.89× Divergence

1.6× Medicare

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

Quantile Tail Spread+105% Upper Tail

Q25 0.57× · Q50 0.94× · Q75 1.93×

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

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.0× MedicareFair

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

2.1× MedicareGood

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

43% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Winkler County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Blood transfusion CPT Code: `36430`	$957	$957	$498	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,269	$753	$511	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$3,456	$679	$338	2.0×
MRI, brain (no contrast) CPT Code: `70551`	$4,019	$682	$343	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,760	$685	$369	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,242	$677	$448	1.5×
CT scan, pelvis CPT Code: `72192`	$1,618	$598	$163	3.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,541	$583	$160	3.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,664	$606	$167	3.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,226	$605	$168	3.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,332	$607	$169	3.6×
CT scan, head (with contrast) CPT Code: `70460`	$2,148	$606	$242	2.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,619	$620	$258	2.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,793	$624	$303	2.1×
CT scan, sinuses CPT Code: `70486`	$1,630	$594	$166	3.6×
X-ray, chest (two views) CPT Code: `71046`	$349	$349	$93	3.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,958	$310	$272	1.1×
X-ray, chest (single view) CPT Code: `71045`	$268	$268	$92	2.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$277	$199	$181	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$199	$199	$201	1.0×
Family therapy session CPT Code: `90847`	$306	$166	$173	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$189	$189	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$182	$182	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$185	$185	$123	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,355	$119	$134	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$808	$113	$132	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,137	$107	$130	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$242	$132	$166	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$670	$89	$126	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$320	$320	$11	29.1×
Pneumococcal vaccine HCPCS Code: `90732`	$307	$326	$140	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$207	$207	$9	23.0×
Blood test, liver function panel CPT Code: `80076`	$207	$207	$9	23.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$173	$173	$14	12.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$190	$190	$203	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$206	$206	$56	unverified
Blood test, lipase CPT Code: `83690`	$152	$152	$7	21.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$115	$115	$5	23.0×
Blood test, amylase CPT Code: `82150`	$131	$131	$7	18.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$76	$76	$3	25.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$91	$91	$4	22.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$98	$98	$5	19.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$103	$103	$6	17.2×
Blood test, magnesium CPT Code: `83735`	$114	$114	$7	16.3×
Culture, bacterial CPT Code: `87070`	$118	$118	$9	13.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$78	$78	$4	19.5×
Blood test, sodium CPT Code: `84295`	$83	$83	$5	16.6×
Culture, blood CPT Code: `87040`	$107	$107	$11	9.7×
Blood test, potassium CPT Code: `84132`	$76	$76	$5	15.2×
Blood test, calcium CPT Code: `82310`	$72	$72	$5	14.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$80	$8	10.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$78	$78	$10	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$130	$29	$14	2.1×
Blood test, vitamin B12 CPT Code: `82607`	$234	$29	$16	1.8×
Blood test, vitamin D CPT Code: `82306`	$530	$34	$31	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$48	$48	$86	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$67	$39	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$84	$84	$111	unverified
Hepatitis C antibody test CPT Code: `86803`	$120	$29	$15	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$133	$30	$18	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$30	$19	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$113	$30	$20	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$111	$31	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$161	$25	$35	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$136	$27	$38	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$165	$26	$38	0.7×
Physical therapy (gait training) CPT Code: `97116`	$100	$22	$33	0.7×
X-ray, hip CPT Code: `73502`	$235	$40	$93	0.4×
X-ray, lower back CPT Code: `72110`	$509	$47	$112	0.4×
Group therapy session CPT Code: `90853`	$300	$40	$100	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$302	$32	$93	0.3×
X-ray, hand CPT Code: `73130`	$200	$30	$93	0.3×
X-ray, ankle CPT Code: `73610`	$186	$30	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$235	$28	$92	0.3×
X-ray, foot CPT Code: `73630`	$186	$28	$92	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$53	$53	$25	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$152	$27	$40	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$121	$25	$38	0.7×
Orthotic fitting and training CPT Code: `97760`	$116	$29	$51	0.6×
Prosthetic fitting and training CPT Code: `97761`	$61	$25	$45	0.6×
Blood antibody screen CPT Code: `86850`	$41	$25	$46	0.5×
X-ray, pelvis CPT Code: `72170`	$257	$31	$110	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$433	$13	$64	0.2×
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$35	$49	unverified

Showing top 25 high-impact procedures of 85 total

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

Audit a Bill or Quote at Winkler County Memorial Hospital (Zero PHI Required)

CMS CCN: 451314

CPT 36430

Select Procedure to Audit:

Fair BaseRate™ $498

Medicare Rate $451

Self-Pay Cash $957

Insurer Median $957

1. Amount on Your Bill or Quote ($) Pre-filled with Winkler County Memorial 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 $239 Paying Cash

Self-Pay Cash Rate ($957) Beats Your Bill

Winkler County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $957 (vs. $957 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$698 Above Fair BaseRate

Negotiate Toward $498 Fair BaseRate ($451 Medicare)

Your bill ($1,196) is $698 above the denoised Fair BaseRate ($498) and 2.7× the $451 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 Winkler County Memorial 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

Safety Composite85/100

Median ER Wait82 min

CMS Price Transparency Administrative Enforcement Log

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

2024-06-13·administrative_or_closure
Closure Notice
Recorded
2024-03-07·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Winkler County Memorial Hospital.

Price Index: 2.00× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-48.0%

Median Household Income$91,898U.S. Census ACS

Local Uninsured Share18.0%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 73/100 · Corroborated CMS CCN 451314

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 451314) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-27 · 16.13 MB

Validated Rate Rows1,185 (CMS v3.0.0)

File Integrity Digest644878fe510b1deafec2…

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