How many shoppable procedure prices are published for Yoakum Community Hospital?

Yoakum Community Hospital in Yoakum, TX currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Yoakum Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Yoakum Community Hospital's median negotiated commercial rate is 3.0× the regionally adjusted fair BaseRate benchmark.

What is Yoakum Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Yoakum Community Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 23 Beds · rural Updated: 2026-06-11

Yoakum Community Hospital

1200 Carl Ramert Drive, Yoakum, TX 77995 · 94 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

3.05×vs. Fair Market Price

Typical commercial prices here are +205% above the fair benchmark (3.05×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 64% of the Time

File Completeness56

Price Logic55

Peer Alignment77

Clean Billing70

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 3.05× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +35% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Yoakum Community Hospital prices routine shoppable procedures at 4.1× Medicare (median 2.80× Fair BaseRate) while upper-quartile commercial rates jump +35% to 3.78× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#303 of 307 in TX · 98th State Percentile#3,343 of 3,385 in U.S. · 98th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 2.32× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 80% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (69.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 5.1× markup over Medicare rates
Commercial insurance median sits at 2.80× Fair BaseRate (4.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.78×) jump +35% above the median procedure ratio (Q50 2.80×)
Unnegotiated chargemaster list prices average 7.9× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.1× Medicare

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

Back-Door Captive & ER0.34× Divergence

1.4× Medicare

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

Quantile Tail Spread+35% Upper Tail

Q25 2.32× · Q50 2.80× · Q75 3.78×

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

4.1× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

5.1× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.5× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

5.9× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

7.1× MedicareWatchout

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

3.3× MedicareElevated

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

64% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Yoakum Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$22,967	$27,113	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$6,790	$10,446	$19,432	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,761	$8,863	$8,223	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,721	$2,619	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,748	$1,850	$448	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,035	$1,636	$1,021	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,349	$1,599	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,618	$1,599	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,448	$1,599	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,452	$1,149	$303	3.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,979	$975	$242	4.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,059	$975	$258	3.8×
Trauma team activation HCPCS Code: `G0390`	$848	$848	$1,453	0.6×
Blood transfusion CPT Code: `36430`	$763	$763	$498	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,109	$734	$160	4.6×
CT scan, pelvis CPT Code: `72192`	$1,001	$734	$163	4.5×
CT scan, sinuses CPT Code: `70486`	$835	$734	$166	4.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,667	$734	$167	4.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,260	$734	$168	4.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,208	$734	$169	4.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$595	$534	$272	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,344	$442	$583	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$263	$388	$148	2.6×
X-ray, lower back CPT Code: `72110`	$257	$361	$112	3.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$358	$361	$126	2.9×
Ultrasound, pelvis CPT Code: `76856`	$523	$361	$130	2.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$289	$361	$132	2.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$597	$361	$134	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$218	$321	$123	2.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$925	$290	$151	1.9×
X-ray, shoulder CPT Code: `73030`	$195	$257	$92	2.8×
X-ray, foot CPT Code: `73630`	$212	$257	$92	2.8×
X-ray, chest (two views) CPT Code: `71046`	$183	$257	$93	2.8×
X-ray, hand CPT Code: `73130`	$217	$257	$93	2.8×
X-ray, ankle CPT Code: `73610`	$233	$257	$93	2.8×
X-ray, chest (single view) CPT Code: `71045`	$177	$257	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$142	$180	$64	2.8×
Speech therapy (language evaluation) CPT Code: `92507`	$171	$171	$86	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$133	$40	3.3×
Group therapy session CPT Code: `90853`	$150	$150	$100	1.5×
Physical therapy (gait training) CPT Code: `97116`	$73	$101	$33	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$75	$116	$38	3.1×
Family therapy session CPT Code: `90847`	$140	$140	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$140	$140	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$140	$140	$185	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$149	$149	$201	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$122	$116	$38	3.1×
Prosthetic fitting and training CPT Code: `97761`	$104	$137	$45	3.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$148	$148	$93	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$91	$114	$38	3.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$92	$102	$35	2.9×
Physical therapy (manual therapy) CPT Code: `97140`	$99	$93	$34	2.7×
X-ray, hip CPT Code: `73502`	$108	$108	$93	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$85	$81	$35	2.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$101	$101	$166	0.6×
X-ray, pelvis CPT Code: `72170`	$121	$121	$110	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$190	$264	$140	1.9×
Blood test, vitamin D CPT Code: `82306`	$261	$261	$31	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$135	$158	$111	1.4×
Blood test, liver function panel CPT Code: `80076`	$85	$85	$9	9.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$101	$101	$11	9.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$112	$112	$19	unverified
Culture, blood CPT Code: `87040`	$79	$79	$11	7.2×
Blood antibody screen CPT Code: `86850`	$102	$102	$46	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$105	$105	$20	unverified
Drug screening test HCPCS Code: `G0480`	$103	$103	$116	unverified
Blood test, magnesium CPT Code: `83735`	$69	$69	$7	9.9×
Blood test, basic metabolic panel CPT Code: `80048`	$81	$81	$9	9.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$47	$5	9.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$65	$8	8.1×
Culture, bacterial CPT Code: `87070`	$72	$72	$9	8.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$112	$89	$56	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$101	$101	$14	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$103	$103	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$47	$47	$4	11.8×
Blood test, amylase CPT Code: `82150`	$61	$61	$7	8.7×
Orthotic fitting and training CPT Code: `97760`	$77	$77	$51	1.5×
Blood test, vitamin B12 CPT Code: `82607`	$75	$75	$16	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$84	$84	$10	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$72	$72	$18	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$24	$3	8.0×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$40	$5	8.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$30	$4	7.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$45	$6	7.5×
Blood test, potassium CPT Code: `84132`	$37	$37	$5	7.4×
Blood test, sodium CPT Code: `84295`	$35	$35	$5	7.0×
Blood test, lipase CPT Code: `83690`	$44	$44	$7	6.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$42	$47	$14	3.4×
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	6.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$38	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$138	$51	$37	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$24	$24	$86	0.3×
Hepatitis C antibody test CPT Code: `86803`	$27	$27	$15	unverified

Showing top 25 high-impact procedures of 94 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 69.7%

Audit a Bill or Quote at Yoakum Community Hospital (Zero PHI Required)

CMS CCN: 451346

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $22,967

Insurer Median $27,113

1. Amount on Your Bill or Quote ($) Pre-filled with Yoakum Community 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 501(r) AGB Cap: $24,609 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $24,609

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (69.7% of gross = $24,609).

Step 2 · Cash vs. Insurance Arbitrage Save $12,366 Paying Cash

Self-Pay Cash Rate ($22,967) Beats Your Bill

Yoakum Community Hospital's published 45 CFR § 180 self-pay cash rate is $22,967 (vs. $27,113 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$16,246 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($35,333) is $16,246 above the denoised Fair BaseRate ($19,087) and 2.5× the $14,117 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: 742323822

Filing Period: 199505

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 (69.7% 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 Overall3/5 Stars (3/5)

Safety Composite72/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait90 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-06-03·administrative_or_closure
Closure Notice
Recorded
2024-02-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (74 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Yoakum Community Hospital.

Price Index: 1.18× regional baseline

Quality: 58/100 CMS composite

Median Household Income$61,768U.S. Census ACS

Local Uninsured Share11.1%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 69/100 · Caution CMS CCN 451346 EIN 742323822

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 451346) ↗ Verify IRS Form 990 (EIN 742323822) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-11

Validated Rate Rows2,510 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451346

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