CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$272 - $1,182
from 4 insurers · median $614
Typical for a hospital with this service line
Conroe, TX
Not rated by CMS
CMS star rating
24
Beds
$16.5M
Net patient revenue a year
33
In-network payers
Aspire Hospital Llc is a 24-bed physician hospital in Conroe, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 200 disclosed rate categories.
The 24 services Aspire Hospital Llc most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$272 - $1,182
from 4 insurers · median $614
Typical for a hospital with this service line
CT imaging
CPT 70450
$86 - $777
from 4 insurers · median $302
Typical for a hospital with this service line
CT imaging
CPT 71275
$217 - $895
from 4 insurers · median $613
Typical for a hospital with this service line
MRI imaging
CPT 70553
$265 - $1,588
from 4 insurers · median $1,081
Typical for a hospital with this service line
CT imaging
CPT 71260
$140 - $1,252
from 4 insurers · median $648
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$679 - $1,336
from 4 insurers · median $863
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$29 - $177
from 4 insurers · median $136
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$719 - $1,336
from 4 insurers · median $924
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$719 - $1,336
from 4 insurers · median $948
Typical for a hospital with this service line
Mammography
CPT 77067
$100 - $115
from 2 insurers · median $107
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,549 - $4,861
from 3 insurers · median $3,452
Typical for a hospital with this service line
MRI imaging
CPT 72148
$160 - $1,185
from 4 insurers · median $742
Typical for a hospital with this service line
MRI imaging
CPT 70551
$166 - $878
from 4 insurers · median $662
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$640 - $1,336
from 4 insurers · median $868
Typical for a hospital with this service line
MRI imaging
CPT 73721
$174 - $1,708
from 4 insurers · median $767
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,583 - $2,121
from 3 insurers · median $1,617
Typical for a hospital with this service line
Ultrasound
CPT 76705
$75 - $299
from 4 insurers · median $194
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$122 - $338
from 4 insurers · median $271
Typical for a hospital with this service line
Ultrasound
CPT 76856
$88 - $313
from 4 insurers · median $279
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$3,452 - $9,536
from 2 insurers · median $6,494
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$449 - $1,404
from 3 insurers · median $534
Hospital reports nuclear medicine services to CMS
Ear, nose and throat
CPT 69436
$719 - $2,021
from 3 insurers · median $1,577
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,684 - $5,402
from 3 insurers · median $3,452
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$604 - $1,481
from 4 insurers · median $1,325
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 205% | 10 | 11 |
| Insurer B* | 24 | 184% | 0 | 23 |
| Insurer C* | 18 | 154% | 0 | 9 |
| Insurer D* | 23 | 76% | 0 | 23 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Aspire Hospital Llc, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
See quality ratingsDoctors and services
Accredited by CIHQ
Finances
$16.5M net patient revenue
Ownership and leadership
Owned by Aspire Hospital Llc
The employer identification numbers (EINs) health plans and networks list for Aspire Hospital Llc in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 26-2835957Aspire Hospital LLC | 52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more | 1114340080 Aspire Hospital Llc1093955296 Aspire Hospital Llc1669640447 Huntsville Sleep Center Llc |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
2006 SOUTH LOOP 336 WEST, Conroe, TX 77304
(936) 647-3500
How Aspire Hospital Llc compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
| Measure | Result | Period |
|---|---|---|
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Aspire Hospital Llc, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 3.887 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.52 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 14.69 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.52 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2079 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2646 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.31 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.06 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.337 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.234 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.771 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.035 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -1.323 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 2.422 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 13.1 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.017 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.48 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.85 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.26 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.32 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2089 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 5,045 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 5.124 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.481 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 4,197 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 5.155 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.82 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 131 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.62 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.647 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 121 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.047 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9659 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 15,207 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.357 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.21 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 15,207 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.476 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2623 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 75.97 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 7.771 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 16.26 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.82 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.712 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.96 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 90.97 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.535 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.275 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.51 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.72 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 90.24 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.687 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.956 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 14.59 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 62.66 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 76.88 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 19.26 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.672 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 18.08 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.56 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 13.98 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.07 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 86.02 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 16.2 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 83.8 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 74.6 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 7.327 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.08 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 77.72 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 6.395 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 15.88 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 85.15 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 4.015 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.84 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 8.293 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 18.19 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 73.52 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 88.12 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.319 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 74.97 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 9.68 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 15.35 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.27 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6.154 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.58 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.85 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 5 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 18.15 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 85.92 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.094 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.98 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 65.6 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 7.774 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 26.63 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.26 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.821 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 6.017 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 72.87 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.21 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 21.12 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.694 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 49.46 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 29.64 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 20.89 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.266 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 12.55 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 87.45 |
How often the hospital gave recommended care, and how fast.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 133 cases | 56 | 79 | 72.24 | Worse than 81% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 151 | |||
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 146 | |||
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 331 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 279 | |||
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 1.372 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.54 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 | Not Available | 13.94 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 66.54 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 71.35 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 82.14 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 92.38 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.56 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 30.2 | 5 | 7.719 | Worse than 99% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.859 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 1.034 |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 59.65 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 37.83 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 | Not Available | 0.0735 | |||
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 | Not Available | 0.3179 | |||
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 | Not Available | 77.27 | |||
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 72.65 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 74 cases | 19.6 | 19.1 | 19.27 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 | Not Available | 80.65 | |||
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 68.51 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 71.36 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 66.92 | |||
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 50.77 | |||
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 67.2 | |||
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 22.32 | |||
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 | Not Available | 70.84 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.999 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Aspire Hospital Llc | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.2562 | |||
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | N/A | 0.9684 | |||
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | N/A | -0.1734 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.1078 | 0.1193 | 0 | -1.416 | -1.545 | N/A |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
CIHQ (since 2020)
Accreditation
None
Medical school affiliation
Physician ownership
Ownership type
30
Medicare-certified beds
12
Registered nurses (full-time equivalent)
2014
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Aspire Hospital Llc reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
117
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844252). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Staff by profession and the rooms and units Aspire Hospital Llc reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
24
Psychiatric unit beds
11
Off-site locations
12
Registered nurses
6
Licensed practical nurses
1
Physical therapists
10
Radiology technicians
1
Dietitians
8
Social workers
93
Other personnel
Source: CMS Provider of Services file.
145 clinicians who bill Medicare list Aspire Hospital Llc as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Samir Shirodkar, MD
Urology Physician
NPI 1679774459
See commercial rates for Samir Shirodkar, MDAjay Kwatra, MD
Urology Physician
NPI 1215024195
See commercial rates for Ajay Kwatra, MDRandall Johnson, MD
Rheumatology Physician
NPI 1295821577
See commercial rates for Randall Johnson, MDRobert Laningham, MD
Family Medicine Physician
NPI 1700973682
See commercial rates for Robert Laningham, MDAnil Warrier, M.D.
Rheumatology Physician
NPI 1588691026
See commercial rates for Anil Warrier, M.D.Eric Kleinbaum, M.D.
Hematology & Oncology Physician
NPI 1932140159
See commercial rates for Eric Kleinbaum, M.D.Rodney Laningham, MD
Family Medicine Physician
NPI 1821185703
See commercial rates for Rodney Laningham, MDTamar Brionez, MD
Rheumatology Physician
NPI 1457407041
See commercial rates for Tamar Brionez, MDNajmuddin Karimjee, M.D.
Internal Medicine Physician
NPI 1285660241
See commercial rates for Najmuddin Karimjee, M.D.Stephen Sims, MD
Pain Medicine Physician
NPI 1083623136
See commercial rates for Stephen Sims, MDJonathan Lu
Hematology & Oncology Physician
NPI 1891139630
See commercial rates for Jonathan LuBrian Chimenti, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1366444598
See commercial rates for Brian Chimenti, M.D.Anisa Gopalani, M.D.
Pain Medicine Physician
NPI 1174535033
See commercial rates for Anisa Gopalani, M.D.Sandeep Kodityal, MD
Hematology & Oncology Physician
NPI 1790820736
See commercial rates for Sandeep Kodityal, MDJohn Williamson, M.D.
Pain Medicine Physician
NPI 1922069186
See commercial rates for John Williamson, M.D.Benny Wang, MD
Neurology Physician
NPI 1447348164
See commercial rates for Benny Wang, MDAshesh Desai, MD
Pulmonary Disease Physician
NPI 1649308966
See commercial rates for Ashesh Desai, MDKyle Scarborough, MD
Family Medicine Physician
NPI 1417045303
See commercial rates for Kyle Scarborough, MDJason Berilgen, MD
Radiation Oncology Physician
NPI 1972707578
See commercial rates for Jason Berilgen, MDZaid Malik, M.D
Interventional Pain Medicine Physician
NPI 1710002696
See commercial rates for Zaid Malik, M.DThomas White, M.D.
Interventional Pain Medicine Physician
NPI 1396181350
See commercial rates for Thomas White, M.D.Dalton Heath, M.D.
Orthopaedic Surgery Physician
NPI 1023071859
See commercial rates for Dalton Heath, M.D.Robert Woodrome, M.D.
Family Medicine Physician
NPI 1265476998
See commercial rates for Robert Woodrome, M.D.James Campbell, MD
Diagnostic Radiology Physician
NPI 1922060664
See commercial rates for James Campbell, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Aspire Hospital Llc reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $64.1M | 389.4% |
| Inpatient | $11.4M | 69.3% |
| Outpatient | $52.7M | 320.1% |
| Contractual allowances and discounts | -$47.6M | -289.4% |
| Net patient revenue | $16.5M | 100.0% |
| Operating expenses | -$14.2M | -86.4% |
| Operating income from patient care | $2.2M | 13.6% |
| Other income | -$386,747 | -2.3% |
| Investment income | $56,915 | 0.3% |
| Other | -$443,662 | -2.7% |
| Net income | $1.9M | 11.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $12.4M | 19.4% |
| Medicaid (including managed care) | $615,989 | 1.0% |
| Other payers and self-pay | $51.1M | 79.7% |
| Total charges | $64.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844252, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Aspire Hospital Llc's latest cost report.
13.6%
Operating margin
Operating income from patient care / net patient revenue
11.5%
Total margin
Net income / net patient revenue plus other income
16.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$25.11
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
23.8%
Return on assets
Net income for a year / total assets
25.8%
Return on equity
Net income for a year / fund balance
8.44
Current ratio
Current assets / current liabilities
8.44
Quick ratio
Cash, temporary investments and net receivables / current liabilities
78 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
9 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.06
Asset turnover
Total revenue for a year / total assets
12.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844252, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Aspire Hospital Llc owned and owed at the end of its reporting period (Dec 2025), across all fund types: $7.8M in total assets and a $7.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $3M | 38.0% |
| Total current assets | $3M | 38.0% |
| Property and equipment, net of depreciation | $768,024 | 9.8% |
| Investments and other assets | $4.1M | 52.2% |
| Total assets | $7.8M | 100.0% |
| Current liabilities | $350,795 | 4.5% |
| Total liabilities | $606,728 | 7.8% |
| Fund balance (net assets) | $7.2M | 92.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844252, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Aspire Hospital Llc provided without full payment, as reported on Worksheet S-10 of its cost report.
-$50,601
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
Source: CMS cost report (HCRIS, Form 2552-10), report 844252, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Aspire Hospital Llc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $11.5M | $11.7M | $13.6M | $13.9M | $14M | $16.5M |
| Operating expenses | $13.2M | $12.2M | $13.4M | $14.3M | $13.9M | $14.2M |
| Operating margin | -14.8% | -4.4% | 1.5% | -3.1% | 0.8% | 13.6% |
| Net income | -$284,203 | -$511,095 | $209,579 | -$51,382 | $1.4M | $1.9M |
| Total assets | $6.6M | $5.1M | $5.7M | $5.1M | $6.6M | $7.8M |
| Beds | 30 | 30 | 24 | 24 | 28 | 24 |
| Employees (FTE) | 71 | 61 | 87 | 70 | 75 | 117 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844252, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Aspire Hospital Llc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Radiology-diagnostic | $3.5M | $24.9M | 0.14 | 10,850 | |
| Mri | $2.1M | $16.2M | 0.13 | 7,035 | |
| Ct scan | $1.5M | $11.6M | 0.13 | 5,058 | |
| Drugs charged to patients | $429,316 | $816,663 | 0.53 | ||
| Laboratory | $57,909 | $585,911 | 0.10 | ||
| Medical supplies charged to patient | $5,319 | $44,472 | 0.12 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Subprovider - ipf | $6.1M | $4.8M | $10M | 0.48 | 10,065 |
| Adults & pediatrics | $108,138 | 1,556 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $4M | 50,780 | $29.60 | 5,346 | |
| Employee benefits department | $952,514 | ||||
| Cap rel costs-mvble equip | $518,181 | ||||
| Operation of plant | $474,868 | 2,412 | $31.12 | 11,716 | |
| Social service | $383,703 | 11,402 | $33.65 | 412 | |
| Cap rel costs-bldg & fixt | $309,679 | 54,030 | |||
| Maintenance & repairs | $249,405 | ||||
| Dietary | $193,818 | 785 | |||
| Housekeeping | $182,735 | 14,973 | $12.20 | ||
| Laundry & linen service | $180,422 | ||||
| Medical records & library | $4,653 | 259 | $18.00 | 275 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844252, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Organizations Aspire Hospital Llc reports to Medicare as owners or with operational control. 8 individuals also hold ownership interests; they are not listed here.
Aspire Hospital Llc
5% or greater direct ownership interest, since 2009
Sources: CMS Hospital All Owners.
The officers and board members on Aspire Hospital Llc's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 5 of 6 are shown.
Aspire hospital llc
CCN 67S093, certified 2014, Medicare prospective payment
Source: Worksheet S-2 Part I of Aspire Hospital Llc's latest Medicare cost report (HCRIS).
About Aspire Hospital Llc's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Aspire Hospital Llc range from $265 to $1,588 across 4 insurers. Blue Cross Blue Shield's rate is $1,588. The median at nearby comparable hospitals is $1,772. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Aspire Hospital Llc range from $272 to $1,182 across 4 insurers. Aetna's rate is $272. The median at nearby comparable hospitals is $2,062. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Aspire Hospital Llc range from $719 to $1,336 across 4 insurers. Cigna's rate is $832. The median at nearby comparable hospitals is $2,601. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Aspire Hospital Llc range from $100 to $115 across 2 insurers. Aetna's rate is $115. The median at nearby comparable hospitals is $163. What a patient pays depends on their plan's deductible, coinsurance and network status.
Aspire Hospital Llc reported 117 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Aspire Hospital Llc reported $16.5M in net patient revenue on $64.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 13.6%, and net income of $1.9M.
Insurers' price transparency files list Aspire Hospital Llc under employer identification number 26-2835957 (Aspire Hospital LLC). 52 health plans and networks list 26-2835957 for it.
145 clinicians who bill Medicare list Aspire Hospital Llc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (31), internal medicine physician (19), diagnostic radiology physician (9).
Yes. CMS's Provider of Services file lists CIHQ as the accrediting organization for Aspire Hospital Llc, effective 2020.
In its Medicare enrollment, Aspire Hospital Llc reports Aspire Hospital Llc as 5% or greater direct ownership interest.
CMS lists 15 services at Aspire Hospital Llc, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
Aspire Hospital Llc has 24 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 30 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Aspire Hospital Llc is located at 2006 SOUTH LOOP 336 WEST, Conroe, TX 77304. Its main phone number is (936) 647-3500.
Aspire Hospital Llc's CMS Certification Number (CCN), also called its Medicare provider number, is 670093.
The National Provider Identifier (NPI) on file for Aspire Hospital Llc is 1114340080.
Aspire Hospital Llc lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
200 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers