Ballinger, TX
19
In-network payers
155
Disclosed rate categories
25
Beds
Ballinger Memorial Hospital is a 25-bed government - hospital district or authority hospital in Ballinger, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 19 in-network payers and 155 disclosed rate categories.
CCN (Medicare provider number)
451310
NPI
1225038938
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ballinger Memorial Hospital 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.
CT imaging
CPT 74177
$484 - $5,117
from 3 insurers · median $5,117
Typical for a hospital with this service line
CT imaging
CPT 74176
$286 - $4,050
from 3 insurers · median $4,050
Typical for a hospital with this service line
Mammography
CPT 77067
$132 - $1,174
from 3 insurers · median $1,174
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$284 - $4,118
from 3 insurers · median $4,118
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $6,107
from 3 insurers · median $6,107
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$34 - $503
from 3 insurers · median $503
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $3,795
from 3 insurers · median $3,795
Typical for a hospital with this service line
Ultrasound
CPT 76642
$1,599 - $1,599
from 3 insurers · median $1,599
Typical for a hospital with this service line
CT imaging
CPT 74178
$542 - $5,865
from 3 insurers · median $5,865
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$269 - $3,327
from 3 insurers · median $3,327
Typical for a hospital with this service line
MRI imaging
CPT 72141
$400 - $3,795
from 3 insurers · median $3,795
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$190 - $3,427
from 3 insurers · median $3,427
Typical for a hospital with this service line
MRI imaging
CPT 73221
$385 - $3,907
from 3 insurers · median $3,907
Typical for a hospital with this service line
Mammography
CPT 77065
$1,155 - $1,155
from 3 insurers · median $1,155
Typical for a hospital with this service line
Mammography
CPT 77066
$1,457 - $1,457
from 3 insurers · median $1,457
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$171 - $1,042
from 3 insurers · median $1,042
Typical for a hospital with this service line
CT imaging
CPT 70450
$165 - $281
from 2 insurers · median $223
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$33 - $727
from 3 insurers · median $727
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$675 - $5,909
from 3 insurers · median $5,909
Typical for a hospital with this service line
Ultrasound
CPT 76815
$119 - $1,530
from 3 insurers · median $1,530
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$775 - $6,205
from 3 insurers · median $6,205
Typical for a hospital with this service line
X-ray and bone density
CPT 73130
$45 - $548
from 3 insurers · median $452
Typical for a hospital with this service line
Ultrasound
CPT 76870
$147 - $1,225
from 3 insurers · median $1,225
Typical for a hospital with this service line
Ultrasound
CPT 76882
$58 - $1,367
from 3 insurers · median $1,367
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* | 23 | 1322% | 23 | 0 |
| Insurer B* | 24 | 623% | 8 | 0 |
| Insurer C* | 24 | 591% | 17 | 3 |
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 Ballinger Memorial Hospital.
608 Avenue 'b', Ballinger, TX 76821
(325) 365-2531
The nearest hospitals of similar type and size. Their rates are compared with Ballinger Memorial Hospital for the same insurers and services above.
North Runnels Hospital District
â–¼ Rates typically 63% lower than Ballinger Memorial Hospital (24 services)
Coleman County Medical Center
â–¼ Rates typically 80% lower than Ballinger Memorial Hospital (24 services)
Concho County Hospital
â–¼ Rates typically 64% lower than Ballinger Memorial Hospital (24 services)
Heart Of Texas Healthcare System
â–¼ Rates typically 58% lower than Ballinger Memorial Hospital (24 services)
Mitchell County Hospital
â–¼ Rates typically 75% lower than Ballinger Memorial Hospital (24 services)
Schleicher County Medical Center
Rates about the same as Ballinger Memorial Hospital (14 services)
Reeves County Hospital
Olney Hamilton Hospital District
Parmer Medical Center
Seton Edgar B. Davis Hospital
About Ballinger Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ballinger Memorial Hospital range from $792 to $6,107 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $955. 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 Ballinger Memorial Hospital range from $484 to $5,117 across 3 insurers. Aetna's rate is $484. The median at nearby comparable hospitals is $713. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ballinger Memorial Hospital range from $132 to $1,174 across 3 insurers. Blue Cross Blue Shield's rate is $1,174. The median at nearby comparable hospitals is $108. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ballinger Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Ballinger Memorial Hospital is located at 608 Avenue 'b', Ballinger, TX 76821. Its main phone number is (325) 365-2531.
Ballinger Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451310.
The National Provider Identifier (NPI) on file for Ballinger Memorial Hospital is 1225038938.
Ballinger Memorial Hospital lists 19 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
155 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.
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{
"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