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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Citizens Medical Center

Victoria, TX

2701 Hospital Drive, Victoria, TX 77901(361) 573-9181

3 of 5

CMS star rating

286

Beds

7,680

Inpatient discharges a year

$183.6M

Net patient revenue a year

34

In-network payers

About this hospital

Citizens Medical Center is a 286-bed voluntary non-profit - other hospital in Victoria, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 407 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
450023
NPI
1124052162
Teaching
No Medicare-funded residents
County
Victoria County
Metro area
Victoria, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Citizens Medical Center 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,143 - $6,479

from 4 insurers · median $5,096

Cigna$5,922
Insurer A*$4,143
Insurer B*$4,270
Insurer C*est.$6,479

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,169 - $11,072

from 4 insurers · median $7,475

Cigna$8,698
Insurer A*$5,169
Insurer B*$6,251
Insurer C*est.$11,072

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$291 - $1,778

from 4 insurers · median $974

Aetna$291
Insurer A*$586
Insurer B*$1,361
Insurer C*$1,778
Medicare $324Nearby hospitals $1,18618% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$5,025 - $9,570

from 3 insurers · median $8,001

Blue Cross$5,025
Insurer A*est.$8,001
Insurer B*$9,570
Medicare $5,607Nearby hospitals $12,95638% below nearby hospitals

67 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Citizens Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
292%
216
Insurer B*24
165%
218
Insurer C*24
107%
910
Insurer D*12
81%
09

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 Citizens Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 200 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.05%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 42 services, including trauma care
    • 314 affiliated clinicians
    See doctors and services
  • Finances

    $183.6M net patient revenue

    • Operating margin on patient care -16.3%
    • $10.6M unreimbursed and uncompensated care
    • -$11.2M net income
    See finances
  • Ownership and leadership

    Owned by Citizens Medical Center County Of Victoria

    • Local
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Citizens Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-1698143(multi-state) Citizens Medical Center54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1124052162 Citizens Medical Center County Of Victoria1932520020 Citizens Medical Center County Of Victoria1144641234 Citizens Medical Center County Of Victoriaand 18 more

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.

Location

2701 Hospital Drive, Victoria, TX 77901

(361) 573-9181

Get directions

Frequently asked questions

About Citizens Medical Center's rates and hospital price transparency.

How much does an MRI cost at Citizens Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Citizens Medical Center range from $240 to $1,883 across 4 insurers. Aetna's rate is $240. The median at nearby comparable hospitals is $1,349. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Citizens Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Citizens Medical Center range from $291 to $1,778 across 4 insurers. Aetna's rate is $291. The median at nearby comparable hospitals is $1,186. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Citizens Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Citizens Medical Center range from $1,255 to $2,901 across 3 insurers. UnitedHealthcare's rate is $2,901. The median at nearby comparable hospitals is $3,159. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Citizens Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Citizens Medical Center range from $4,143 to $6,479 across 4 insurers. Cigna's rate is $5,922. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Citizens Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Citizens Medical Center range from $108 to $477 across 4 insurers. Aetna's rate is $108. The median at nearby comparable hospitals is $281. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Citizens Medical Center's CMS star rating?

Citizens Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Citizens Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Citizens Medical Center for fiscal year 2027.

Does Medicare penalize Citizens Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Citizens Medical Center's base inpatient payments by an estimated 1.05% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Citizens Medical Center?

In 2024, the most common were heart failure and shock with mcc (170 discharges), septicemia or severe sepsis without mv >96 hours with mcc (111 discharges), kidney and urinary tract infections without mcc (50 discharges).

What is Citizens Medical Center's case mix index?

Citizens Medical Center's Medicare case mix index is 1.53 for fiscal year 2027, higher than 32% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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