Coleman, TX
30
In-network payers
288
Disclosed rate categories
25
Beds
1
Care quality
Coleman County Medical Center is a 25-bed government - hospital district or authority hospital in Coleman, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 288 disclosed rate categories.
CCN (Medicare provider number)
451347
NPI
1407121189
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
1
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 Coleman County 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.
Childbirth · Inpatient
MS-DRG 807
$2,670 - $3,130
from 2 insurers · median $2,900
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
MS-DRG 788
$4,197 - $5,038
from 2 insurers · median $4,618
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
CPT 74177
$508 - $1,276
from 4 insurers · median $686
Typical for a hospital with this service line
CT imaging
CPT 70450
$210 - $637
from 4 insurers · median $411
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$212 - $1,624
from 4 insurers · median $930
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$89 - $255
from 3 insurers · median $174
Typical for a hospital with this service line
CT imaging
CPT 74176
$349 - $637
from 4 insurers · median $474
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,334 - $6,263
from 3 insurers · median $5,293
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$722 - $1,388
from 3 insurers · median $833
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$2,670 - $3,130
from 2 insurers · median $2,900
CMS lists this service as CPT 59610, 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
CT imaging
CPT 71275
$318 - $637
from 4 insurers · median $503
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$722 - $1,080
from 2 insurers · median $901
Typical for a hospital with this service line
MRI imaging
CPT 70553
$727 - $955
from 3 insurers · median $792
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$707 - $1,064
from 3 insurers · median $722
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,334 - $9,212
from 3 insurers · median $4,079
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,641 - $2,214
from 2 insurers · median $1,927
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$3,334 - $5,196
from 3 insurers · median $3,535
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$1,641 - $5,142
from 2 insurers · median $3,391
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,334 - $6,263
from 3 insurers · median $5,293
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,641 - $3,705
from 3 insurers · median $2,748
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $955
from 3 insurers · median $452
Typical for a hospital with this service line
MRI imaging
CPT 74183
$804 - $955
from 3 insurers · median $824
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $955
from 3 insurers · median $436
Typical for a hospital with this service line
Gynecology
CPT 58661
$2,772 - $5,293
from 3 insurers · median $3,334
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* | 9 | 268% | 7 | 1 |
| Insurer B* | 14 | 131% | 5 | 0 |
| Insurer C* | 24 | 90% | 0 | 21 |
| Insurer D* | 24 | 78% | 8 | 7 |
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 Coleman County Medical Center.
310 South Pecos Street, Coleman, TX 76834
(325) 625-2135
The nearest hospitals of similar type and size. Their rates are compared with Coleman County Medical Center for the same insurers and services above.
Ballinger Memorial Hospital
Rates about the same as Coleman County Medical Center (18 services)
North Runnels Hospital District
â–² Rates typically 106% higher than Coleman County Medical Center (21 services)
Concho County Hospital
â–² Rates typically 47% higher than Coleman County Medical Center (21 services)
Heart Of Texas Healthcare System
â–² Rates typically 148% higher than Coleman County Medical Center (21 services)
Comanche County Medical Center
â–¼ Rates typically 6% lower than Coleman County Medical Center (21 services)
Stonewall Memorial Hospital
â–¼ Rates typically 9% lower than Coleman County Medical Center (20 services)
Otto Kaiser Memorial Hospital
Hardeman County Hospital
Uvalde Memorial Hospital
Olney Hamilton Hospital District
About Coleman County Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Coleman County Medical Center range from $727 to $955 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $2,044. 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 Coleman County Medical Center range from $508 to $1,276 across 4 insurers. Aetna's rate is $637. The median at nearby comparable hospitals is $522. 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 Coleman County Medical Center range from $722 to $1,080 across 2 insurers. Blue Cross Blue Shield's rate is $1,080. The median at nearby comparable hospitals is $1,374. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Coleman County Medical Center range from $2,670 to $3,130 across 2 insurers. Blue Cross Blue Shield's rate is $3,130. What a patient pays depends on their plan's deductible, coinsurance and network status.
Coleman County Medical Center has 25 beds. Facility type: Critical Access Hospital.
Coleman County Medical Center is located at 310 South Pecos Street, Coleman, TX 76834. Its main phone number is (325) 625-2135.
Coleman County Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 451347.
The National Provider Identifier (NPI) on file for Coleman County Medical Center is 1407121189.
Coleman County Medical Center lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
288 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