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Coon Memorial Hospital

Coon Memorial Hospital is a 21-bed government - hospital district or authority hospital in Dalhart, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 186 disclosed rate categories.

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Hospital Overview
Facility Details

CCN

451331

NPI

1639176456

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

21

Contact Information

Address

1411 Denver Avenue

Dalhart, TX 79022

Phone

(806) 244-4571

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)

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Important Notice

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.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Outpatient

CPT

Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Alcohol and Drug Abuse Treatment

Range: H0001 - H2037

Per Diem

Very Low

Aetna

Outpatient

HCPCS

Drugs Administered Other than Oral Method

Range: J0120 - J8999

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Medical And Surgical Supplies

Range: A4206 - A8004

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Outpatient PPS

Range: C1713 - C9899

Percentage of Bill Charged

Showing 1 - 10 of 186

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