PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
HOSPITALVoluntary non-profit - Private

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY

Edinburg, TX

2820 W MICHAELANGELO DRIVE, Edinburg, TX 78539(956) 558-6400

Not rated by CMS

CMS star rating

119

Beds

3,593

Inpatient discharges a year

$423.2M

Net patient revenue a year

9

In-network payers

About this hospital

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY is a 119-bed voluntary non-profit - private hospital in Edinburg, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 9 in-network payers and 96 disclosed rate categories.

  • 340B participant
CCN
453321
NPI
1124796081
County
Hidalgo County
Metro area
McAllen-Edinburg-Mission, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2024
Last CMS survey
2024

Negotiated Rates

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

Book a call about hospital compliance MRFs
PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very High

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

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

...

Insurance Accepted

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

Medicare
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansMVP Health CareMass General Brigham (formerly AllWays Health Partners)MedCostMedicaPriority Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-2577746Driscoll Childrens Hospital35Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 30 more1548286172 Driscoll Childrens Hospital1124796081 Driscoll Childrens Hospital1861658205 Driscoll Children's Hospitaland 9 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

2820 W MICHAELANGELO DRIVE, Edinburg, TX 78539

(956) 558-6400

Get directions

Frequently asked questions

About DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY's rates and hospital price transparency.

How many patients does DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY admit?

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY reported 3,593 inpatient discharges and 30,876 inpatient days from Jun 20, 2024 to Aug 31, 2025.

How many employees does DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY have?

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY reported 773 full-time-equivalent employees on payroll from Jun 20, 2024 to Aug 31, 2025.

How much revenue does DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY make?

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY reported $423.2M in net patient revenue on $1.3B of gross charges for Jun 20, 2024 to Aug 31, 2025, an operating margin of 8.7%, and net income of $43M.

Who is the CEO of DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY?

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY's Medicare enrollment lists David Hamon as President & CEO since 2018.

What is DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY's tax ID (EIN)?

Insurers' price transparency files list DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY under employer identification number 74-2577746 (Driscoll Childrens Hospital). 35 health plans and networks list 74-2577746 for it.

Does DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY (340B ID PED453321-00) as a participating children's hospital since 2026, with 1 active contract pharmacies.

How many doctors are affiliated with DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY?

2 clinicians who bill Medicare list DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric nephrology physician (2).

Is DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY, effective 2024.

Who owns DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY?

In its Medicare enrollment, DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY reports Driscoll Childrens Hospital as Operational/managerial control (100%).

How many beds does DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY have?

DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY has 119 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 134 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
Talk to us about your chargemaster