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Short Term Acute Care HospitalVoluntary Non-Profit - Private

El Campo Memorial Hospital

El Campo, TX

303 Sandy Corner Road, El Campo, TX 77437(979) 578-5251

3 of 5

CMS star rating

26

Beds

771

Inpatient discharges a year

$29.9M

Net patient revenue a year

31

In-network payers

About this hospital

El Campo Memorial Hospital is a 26-bed voluntary non-profit - private hospital in El Campo, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 268 disclosed rate categories.

  • ACO participant
CCN
450694
NPI
1003192311
Teaching
No Medicare-funded residents
County
Wharton County
Metro area
El Campo, TX MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1979
Last CMS survey
2025

Prices for common services

The 24 services El Campo 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, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$399 - $678

from 4 insurers · median $607

Aetna$399
Insurer A*$600
Insurer B*$614
Insurer C*est.$678
Medicare $345Nearby hospitals $1,00940% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$17,817 - $20,396

from 2 insurers · median $19,107

Blue Cross$20,396
Insurer A*$17,817
Medicare $27,950Nearby hospitals $42,40355% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

CT imaging

CT head or brain without contrast

CPT 70450

$278 - $935

from 4 insurers · median $340

Aetna$399
Insurer A*$278
Insurer B*$281
Insurer C*est.$935
Medicare $104Nearby hospitals $44924% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$11,765 - $42,217

from 3 insurers · median $14,446

Blue Cross$14,446
Insurer A*$11,765
Insurer B*$42,217
Medicare $16,162Nearby hospitals $22,67136% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at El Campo Memorial Hospital

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
160%
57
Insurer B*21
146%
111
Insurer C*15
112%
114
Insurer D*24
91%
024

How we chose these services: 0 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 9 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 El Campo Memorial Hospital, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 124 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.47%)
    See quality ratings

  • Doctors and services

    Accredited by CIHQ

    • No Medicare-funded residents
    • 30 services, including trauma care
    • 127 affiliated clinicians
    See doctors and services

  • Finances

    $29.9M net patient revenue

    • Operating margin on patient care -22.4%
    • $7.7M unreimbursed and uncompensated care
    • $10.9M net income
    See finances

  • Ownership and leadership

    Owned by El Campo Memorial Hospital

    • Other
    • Brett Kirkham, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
45-2750258El Campo Memorial Hospital53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more1003192311 El Campo Memorial Hospital1942773874 Palacios Community Medical Center1518465616 El Campo Memorial Hospitaland 32 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

303 Sandy Corner Road, El Campo, TX 77437

(979) 578-5251

Get directions

Frequently asked questions

About El Campo Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at El Campo Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at El Campo Memorial Hospital range from $645 to $1,241 across 4 insurers. Aetna's rate is $645. The median at nearby comparable hospitals is $1,055. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at El Campo Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at El Campo Memorial Hospital range from $399 to $678 across 4 insurers. Aetna's rate is $399. The median at nearby comparable hospitals is $1,009. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at El Campo Memorial Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at El Campo Memorial Hospital range from $681 to $1,488 across 4 insurers. UnitedHealthcare's rate is $681. The median at nearby comparable hospitals is $1,663. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at El Campo Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at El Campo Memorial Hospital range from $93 to $144 across 4 insurers. UnitedHealthcare's rate is $134. The median at nearby comparable hospitals is $236. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at El Campo Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at El Campo Memorial Hospital range from $9,218 to $31,839 across 3 insurers. Blue Cross Blue Shield's rate is $9,350. The median at nearby comparable hospitals is $22,073. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is El Campo Memorial Hospital's CMS star rating?

El Campo Memorial Hospital 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 El Campo Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at El Campo Memorial Hospital for fiscal year 2027.

Does Medicare penalize El Campo Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts El Campo Memorial Hospital's base inpatient payments by an estimated 0.47% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at El Campo Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (42 discharges), heart failure and shock with mcc (31 discharges), respiratory infections and inflammations with mcc (16 discharges).

What is El Campo Memorial Hospital's case mix index?

El Campo Memorial Hospital's Medicare case mix index is 1.44 for fiscal year 2027, higher than 21% 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
      }
    ]
  }]
}
  • 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
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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
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