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HOSPITALVoluntary non-profit - Private

Falls Community Hospital And Clinic

Marlin, TX

322 Coleman Street, Marlin, TX 76661(254) 803-3561

Not rated by CMS

CMS star rating

36

Beds

$5M

Net patient revenue a year

25

In-network payers

About this hospital

Falls Community Hospital And Clinic is a 36-bed voluntary non-profit - private hospital in Marlin, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 267 disclosed rate categories.

CCN
670780
NPI
1841294246
Website
fallshospital.com
County
Falls County
Metro area
Waco, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2023
Last CMS survey
2023

Prices for common services

The 24 services Falls Community Hospital And Clinic 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

$318 - $4,258

from 4 insurers · median $832

Aetna$318
Insurer A*$400
Insurer B*$1,264
Insurer C*$4,258
Medicare $356

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,454 - $4,003

from 3 insurers · median $2,805

Blue Cross$4,003
Insurer A*$2,454
Insurer B*$2,805
Medicare $1,223

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,988 - $3,537

from 3 insurers · median $2,272

Blue Cross$3,537
Insurer A*$1,988
Insurer B*$2,272
Medicare $927

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$94 - $1,828

from 4 insurers · median $486

Aetna$94
Insurer A*$400
Insurer B*$572
Insurer C*$1,828
Medicare $107

Typical for a hospital with this service line

How the insurers pay at Falls Community Hospital And Clinic

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*17
702%
00
Insurer B*24
350%
00
Insurer C*17
224%
00
Insurer D*13
89%
00

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 Falls Community Hospital And Clinic, 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 HealthBaylor Scott & White Health Plan

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-1471231Falls Community Hospital And Clinic48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more1841294246 Falls Community Hospital And Clinic1194777540 Falls Community Hospital And Clinic1629173737 Falls Community Hospital And Clinicand 5 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

322 Coleman Street, Marlin, TX 76661

(254) 803-3561

Get directions

Frequently asked questions

About Falls Community Hospital And Clinic's rates and hospital price transparency.

How much does an MRI cost at Falls Community Hospital And Clinic?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Falls Community Hospital And Clinic range from $252 to $4,058 across 4 insurers. Cigna's rate is $800. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Falls Community Hospital And Clinic?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Falls Community Hospital And Clinic range from $318 to $4,258 across 4 insurers. Aetna's rate is $318. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Falls Community Hospital And Clinic?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Falls Community Hospital And Clinic range from $2,454 to $4,003 across 3 insurers. Blue Cross Blue Shield's rate is $4,003. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Falls Community Hospital And Clinic?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Falls Community Hospital And Clinic range from $137 to $455 across 2 insurers. Aetna's rate is $137. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many employees does Falls Community Hospital And Clinic have?

Falls Community Hospital And Clinic reported 62 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Falls Community Hospital And Clinic make?

Falls Community Hospital And Clinic reported $5M in net patient revenue on $23.9M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -135.4%, and net income of $480,828.

Who is the CEO of Falls Community Hospital And Clinic?

Falls Community Hospital And Clinic's 2024 IRS Form 990 lists Ken Tomlinson as Vice President.

What is Falls Community Hospital And Clinic's tax ID (EIN)?

Insurers' price transparency files list Falls Community Hospital And Clinic under employer identification number 74-1471231 (Falls Community Hospital And Clinic). 48 health plans and networks list 74-1471231 for it.

How many doctors are affiliated with Falls Community Hospital And Clinic?

22 clinicians who bill Medicare list Falls Community Hospital And Clinic as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (8), nephrology physician (4), cardiovascular disease physician (2).

Is Falls Community Hospital And Clinic accredited?

CMS's Provider of Services file lists no accrediting organization for Falls Community Hospital And Clinic; it is certified for Medicare through state survey.

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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