Gonzales, TX
Not rated by CMS
CMS star rating
12
Beds
472
Inpatient discharges a year
$50.1M
Net patient revenue a year
31
In-network payers
Gonzales Healthcare Systems is a 12-bed government - hospital district or authority hospital in Gonzales, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 323 disclosed rate categories.
The 24 services Gonzales Healthcare Systems 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.
Childbirth · Inpatient
MS-DRG 788
$3,080 - $13,081
from 2 insurers · median $8,081
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
Childbirth · Inpatient
MS-DRG 807
$9,951
negotiated rate
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
CT imaging
CPT 74177
$460 - $1,621
from 3 insurers · median $889
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,230 - $3,279
from 2 insurers · median $3,254
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$23,317 - $36,988
from 2 insurers · median $30,153
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45378
$3,279 - $4,147
from 2 insurers · median $3,713
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$19,552 - $29,732
from 2 insurers · median $24,642
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$121 - $413
from 3 insurers · median $228
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,951
negotiated rate
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 70450
$209 - $556
from 3 insurers · median $263
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$61,043
negotiated rate
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 43239
$3,279
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$288 - $1,323
from 3 insurers · median $555
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,338 - $8,758
from 2 insurers · median $7,548
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,279
negotiated rate
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$101 - $495
from 3 insurers · median $195
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$14,512 - $17,356
from 2 insurers · median $15,934
Hospital reports inpatient surgical services to CMS
Nuclear imaging
CPT 78452
$1,632 - $3,153
from 2 insurers · median $2,393
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$223 - $1,342
from 3 insurers · median $431
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$626 - $889
from 2 insurers · median $757
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$124 - $468
from 3 insurers · median $263
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$337 - $1,354
from 3 insurers · median $555
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$344 - $2,613
from 3 insurers · median $555
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$136 - $770
from 3 insurers · median $263
Common here, based on CMS Medicare volume
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* | 13 | 521% | 9 | 4 |
| Insurer B* | 12 | 243% | 0 | 0 |
| Insurer C* | 21 | 134% | 7 | 10 |
| Insurer D* | 7 | - | 4 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 8 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 Gonzales Healthcare Systems, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
No Medicare-funded residents
Finances
$50.1M net patient revenue
Ownership and leadership
Owned by Gonzales Healthcare Systems
The employer identification numbers (EINs) health plans and networks list for Gonzales Healthcare Systems in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 74-1625013Gonzales Healthcare Systems | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more | 1932108214 Gonzales Healthcare Systems1013916287 Gonzales Healthcare Systems1437158714 Gonzales Healthcare Systemsand 16 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.
1110 Sarah Dewitt Drive, Gonzales, TX 78629
(830) 672-7581
How Gonzales Healthcare Systems compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Death rates
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Would definitely recommend
70%
Lower than 53% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.98
Higher than 57% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
70 min
Lower than 99% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Death rates | No different on 2 measures | |
| Safety | No different on 1 measures | |
| Readmissions | No different on 4 measures | |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 70% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.98 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 70 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Gonzales Healthcare Systems's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Gonzales Healthcare Systems, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 126 cases | 5.1 | 3.9 | 3.887 | Worse than 91% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.52 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 53 cases | 14.5 | 15.2 | 14.69 | Better than 60% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 172 cases | 0.59 | 0.51 | 0.52 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 273 cases | 0.21 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 251 cases | 0.27 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 48 cases | 2.33 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 63% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.06 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 52 cases | 3.44 | 3.4 | 3.337 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.234 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.771 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.035 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -1.323 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 51 cases | -13.1 | 3.85 | 2.422 | Better than 73% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 100 cases | 13 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.017 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.48 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.85 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.26 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 44 cases | 17.1 | 17.2 | 17.32 | Better than 54% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2089 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 38 | 1,370 | 5,045 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.022 | 0.9835 | 5.124 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.481 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 395 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.194 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 6 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.206 | 1.591 | 3.62 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.647 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 121 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.047 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9659 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 1,201 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.02 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.935 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 1,201 | 13,646 | 38,870 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.196 | 5.683 | 20.56 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.2623 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 40 cases | 70 | 73 | 75.97 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 40 cases | 7 | 8 | 7.771 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 40 cases | 23 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 87.82 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.712 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 40 cases | 83 | 80 | 79.96 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 90.97 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 40 cases | 6 | 4 | 4.535 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.275 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 40 cases | 11 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 40 cases | 81 | 79 | 79.72 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 90.24 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 40 cases | 2 | 5 | 5.687 | Better than 87% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 2.956 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 40 cases | 17 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 40 cases | 73 | 61 | 62.66 | Better than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 76.88 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 40 cases | 11 | 19 | 19.26 | Better than 89% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 2.672 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 · 40 cases | 16 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 84.56 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 40 cases | 6 | 13 | 13.98 | Better than 96% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.07 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 40 cases | 94 | 87 | 86.02 | Better than 96% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 40 cases | Not Available | 16.2 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 40 cases | Not Available | 83.8 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 74.6 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 7.327 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 18.08 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 77.72 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 6.395 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 15.88 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 85.15 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 4.015 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 10.84 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 40 cases | 4 | 8 | 8.293 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 40 cases | 19 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 40 cases | 77 | 72 | 73.52 | Better than 70% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 88.12 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.319 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 40 cases | Not Available | 74.97 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 40 cases | Not Available | 9.68 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 40 cases | Not Available | 15.35 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 75.27 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 6.154 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 18.58 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 76.85 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 5 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 18.15 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 85.92 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 3.094 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 10.98 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 40 cases | 54 | 59 | 65.6 | Worse than 67% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 40 cases | 7 | 9 | 7.774 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 40 cases | 39 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 84.26 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.821 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 40 cases | 4 | 5 | 6.017 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 40 cases | 70 | 71 | 72.87 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 87.21 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 40 cases | 26 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.694 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 40 cases | Not Available | 49.46 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 40 cases | Not Available | 29.64 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 40 cases | Not Available | 20.89 | |||
| Summary star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.266 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 40 cases | Not Available | 12.55 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 40 cases | Not Available | 87.45 |
How often the hospital gave recommended care, and how fast.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 268 cases | 9 | 8 | 6.38 | Worse than 53% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 82 cases | 0 | 1 | 1.192 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 224 cases | 0 | 0 | 0.2381 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 380 cases | 89 | 79 | 72.24 | Better than 69% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 442 cases | 72 | 154 | 151 | Better than 99% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 411 cases | 70 | 148 | 146 | Better than 99% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 12 cases | 93 | 247 | 331 | Better than 99% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases | 160 | 293 | 279 | Better than 96% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 10,188 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 57 cases | 98 | 97 | 90.54 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 0 cases | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 97 cases | 10 | 15 | 13.94 | Better than 82% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 66.54 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 71.35 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 82.14 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 92.38 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.56 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.3 | 5 | 7.719 | Better than 58% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7 | 6.6 | 6.859 | Worse than 55% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.17 | 0.99 | 1.034 | Worse than 97% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.999 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9818 | 0.9955 | 1.003 | Better than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.018 | 1.012 | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9897 | 0.9783 | 0.9831 | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | 0.8801 | 0.8911 | 0.9727 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9919 | 0.9933 | 1.018 | 0.9995 | 0.9993 | 0.9818 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Gonzales Healthcare Systems | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.2562 | |||
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9753 | 0.9628 | 0.9684 | Worse than 57% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | -0.0921 | -0.0453 | -0.1734 | Better than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.1309 | -0.177 | 0 | -0.1205 | -0.1816 | -0.0921 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Not accredited
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
28
Medicare-certified beds
38
Registered nurses (full-time equivalent)
1969
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Gonzales Healthcare Systems reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
472
Inpatient discharges
Medicare 24%, Medicaid 13%
1,216
Inpatient days
28% of available bed days used
163
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 825299). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Gonzales Healthcare Systems reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 341 | 145 | 730 | 1,216 |
| Discharges | 112 | 63 | 297 | 472 |
| Average length of stay | 3.0 days | 2.3 days | 2.5 days | 2.6 days |
| Average daily census | 0.9 | 0.4 | 2.0 | 3.3 |
290
Medicare Advantage days
90 discharges
253
Medicaid managed care days
142 discharges
546
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 12 | 967 | 341 | 22% |
| Nursery | 249 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
The comprehensive outpatient service groups (APCs) Gonzales Healthcare Systems billed Medicare for most in 2024: 169 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 127 | 109 | $9,114 | $2,026 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 26 | 25 | $31,451 | $10,581 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 14 | $14,481 | $5,297 | $5,339 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Gonzales Healthcare Systems in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 178 in 2020 to 111 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 78629 | 111 | 100% | 337 | $1.9M | 21% | 32% |
Source: CMS Hospital Service Area file. Shares are of the 111 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Gonzales Healthcare Systems reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
2
Operating rooms
1
Endoscopy rooms
1
Off-site locations
38
Registered nurses
12
Licensed practical nurses
4
Respiratory therapists
3
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
11
Radiology technicians
2
Laboratory technicians
10
Medical technologists
1
Dietitians
1
Social workers
81
Other personnel
Source: CMS Provider of Services file.
101 clinicians who bill Medicare list Gonzales Healthcare Systems as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Sreedevi Daggubati, MD
Hematology & Oncology Physician
NPI 1952373656
See commercial rates for Sreedevi Daggubati, MDRene Castillo, MD
Medical Oncology Physician
NPI 1134186166
See commercial rates for Rene Castillo, MDNoe Olvera, MD
Rheumatology Physician
NPI 1417006784
See commercial rates for Noe Olvera, MDJason Smith, MD
Hematology & Oncology Physician
NPI 1114137064
See commercial rates for Jason Smith, MDDelbert Benzenhafer, M.D.
Diagnostic Radiology Physician
NPI 1750744819
See commercial rates for Delbert Benzenhafer, M.D.William Craig, MD
Cardiovascular Disease Physician
NPI 1134115397
See commercial rates for William Craig, MDDean Zincone, M.D.
Family Medicine Physician
NPI 1043208184
See commercial rates for Dean Zincone, M.D.Jonathan Theo, DO
Neurology Physician
NPI 1164919379
See commercial rates for Jonathan Theo, DOEric Meyers, MD
Hematology & Oncology Physician
NPI 1942730916
See commercial rates for Eric Meyers, MDGeorge White, MD PA
Orthopaedic Surgery Physician
NPI 1790846590
See commercial rates for George White, MD PASteven Larsen, MD
Diagnostic Radiology Physician
NPI 1508953555
See commercial rates for Steven Larsen, MDVicente Quintero, M.D.
Dermatology Physician
NPI 1114978624
See commercial rates for Vicente Quintero, M.D.Richard Steffen, MD
Orthopaedic Surgery Physician
NPI 1770630469
See commercial rates for Richard Steffen, MDEric Miller, MD
Interventional Pain Medicine Physician
NPI 1619974789
See commercial rates for Eric Miller, MDRyan Tibbetts, MD
Orthopaedic Surgery Physician
NPI 1013953900
See commercial rates for Ryan Tibbetts, MDMoayad Tarboush, M.D.
Diagnostic Radiology Physician
NPI 1841668308
See commercial rates for Moayad Tarboush, M.D.David Cameron, M.D.
Diagnostic Radiology Physician
NPI 1386610442
See commercial rates for David Cameron, M.D.Heather Banks, M.D.
Nephrology Physician
NPI 1982884763
See commercial rates for Heather Banks, M.D.Antonio Alvarado, MD
Nephrology Physician
NPI 1497076988
See commercial rates for Antonio Alvarado, MDDouglas Smith, M.D.
Diagnostic Radiology Physician
NPI 1033257753
See commercial rates for Douglas Smith, M.D.Michael Vermeulen, PA
Physician Assistant
NPI 1407829872
See commercial rates for Michael Vermeulen, PATrent Twitero, M.D.
Orthopaedic Surgery Physician
NPI 1275692568
See commercial rates for Trent Twitero, M.D.Kimberly Wright, MD
Diagnostic Radiology Physician
NPI 1356488605
See commercial rates for Kimberly Wright, MDBrian Parks, D.O.
Pain Medicine (Anesthesiology) Physician
NPI 1376869396
See commercial rates for Brian Parks, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Gonzales Healthcare Systems reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $88.8M | 177.3% |
| Inpatient | $28.1M | 56.2% |
| Outpatient | $60.7M | 121.1% |
| Contractual allowances and discounts | -$38.7M | -77.3% |
| Net patient revenue | $50.1M | 100.0% |
| Operating expenses | -$66.9M | -133.6% |
| Operating income from patient care | -$16.8M | -33.6% |
| Other income | $23.5M | 47.0% |
| Investment income | $263,148 | 0.5% |
| Other | $23.3M | 46.4% |
| Net income | $6.7M | 13.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $8.6M | 13.2% |
| Medicaid (including managed care) | $8M | 12.4% |
| Other payers and self-pay | $48.1M | 74.3% |
| Total charges | $64.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Gonzales Healthcare Systems's latest cost report.
-33.6%
Operating margin
Operating income from patient care / net patient revenue
9.1%
Total margin
Net income / net patient revenue plus other income
12.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
30% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.31
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.7%
Return on assets
Net income for a year / total assets
8.4%
Return on equity
Net income for a year / fund balance
0.16
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
9.49
Current ratio
Current assets / current liabilities
8.05
Quick ratio
Cash, temporary investments and net receivables / current liabilities
302 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
61 days
Days in patient receivables
Net patient receivables / daily net patient revenue
43 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.73
Asset turnover
Total revenue for a year / total assets
12.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Gonzales Healthcare Systems owned and owed at the end of its reporting period (Jun 2025), across all fund types: $100.8M in total assets and a $80.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $53.2M | 52.8% |
| Patient receivables, net | $8.3M | 8.2% |
| Inventory | $796,076 | 0.8% |
| Total current assets | $72.6M | 72.0% |
| Property and equipment, net of depreciation | $15.5M | 15.4% |
| Investments and other assets | $12.7M | 12.6% |
| Total assets | $100.8M | 100.0% |
| Current liabilities | $7.7M | 7.6% |
| Long-term debt | $12.7M | 12.6% |
| Total liabilities | $20.4M | 20.2% |
| Fund balance (net assets) | $80.4M | 79.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Gonzales Healthcare Systems provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.4M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.7M
Bad debt
Patient bills written off as uncollectible, at charges
$177,250
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$4.3M
Total unreimbursed and uncompensated care
6.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Gonzales Healthcare Systems's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $45.9M | $46.8M | $50.9M | $52.5M | $48.3M | $50.1M |
| Operating expenses | $55M | $58.1M | $60.3M | $61.9M | $63.5M | $66.9M |
| Operating margin | -19.7% | -24.1% | -18.7% | -18.0% | -31.5% | -33.6% |
| Net income | $3.8M | $2.9M | $3.7M | $5.9M | $6.3M | $6.7M |
| Total assets | $55.1M | $54.5M | $61.4M | $86.1M | $96.3M | $100.8M |
| Discharges | 675 | 600 | 622 | 514 | 497 | 472 |
| Inpatient days | 1,960 | 1,743 | 1,965 | 1,315 | 1,263 | 1,216 |
| Medicare Advantage days | 271 | 274 | 433 | 49 | 159 | 290 |
| Beds | 34 | 34 | 34 | 34 | 12 | 12 |
| Employees (FTE) | 164 | 181 | 188 | 204 | 158 | 163 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Gonzales Healthcare Systems reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic | $2M | $8.8M | $6.5M | 1.35 | 16,485 |
| Radiology-diagnostic | $1.1M | $4.3M | $13.4M | 0.32 | 6,330 |
| Drugs charged to patients | $3M | $7.3M | 0.41 | 1,020 | |
| Operating room | $858,102 | $2.9M | $5.6M | 0.52 | 7,415 |
| Laboratory | $935,733 | $2.7M | $12.3M | 0.22 | 2,683 |
| Emergency | $1.1M | $2.6M | $7.1M | 0.37 | 4,967 |
| Delivery room & labor room | $917,685 | $1.8M | $798,509 | 2.22 | 2,074 |
| Home health agency | $791,781 | $1.6M | $841,725 | 1.91 | 2,151 |
| Physical therapy | $658,996 | $1.6M | $2.4M | 0.66 | 5,436 |
| Observation beds (non-distinct part | $1.1M | $660,363 | 1.67 | ||
| Respiratory therapy | $396,221 | $780,640 | $409,135 | 1.91 | 97 |
| Impl. dev. charged to patients | $760,259 | $1.1M | 0.66 | ||
| Rural health clinic iii | $298,858 | $708,732 | $343,907 | 2.06 | 2,107 |
| Rural health clinic ii | $231,925 | $554,247 | $297,344 | 1.86 | 2,000 |
| Anesthesiology | $433,904 | $1.7M | 0.26 | ||
| Medical supplies charged to patient | $122,006 | $401,729 | $895,210 | 0.45 | 1,408 |
| Shiner therapy | $130,901 | $270,842 | $503,548 | 0.54 | 1,500 |
| Speech pathology | $96,905 | $175,495 | $73,066 | 2.40 | 236 |
| Dietician pt education | $72,671 | $127,297 | $12,513 | 10.17 | 203 |
| Electrocardiology | $21,979 | $41,759 | $777,150 | 0.05 | |
| Durable medical equip-rented | $7,143 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.3M | $3.1M | $1.4M | 2.24 | 6,229 |
| Nursery | $10,881 | $60,342 | $273,416 | 0.22 | 326 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.5M | $7.7M | 75,495 | $32.67 | 19,634 |
| Employee benefits department | $4M | ||||
| Cap rel costs-bldg & fixt | $1.5M | 135,537 | |||
| Cap rel costs-mvble equip | $1.3M | ||||
| Operation of plant | $376,056 | $1M | 11,775 | $31.94 | 12,142 |
| Housekeeping | $517,663 | $752,224 | 30,817 | $16.80 | |
| Dietary | $552,579 | $658,807 | 19,386 | $28.50 | 3,482 |
| Medical records & library | $289,077 | $330,015 | 10,285 | $28.11 | 1,045 |
| Nonphysician anesthetists | $303,689 | ||||
| Nursing administration | $213,460 | $219,434 | 4,021 | $53.08 | 246 |
| Laundry & linen service | $92,182 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825299, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Gonzales Healthcare Systems for an inpatient stay.
1.24
Case mix index
Higher than 8% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
76.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
103
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.37 | 1.38 | 1.38 | 1.36 | 1.38 | 1.21 | 1.24 |
| Wage index | 0.830 | 0.908 | 0.863 | 0.876 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | -0.07% | -0.10% | -0.06% | 0.00% | -0.03% | -0.05% | 0.00% |
| Value-based purchasing adjustment | +0.25% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 274 | 274 | 190 | 151 | 149 | 121 | 103 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Gonzales Healthcare Systems reports to Medicare as owners or with operational control.
Gonzales Healthcare Systems
Operational/managerial control, since 2010
Sources: CMS Hospital All Owners.
The officers and board members on Gonzales Healthcare Systems's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 12 of 13 are shown.
340B drug pricing program
Participating since 2020
340B ID SCH450235-00, registered as a sole community hospital; 2 registered outpatient sites; 8 active contract pharmacies. Authorizing official: Brandon Anzaldua, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Main Street Rural Health Willow ACO LLC
ACO A5404, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Gonzales Healthcare Systems's legal name.
Helipad
Gonzales Meml Hospital
FAA location ID 30XS, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Gonzales healthcare systems
CCN 457634, certified 1984, Medicare prospective payment
Sievers rural health clinic
CCN 453456, certified 1997, Medicare cost reimbursed
Waelder rural health clinic
CCN 453481, certified 1997, Medicare cost reimbursed
Sievers medical clinic-shiner
CCN 673488, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Gonzales Healthcare Systems's latest Medicare cost report (HCRIS).
About Gonzales Healthcare Systems's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Gonzales Healthcare Systems range from $626 to $889 across 2 insurers. Cigna's rate is $889. The median at nearby comparable hospitals is $792. 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 Gonzales Healthcare Systems range from $460 to $1,621 across 3 insurers. Aetna's rate is $1,621. The median at nearby comparable hospitals is $1,054. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Gonzales Healthcare Systems range from $3,230 to $3,279 across 2 insurers. UnitedHealthcare's rate is $3,279. The median at nearby comparable hospitals is $2,131. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Gonzales Healthcare Systems range from $3,080 to $13,081 across 2 insurers. Blue Cross Blue Shield's rate is $13,081. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Gonzales Healthcare Systems range from $121 to $413 across 3 insurers. Cigna's rate is $228. The median at nearby comparable hospitals is $223. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Gonzales Healthcare Systems range from $19,552 to $29,732 across 2 insurers. Blue Cross Blue Shield's rate is $29,732. The median at nearby comparable hospitals is $18,226. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Gonzales Healthcare Systems for fiscal year 2027.
No. Gonzales Healthcare Systems has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
Gonzales Healthcare Systems's Medicare case mix index is 1.24 for fiscal year 2027, higher than 8% of hospitals paid under the inpatient prospective payment system.
Gonzales Healthcare Systems reported 472 inpatient discharges and 1,216 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Gonzales Healthcare Systems reported 163 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Gonzales Healthcare Systems reported $50.1M in net patient revenue on $88.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -33.6%, and net income of $6.7M.
Gonzales Healthcare Systems reported $4.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $3.4M of charity care at cost.
Gonzales Healthcare Systems's Medicare enrollment lists Brandon Anzaldua as CEO since 2023.
Insurers' price transparency files list Gonzales Healthcare Systems under employer identification number 74-1625013 (Gonzales Healthcare Systems). 58 health plans and networks list 74-1625013 for it.
Yes. HRSA's 340B database lists Gonzales Healthcare Systems (340B ID SCH450235-00) as a participating sole community hospital since 2020, with 8 active contract pharmacies.
101 clinicians who bill Medicare list Gonzales Healthcare Systems as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (18), diagnostic radiology physician (14), orthopaedic surgery physician (8).
CMS's Provider of Services file lists no accrediting organization for Gonzales Healthcare Systems; it is certified for Medicare through state survey.
In its Medicare enrollment, Gonzales Healthcare Systems reports Gonzales Healthcare Systems as Operational/managerial control.
CMS lists 29 services at Gonzales Healthcare Systems, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Gonzales Healthcare Systems came from ZIP codes 78629 (111).
Gonzales Healthcare Systems has 12 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 28 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Gonzales Healthcare Systems is located at 1110 Sarah Dewitt Drive, Gonzales, TX 78629. Its main phone number is (830) 672-7581.
Gonzales Healthcare Systems's CMS Certification Number (CCN), also called its Medicare provider number, is 450235.
The National Provider Identifier (NPI) on file for Gonzales Healthcare Systems is 1932108214.
Gonzales Healthcare Systems lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
323 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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