Graham, TX
25
Beds
130
Inpatient discharges a year
$17.6M
Net patient revenue a year
25
In-network payers
Graham Regional Medical Center is a 25-bed government - hospital district or authority hospital in Graham, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 318 disclosed rate categories.
The 24 services Graham Regional Medical Center 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.
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Medicine & Surgery · Inpatient
MS-DRG 470
$12,637 - $16,751
from 2 insurers · median $14,694
35 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$27,928 - $30,817
from 2 insurers · median $29,372
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$17,913 - $21,200
from 2 insurers · median $19,556
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$8,086 - $10,774
from 2 insurers · median $9,430
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$275 - $976
from 4 insurers · median $890
Typical for a hospital with this service line
Gynecology
CPT 58571
$6,056 - $29,656
from 2 insurers · median $17,856
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$6,056 - $17,281
from 3 insurers · median $13,309
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,184 - $2,739
from 4 insurers · median $2,074
Typical for a hospital with this service line
Mammography
CPT 77067
$100 - $291
from 4 insurers · median $231
Typical for a hospital with this service line
CT imaging
CPT 70450
$94 - $684
from 4 insurers · median $262
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$6,056 - $16,338
from 2 insurers · median $11,197
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$324 - $1,910
from 4 insurers · median $615
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$26 - $202
from 4 insurers · median $192
Typical for a hospital with this service line
CT imaging
CPT 74176
$162 - $772
from 4 insurers · median $554
Typical for a hospital with this service line
Gynecology
CPT 58661
$6,056 - $17,281
from 2 insurers · median $11,668
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,184 - $2,731
from 3 insurers · median $1,885
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$455 - $3,680
from 3 insurers · median $1,184
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$6,056 - $20,727
from 4 insurers · median $20,414
Typical for a hospital with this service line
MRI imaging
CPT 70553
$166 - $1,392
from 4 insurers · median $911
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$6,056 - $21,385
from 4 insurers · median $20,414
Typical for a hospital with this service line
Gynecology
CPT 58662
$6,056 - $16,821
from 2 insurers · median $11,439
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,239 - $8,593
from 2 insurers · median $5,916
Typical for a hospital with this service line
CT imaging
CPT 71275
$224 - $810
from 4 insurers · median $439
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,007 - $3,003
from 4 insurers · median $1,333
Hospital reports nuclear medicine services to CMS
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* | 24 | 273% | 13 | 10 |
| Insurer B* | 15 | 262% | 4 | 9 |
| Insurer C* | 24 | 126% | 16 | 3 |
| Insurer D* | 12 | 105% | 2 | 6 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 23 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 Graham Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
26 services
See doctors and servicesFinances
$17.6M net patient revenue
Ownership and leadership
Owned by Graham Hospital District
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for Graham Regional Medical Center 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 |
|---|---|---|
| 46-3113489Graham Hospital District | 48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more | 1881691061 Graham Hospital District1063113983 Graham Hospital District1770532319 Graham Hospital Districtand 15 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.
1301 Montgomery Road, Graham, TX 76450
(940) 549-3400
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Graham Regional Medical Center reported to Medicare in its latest cost report, covering Oct 1, 2022 to Aug 3, 2023.
130
Inpatient discharges
Medicare 45%, Medicaid n/a
378
Inpatient days
5% of available bed days used
114
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 833582). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Graham Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 156 | 0 | 222 | 378 |
| Discharges | 59 | 0 | 71 | 130 |
| Average length of stay | 2.6 days | 3.1 days | 2.9 days | |
| Average daily census | 0.5 | 0.0 | 0.7 | 1.2 |
105
Medicare Advantage days
26 discharges
7
Medicaid managed care days
2 discharges
549
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 25 | 378 | 156 | 5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 833582, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Revenue, expenses and income Graham Regional Medical Center reported to Medicare for Oct 1, 2022 to Aug 3, 2023. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $61.9M | 351.4% |
| Inpatient | $3.9M | 22.0% |
| Outpatient | $58.1M | 329.5% |
| Contractual allowances and discounts | -$44.3M | -251.4% |
| Net patient revenue | $17.6M | 100.0% |
| Operating expenses | -$22.2M | -125.9% |
| Operating income from patient care | -$4.6M | -25.9% |
| Other income | $6.6M | 37.3% |
| Contributions and donations | $583,897 | 3.3% |
| Investment income | $423,950 | 2.4% |
| Government appropriations | $58,617 | 0.3% |
| Other | $5.5M | 31.2% |
| Other expenses | $585,725 | 3.3% |
| Net income | $2.6M | 14.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $16.6M | 26.9% |
| Medicaid (including managed care) | $10,689 | 0.0% |
| Other payers and self-pay | $45.1M | 73.0% |
| Total charges | $61.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 833582, settled without audit. 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 Graham Regional Medical Center's latest cost report, which covers 307 days; income and expense figures are scaled to a year.
-25.9%
Operating margin
Operating income from patient care / net patient revenue
10.7%
Total margin
Net income / net patient revenue plus other income
14.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$28.06
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
11.8%
Return on assets
Net income for a year / total assets
14.2%
Return on equity
Net income for a year / fund balance
0.03
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.78
Current ratio
Current assets / current liabilities
3.62
Quick ratio
Cash, temporary investments and net receivables / current liabilities
154 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
32 days
Days in patient receivables
Net patient receivables / daily net patient revenue
50 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.10
Asset turnover
Total revenue for a year / total assets
30.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 833582, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Graham Regional Medical Center owned and owed at the end of its reporting period (Aug 2023), across all fund types: $26.1M in total assets and a $21.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $10.6M | 40.8% |
| Patient receivables, net | $1.9M | 7.1% |
| Inventory | $492,726 | 1.9% |
| Total current assets | $16.5M | 63.3% |
| Property and equipment, net of depreciation | $9.6M | 36.7% |
| Investments and other assets | $667 | 0.0% |
| Total assets | $26.1M | 100.0% |
| Current liabilities | $3.4M | 13.2% |
| Long-term debt | $611,979 | 2.3% |
| Total liabilities | $4.4M | 16.9% |
| Fund balance (net assets) | $21.7M | 83.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 833582, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Graham Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$956,591
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$5.1M
Bad debt
Patient bills written off as uncollectible, at charges
$1,486
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.5M
Total unreimbursed and uncompensated care
11.3% 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 833582, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Graham Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2019 | Sep 2020 | Sep 2021 | Sep 2022 | Aug 2023 |
|---|---|---|---|---|---|
| Net patient revenue | $14.9M | $15.1M | $18.8M | $18.3M | $17.6M |
| Operating expenses | $20.8M | $22.4M | $24.1M | $23.4M | $22.2M |
| Operating margin | -39.3% | -47.9% | -28.2% | -27.5% | -25.9% |
| Net income | $713,043 | $306,520 | $3.3M | $1.2M | $2.6M |
| Total assets | $16.4M | $23.1M | $23.1M | $25M | $26.1M |
| Discharges | 593 | 455 | 491 | 316 | 130 |
| Inpatient days | 2,379 | 1,542 | 2,138 | 1,296 | 378 |
| Medicare Advantage days | 159 | 105 | |||
| Beds | 25 | 26 | 25 | 25 | 25 |
| Employees (FTE) | 129 | 134 | 151 | 139 | 114 |
Source: CMS cost report (HCRIS, Form 2552-10), report 833582, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Graham Regional Medical Center 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 |
|---|---|---|---|---|---|
| Emergency | $861,381 | $2.9M | $10.4M | 0.28 | 6,197 |
| Operating room | $517,486 | $2.2M | $10.9M | 0.20 | 8,554 |
| Rural health clinic | $553,433 | $2M | $1.3M | 1.60 | 5,000 |
| Laboratory | $579,186 | $2M | $8.5M | 0.23 | 3,111 |
| Radiology-diagnostic | $620,962 | $1.9M | $12.7M | 0.15 | 3,902 |
| Observation beds (non-distinct part | $1.3M | $2M | 0.68 | ||
| Respiratory therapy | $304,322 | $952,174 | $1.7M | 0.54 | 1,392 |
| Drugs charged to patients | $75,402 | $824,509 | $2.6M | 0.32 | 456 |
| Physical therapy | $112,231 | $582,505 | $2.2M | 0.26 | 4,079 |
| Clinic | $227,739 | $573,016 | $889,414 | 0.64 | 180 |
| Impl. dev. charged to patients | $492,189 | $596,866 | 0.82 | ||
| Ambulance services | $108,167 | $491,406 | $2.4M | 0.20 | 3,199 |
| Medical supplies charged to patient | $115,043 | $407,393 | $879,480 | 0.46 | 2,801 |
| Intravenous therapy | $111,258 | $262,000 | $1.3M | 0.20 | 160 |
| Gs clinic | $82,012 | $253,250 | $1.2M | 0.20 | 1,698 |
| Geri-psych | $53,214 | $125,048 | $76,663 | 1.63 | 750 |
| Blood laboratory | $92,747 | $529,583 | 0.18 | 63 | |
| Electrocardiology | $2,095 | $91,160 | $641,777 | 0.14 | 561 |
| Occupational therapy | $12,477 | $23,068 | $63,864 | 0.36 | |
| Anesthesiology | $333 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $794,442 | $2.3M | $693,257 | 3.28 | 16,545 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.5M | $3.3M | 46,134 | $32.95 | 11,318 |
| Employee benefits department | $155,757 | $3M | 3,298 | $47.23 | |
| Cap rel costs-bldg & fixt | $939,827 | 92,284 | |||
| Operation of plant | $103,918 | $567,677 | 3,441 | $30.20 | 1,341 |
| Dietary | $396,547 | 1,380 | |||
| Housekeeping | $208,231 | $241,040 | 11,307 | $18.42 | 790 |
| Medical records & library | $86,161 | $205,884 | 3,407 | $25.29 | 2,739 |
| Nursing administration | $117,099 | $129,095 | 1,720 | $68.08 | 774 |
| Wellness center | $57,709 | $107,955 | 3,894 | $14.82 | 12,179 |
| Laundry & linen service | $10,830 | 419 |
Source: CMS cost report (HCRIS, Form 2552-10), report 833582, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Organizations Graham Regional Medical Center reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Graham Hospital District
5% or greater direct ownership interest, 100%, since 2014
Sources: CMS Hospital All Owners.
The officers and board members on Graham Regional Medical Center'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 5 of 9 are shown.
340B drug pricing program
Not participating
340B ID SCH450085-00, registered as a sole community hospital. Authorizing official: Robert Shane Kernell, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
CVS ACO
ACO A5407, current agreement since 2024. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Graham Regional Medical Center's legal name.
Young county rhc
CCN 458851, certified 2004, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Graham Regional Medical Center's latest Medicare cost report (HCRIS).
About Graham Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Graham Regional Medical Center range from $166 to $1,392 across 4 insurers. Aetna's rate is $166. The median at nearby comparable hospitals is $1,467. 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 Graham Regional Medical Center range from $275 to $976 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $928. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Graham Regional Medical Center range from $1,184 to $2,731 across 3 insurers. Blue Cross Blue Shield's rate is $2,731. The median at nearby comparable hospitals is $1,532. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Graham Regional Medical Center range from $100 to $291 across 4 insurers. Aetna's rate is $100. The median at nearby comparable hospitals is $204. 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 Graham Regional Medical Center range from $12,637 to $16,751 across 2 insurers. Blue Cross Blue Shield's rate is $12,637. The median at nearby comparable hospitals is $16,320. What a patient pays depends on their plan's deductible, coinsurance and network status.
Graham Regional Medical Center reported 130 inpatient discharges and 378 inpatient days from Oct 1, 2022 to Aug 3, 2023.
Graham Regional Medical Center reported 114 full-time-equivalent employees on payroll from Oct 1, 2022 to Aug 3, 2023.
Graham Regional Medical Center reported $17.6M in net patient revenue on $61.9M of gross charges for Oct 1, 2022 to Aug 3, 2023, an operating margin of -25.9%, and net income of $2.6M.
Graham Regional Medical Center reported $2.5M of unreimbursed and uncompensated care for Oct 1, 2022 to Aug 3, 2023, including $956,591 of charity care at cost.
Insurers' price transparency files list Graham Regional Medical Center under employer identification number 46-3113489 (Graham Hospital District). 48 health plans and networks list 46-3113489 for it.
HRSA's 340B database lists Graham Regional Medical Center (340B ID SCH450085-00) as no longer participating since 2017.
In its Medicare enrollment, Graham Regional Medical Center reports Graham Hospital District as 5% or greater direct ownership interest (100%).
CMS lists 26 services at Graham Regional Medical Center, including Anesthesia, Clinical Laboratory, CT Scan, Dental Care, Designated Trauma Center, Diagnostic Radiology.
Graham Regional Medical Center has 25 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Graham Regional Medical Center is located at 1301 Montgomery Road, Graham, TX 76450. Its main phone number is (940) 549-3400.
Graham Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450085.
The National Provider Identifier (NPI) on file for Graham Regional Medical Center is 1881691061.
Graham Regional Medical Center lists 25 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
318 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.
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{
"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