Seguin, TX
2 of 5
CMS star rating
139
Beds
3,553
Inpatient discharges a year
$147.6M
Net patient revenue a year
32
In-network payers
Guadalupe Regional Medical Center is a 139-bed voluntary non-profit - other hospital in Seguin, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 242 disclosed rate categories.
The 24 services Guadalupe 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.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 788
$5,441 - $16,587
from 4 insurers · median $14,744
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 807
$3,885 - $7,420
from 4 insurers · median $6,595
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$1,441 - $2,817
from 4 insurers · median $1,586
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$535 - $3,252
from 4 insurers · median $2,708
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$11,513 - $38,169
from 4 insurers · median $33,928
17 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$281 - $922
from 4 insurers · median $728
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$961 - $8,197
from 4 insurers · median $4,762
331 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74176
$1,101 - $2,099
from 4 insurers · median $1,331
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,643 - $13,391
from 4 insurers · median $9,302
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$1,800 - $19,207
from 4 insurers · median $12,392
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$1,277 - $2,437
from 4 insurers · median $1,506
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$790 - $3,911
from 4 insurers · median $2,612
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $3,981
from 4 insurers · median $2,478
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$550 - $2,489
from 4 insurers · median $1,760
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$6,587 - $15,551
from 4 insurers · median $13,823
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$4,541 - $10,888
from 3 insurers · median $10,283
21 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$9,035 - $18,167
from 4 insurers · median $12,791
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,607 - $8,236
from 4 insurers · median $3,661
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,885 - $7,420
from 4 insurers · median $6,595
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 obstetrics / child birth services to CMS
Mammography
CPT 77067
$72 - $321
from 4 insurers · median $181
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,500 - $12,710
from 4 insurers · median $7,848
75 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
MRI imaging
CPT 70551
$387 - $2,508
from 4 insurers · median $1,423
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $2,559
from 4 insurers · median $1,433
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$1,800 - $23,785
from 4 insurers · median $12,571
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* | 24 | 348% | 2 | 1 |
| Insurer B* | 24 | 332% | 18 | 2 |
| Insurer C* | 23 | 161% | 9 | 6 |
| Insurer D* | 24 | 152% | 17 | 2 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 Guadalupe 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.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$147.6M net patient revenue
Ownership and leadership
Owned by Guadalupe County Hospital Board
The employer identification numbers (EINs) health plans and networks list for Guadalupe 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 |
|---|---|---|
| 74-1386053Guadalupe Regional Medical Center | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1720088123 Guadalupe County Hospital Board1457905085 Guadalupe County Hospital Board1275994147 Guadalupe County Hospital Boardand 55 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.
1215 East Court Street, Seguin, TX 78155
(830) 379-2411
How Guadalupe Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 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 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
0 better, 5 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
5 of 5
The top rating, shared by 7% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
80%
Higher than 79% 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)
0.88
Lower than 77% 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
194 min
Higher than 78% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
71%
Higher than 63% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Worse on 2 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 5 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 80% | 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) | 0.88 | 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 | 194 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 71% | 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 Guadalupe Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-1.55% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.11% 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 Guadalupe Regional Medical Center, 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 | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 40 cases | 4.3 | 4.1 | 4.144 | Worse than 59% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 967 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 · 44 cases | 12.6 | 11.8 | 11.91 | Worse than 75% of US hospitals | |
| 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 · 63 cases | 8.9 | 8.5 | 8.703 | Worse than 60% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 189 cases | 12.2 | 11 | 10.52 | Worse than 73% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 156 cases | 15 | 15.2 | 14.69 | Better than 52% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 73 cases | 8.9 | 11.6 | 12.01 | Better than 93% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,544 cases | 0.36 | 0.51 | 0.52 | No Different Than the National Rate | Better than 72% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,201 cases | 0.2 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,182 cases | 0.34 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 448 cases | 2.43 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 63 cases | 1.65 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 69 cases | 8.48 | 8.88 | 10.06 | No Different Than the National Rate | Better than 60% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 489 cases | 3.34 | 3.4 | 3.337 | No Different Than the National Rate | Better than 56% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 62 cases | 4.95 | 5.105 | 5.234 | No Different Than the National Rate | Better than 63% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 95 cases | 1.71 | 1.72 | 1.771 | No Different Than the National Rate | Better than 53% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 367 cases | 0.98 | 1.02 | 1.035 | No Different Than the National Rate | Better than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | 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 · 213 cases | -14 | 1.25 | -1.323 | Better than 71% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 168 cases | 17.4 | 3.85 | 2.422 | Worse than 69% 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 · 793 cases | 13.3 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 298 cases | 1.5 | 1 | 1.017 | Worse than expected | Worse than 99% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 56 cases | 13.9 | 14.4 | 14.48 | Better than 72% of US hospitals | |
| 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 · 80 cases | 21.3 | 19.8 | 19.85 | Worse than 92% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 255 cases | 21.7 | 21.3 | 21.26 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 46 cases | 5.3 | 5.8 | 5.89 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 197 cases | 16.9 | 17.2 | 17.32 | Better than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | 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 | 0.042 | 0.172 | 0.2089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.155 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,728 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.187 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.842 | 0.484 | 0.524 | No Different than National Benchmark | Worse than 77% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.852 | 0.138 | 0.1526 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.155 | 1.392 | 1.474 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,015 | 1,799 | 4,197 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.15 | 1.377 | 5.155 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 1.82 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 2.326 | 0.399 | 0.3671 | No Different than National Benchmark | Worse than 99% of US hospitals |
| 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 | 34 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.824 | 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 | 106 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.843 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 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 | 19,158 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.844 | 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 | 0.287 | 0.127 | 0.1195 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.472 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 17,869 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 8.479 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 6 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.708 | 0.279 | 0.2623 | No Different than National Benchmark | Worse than 87% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 296 cases | 82 | 73 | 75.97 | Better than 82% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 296 cases | 3 | 8 | 7.771 | Better than 87% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 296 cases | 15 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 93 | 87 | 87.82 | Better than 92% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 296 cases | 5 | 4 | 3.712 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 296 cases | 86 | 80 | 79.96 | Better than 83% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 95 | 91 | 90.97 | Better than 91% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 296 cases | 2 | 4 | 4.535 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 296 cases | 5 | 3 | 3.275 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 296 cases | 12 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 296 cases | 85 | 79 | 79.72 | Better than 80% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 94 | 91 | 90.24 | Better than 87% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 296 cases | 3 | 5 | 5.687 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 296 cases | 4 | 3 | 2.956 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 296 cases | 12 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 296 cases | 67 | 61 | 62.66 | Better than 76% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 82 | 77 | 76.88 | Better than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 296 cases | 15 | 19 | 19.26 | Better than 74% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 296 cases | 4 | 3 | 2.672 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 296 cases | 18 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 89 | 86 | 84.56 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 296 cases | 11 | 13 | 13.98 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 296 cases | 4 | 3 | 3.07 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 296 cases | 89 | 87 | 86.02 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 296 cases | 13 | 14 | 16.2 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 296 cases | 87 | 86 | 83.8 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 296 cases | 80 | 74 | 74.6 | Better than 82% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 296 cases | 4 | 7 | 7.327 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 296 cases | 16 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 296 cases | 84 | 77 | 77.72 | Better than 84% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 296 cases | 4 | 6 | 6.395 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 296 cases | 12 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 296 cases | 90 | 85 | 85.15 | Better than 83% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 296 cases | 2 | 3 | 4.015 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 296 cases | 8 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 296 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 · 296 cases | 12 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 296 cases | 84 | 72 | 73.52 | Better than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 93 | 88 | 88.12 | Better than 92% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 296 cases | 5 | 3 | 3.319 | The top rating, shared by 8% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 296 cases | 82 | 74 | 74.97 | Better than 87% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 296 cases | 3 | 9 | 9.68 | Better than 94% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 296 cases | 15 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 296 cases | 83 | 75 | 75.27 | Better than 90% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 296 cases | 2 | 5 | 6.154 | Better than 90% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 296 cases | 15 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 296 cases | 85 | 77 | 76.85 | Better than 89% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 296 cases | 2 | 4 | 5 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 296 cases | 13 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 296 cases | 91 | 86 | 85.92 | Better than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 296 cases | 1 | 3 | 3.094 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 296 cases | 8 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 296 cases | 73 | 59 | 65.6 | Better than 88% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 296 cases | 4 | 9 | 7.774 | Better than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 296 cases | 23 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 90 | 82 | 84.26 | Better than 95% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 296 cases | 5 | 3 | 3.821 | The top rating, shared by 11% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 296 cases | 2 | 5 | 6.017 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 296 cases | 80 | 71 | 72.87 | Better than 79% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 296 cases | 92 | 87 | 87.21 | Better than 83% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 296 cases | 18 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 296 cases | 5 | 4 | 3.694 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 296 cases | 53 | 47 | 49.46 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 296 cases | 26 | 30 | 29.64 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 296 cases | 21 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 296 cases | 5 | 3 | 3.266 | The top rating, shared by 7% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 296 cases | 9 | 12 | 12.55 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 296 cases | 91 | 88 | 87.45 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,203 cases | 78 | 79 | 72.24 | Worse than 52% 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 · 392 cases | 199 | 154 | 151 | Worse than 77% 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 · 346 cases | 194 | 148 | 146 | Worse than 78% 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 · 14 cases | 280 | 247 | 331 | Worse than 62% 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 · 33 cases | 269 | 293 | 279 | Better than 61% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 33,842 cases | 2 | 1 | 1.372 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 29 cases | 83 | 74 | 69.2 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 125 cases | 100 | 97 | 90.54 | The best result, shared by 27% 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 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 730 cases | 20 | 15 | 13.94 | Worse than 84% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 150 cases | 71 | 65 | 66.54 | Better than 63% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases | 87 | 73 | 71.35 | Better than 81% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 52 cases | 88 | 88 | 89.11 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 150 cases | 83 | 82 | 82.14 | Better than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 78 cases | 99 | 94 | 92.38 | Better than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 37 cases | 95 | 98 | 93.64 | Worse than 77% of US hospitals | |
| 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 · 1,427 cases | 99 | 90 | 78.56 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 497 cases | 95 | 97 | 93.78 | Worse than 62% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 12.2 | 5 | 7.719 | Worse than 93% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2.7 | 6.6 | 6.859 | Better than 94% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.13 | 0.99 | 1.034 | Worse than 95% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 25.32 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 6.413 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 80 | 34 | 39.47 | Better than 96% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 20 | 8.75 | 10.13 | Better than 95% of US hospitals | |
| VBP safety domain scoreFY 2026 | 42.5 | 40 | 48.35 | Better than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10.63 | 10 | 12.26 | Better than 53% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.63 | 29.5 | 29.94 | Better than 54% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 48 | 33.33 | 6 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 12 | 8.333 | 1.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 10 | 20 | 10 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | 5 | 2.5 | 0 | 0 |
| VBP person and community engagement domain score | 67 | Not Available | 55 | 64 | 80 |
| VBP person and community engagement weighted domain score | 16.75 | Not Available | 13.75 | 16 | 20 |
| VBP safety domain score | 86.67 | Not Available | 15 | 25 | 42.5 |
| VBP safety weighted domain score | 21.67 | Not Available | 3.75 | 6.25 | 10.63 |
| VBP total performance score | 52.92 | Not Available | 21.5 | 22.25 | 30.63 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.011 | 0.9995 | 1.013 | Worse than 57% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 75 cases | 0.9985 | 0.9969 | 0.999 | Worse than 51% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 217 cases | 1.042 | 0.9983 | 1 | Worse than 75% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.478 | 0.9916 | 1.006 | Worse than 99% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 148 cases | 1.087 | 0.9955 | 1.003 | Worse than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9708 | 1.012 | N/A | N/A | 1.02 | 1.011 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9254 | 0.9496 | 0.999 | 0.9987 | 0.9645 | 0.9985 |
| READM-30-HF-HRRP | 0.9692 | 1.008 | 0.969 | 1.057 | 1.037 | 1.042 |
| READM-30-HIP-KNEE-HRRP | 1.235 | 1.127 | 1.012 | 1.078 | 1.492 | 1.478 |
| READM-30-PN-HRRP | 0.9821 | 1.004 | 1.038 | 1.045 | 1.105 | 1.087 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.963 | 0.489 | 0.4327 | Worse than 85% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.772 | 0.346 | 0.2562 | Worse than 90% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.418 | 0.559 | 0.5596 | Better than 64% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.6118 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8834 | 0.9628 | 0.9684 | Better than 77% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.7483 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2591 | -0.0453 | -0.1734 | Better than 65% 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 | -0.1005 | -0.8293 | 0 | 0.1841 | -0.1733 | -0.2591 |
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.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Local
Ownership type
153
Medicare-certified beds
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Guadalupe Regional Medical Center reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
3,553
Inpatient discharges
Medicare 29%, Medicaid 1%
11,465
Inpatient days
27% of available bed days used
683
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 832839). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Guadalupe Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,035 | 126 | 8,304 | 11,465 |
| Discharges | 1,040 | 50 | 2,463 | 3,553 |
| Average length of stay | 2.9 days | 2.5 days | 3.4 days | 3.2 days |
| Average daily census | 8.3 | 0.3 | 22.8 | 31.4 |
2,956
Medicare Advantage days
771 discharges
2,744
Medicaid managed care days
5,787
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 108 | 8,610 | 2,559 | 22% |
| Intensive care unit | 9 | 1,574 | 476 | 48% |
| Nursery | 1,281 | |||
| Subprovider - irf | 22 | 2,396 | 1,959 | 30% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832839, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Guadalupe Regional Medical Center treats Medicare patients for most often, in 2024. 580 Medicare discharges in 27 published DRGs; 14% surgical; 77% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 87 | $28,308 | $8,569 | $9,851 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 56 | $48,498 | $12,845 | $16,877 | 1.98 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $12,674 | $5,275 | $4,411 | 0.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $32,783 | $8,393 | $11,408 | 1.33 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $24,659 | $6,988 | $8,581 | 0.98 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $45,351 | $13,341 | $15,782 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $45,347 | $13,764 | $15,781 | 2.11 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $35,650 | $7,942 | $12,406 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $47,548 | $10,613 | $16,547 | 1.70 |
| Renal failure with CCMS-DRG 683, medical | 22 | $15,609 | $5,962 | $5,432 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $17,500 | $7,158 | $6,090 | 1.17 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 19 | $36,775 | $12,581 | $12,798 | 1.88 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $29,502 | $7,012 | $10,267 | 1.10 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $34,994 | $10,085 | $12,178 | 1.59 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 14 | $23,064 | $6,392 | $8,026 | 1.02 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $16,799 | $5,475 | $5,846 | 0.74 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $21,440 | $7,101 | $7,461 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $18,483 | $5,185 | $6,432 | 0.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $35,664 | $8,060 | $12,411 | 1.20 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $16,043 | $5,556 | $5,583 | 0.79 |
See all 27 Medicare inpatient DRGs at Guadalupe Regional Medical Center
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Guadalupe Regional Medical Center billed Medicare for most in 2024: 1,632 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 363 | 327 | $12,431 | $1,842 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 331 | 203 | $9,543 | $1,572 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 109 | 104 | $31,403 | $9,684 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 75 | 55 | $13,433 | $2,378 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 66 | 63 | $10,106 | $1,365 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 64 | $18,072 | $2,030 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 63 | 46 | $15,221 | $2,169 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 56 | 55 | $14,623 | $3,513 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 44 | $10,367 | $1,966 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 49 | 48 | $18,654 | $3,826 | $4,358 |
See all 26 Medicare outpatient services at Guadalupe Regional Medical Center
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 Guadalupe Regional Medical Center 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 1,536 in 2020 to 1,626 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 78155 | 1,091 | 67% | 3,700 | $42.7M | 43% | 55% |
| 78629 | 82 | 5% | 276 | $3.6M | 15% | 12% |
| 78121 | 78 | 5% | 268 | $3.4M | 16% | 14% |
| 78160 | 78 | 5% | 231 | $2.9M | 41% | 46% |
| 78638 | 52 | 3% | 193 | $2.5M | 51% | 44% |
| 78130 | 44 | 3% | 152 | $1.8M | 1% | 2% |
| 78124 | 43 | 3% | 152 | $1.7M | 13% | 14% |
| 78156 | 36 | 2% | 124 | $1.3M | 100% | 80% |
| 78123 | 34 | 2% | 129 | $1.6M | 25% | 34% |
| 78140 | 28 | 2% | 111 | $1.3M | 57% | 100% |
| 78159 | 17 | 1% | 57 | $638,574 | 100% | 100% |
| 78648 | 16 | 1% | 61 | $727,912 | 3% | 5% |
| 78108 | 14 | 1% | 43 | $874,537 | 1% | |
| 78161 | 13 | 1% | 37 | $399,160 | 33% |
Source: CMS Hospital Service Area file. Shares are of the 1,626 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 Guadalupe Regional Medical Center reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
22
Rehabilitation unit beds
171
Licensed practical nurses
14
Physicians
8
Nurse practitioners
1
Physician assistants
5
Pharmacists
7
Respiratory therapists
9
Physical therapists
3
Occupational therapists
19
Radiology technicians
2
Nuclear medicine technicians
3
Laboratory technicians
6
Medical technologists
9
Social workers
334
Other personnel
Source: CMS Provider of Services file.
314 clinicians who bill Medicare list Guadalupe Regional Medical Center 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.
Kevin Kempf, MD
Rheumatology Physician
NPI 1003895020
See commercial rates for Kevin Kempf, MDSreedevi 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, MDJeffrey Feinstein, M.D.
Rheumatology Physician
NPI 1609867241
See commercial rates for Jeffrey Feinstein, M.D.Kenneth Desrosier, M.D.
Rheumatology Physician
NPI 1568447563
See commercial rates for Kenneth Desrosier, M.D.Jason Smith, MD
Hematology & Oncology Physician
NPI 1114137064
See commercial rates for Jason Smith, MDChristopher Braden, D.O.
Hematology & Oncology Physician
NPI 1497835680
See commercial rates for Christopher Braden, D.O.Selena Stuart, M.D.
Hematology & Oncology Physician
NPI 1629236575
See commercial rates for Selena Stuart, M.D.Abram Trevino, MD
Medical Oncology Physician
NPI 1346323888
See commercial rates for Abram Trevino, MDThomas Hoffmann, M.D.
Rheumatology Physician
NPI 1912997628
See commercial rates for Thomas Hoffmann, M.D.Sameer Soliman, M.D.
Interventional Pain Medicine Physician
NPI 1669762191
See commercial rates for Sameer Soliman, M.D.William Craig, MD
Cardiovascular Disease Physician
NPI 1134115397
See commercial rates for William Craig, MDAmeya Baxi, M.D.
Diagnostic Radiology Physician
NPI 1841631280
See commercial rates for Ameya Baxi, M.D.Richard Lawson, MD
Radiation Oncology Physician
NPI 1659353902
See commercial rates for Richard Lawson, MDDean Zincone, M.D.
Family Medicine Physician
NPI 1043208184
See commercial rates for Dean Zincone, M.D.Charles Lano, M.D.
Otolaryngology Physician
NPI 1124092671
See commercial rates for Charles Lano, M.D.Robert Magnon, M.D.
Dermatology Physician
NPI 1013993096
See commercial rates for Robert Magnon, M.D.Venkatesha Kadaba, D.O.
Diagnostic Radiology Physician
NPI 1033312905
See commercial rates for Venkatesha Kadaba, D.O.Reena Doane, PA-C
Medical Physician Assistant
NPI 1982638235
See commercial rates for Reena Doane, PA-CAntonio Flores, M.D.
Family Medicine Physician
NPI 1508853938
See commercial rates for Antonio Flores, 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, MDJoseph Kavanagh, M.D.
Ophthalmology Physician
NPI 1992718373
See commercial rates for Joseph Kavanagh, M.D.Jennifer Walker, FNP-C
Family Nurse Practitioner
NPI 1598476814
See commercial rates for Jennifer Walker, FNP-CSource: 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 Guadalupe Regional Medical Center reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $510.6M | 345.9% |
| Inpatient | $149.5M | 101.3% |
| Outpatient | $361.1M | 244.7% |
| Contractual allowances and discounts | -$363M | -245.9% |
| Net patient revenue | $147.6M | 100.0% |
| Operating expenses | -$165.6M | -112.2% |
| Operating income from patient care | -$18M | -12.2% |
| Other income | $19.4M | 13.1% |
| Contributions and donations | $3.7M | 2.5% |
| Investment income | $2.4M | 1.6% |
| COVID-19 relief funding | $272 | 0.0% |
| Other | $13.3M | 9.0% |
| Net income | $1.3M | 0.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $99.9M | 20.5% |
| Medicaid (including managed care) | $29.5M | 6.1% |
| Other payers and self-pay | $357.4M | 73.4% |
| Total charges | $486.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832839, amended. 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 Guadalupe Regional Medical Center's latest cost report.
-12.2%
Operating margin
Operating income from patient care / net patient revenue
0.8%
Total margin
Net income / net patient revenue plus other income
6.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$45.45
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
0.5%
Return on assets
Net income for a year / total assets
1.3%
Return on equity
Net income for a year / fund balance
0.94
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.90
Current ratio
Current assets / current liabilities
1.26
Quick ratio
Cash, temporary investments and net receivables / current liabilities
125 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
130 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.64
Asset turnover
Total revenue for a year / total assets
Source: CMS cost report (HCRIS, Form 2552-10), report 832839, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Guadalupe Regional Medical Center owned and owed at the end of its reporting period (Sep 2025), across all fund types: $259.2M in total assets and a $102.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $54.9M | 21.2% |
| Patient receivables, net | $16.6M | 6.4% |
| Inventory | $4.8M | 1.9% |
| Total current assets | $107.7M | 41.6% |
| Property and equipment, net of depreciation | $120M | 46.3% |
| Investments and other assets | $31.5M | 12.2% |
| Total assets | $259.2M | 100.0% |
| Current liabilities | $56.7M | 21.9% |
| Long-term debt | $96.6M | 37.3% |
| Total liabilities | $156.4M | 60.3% |
| Fund balance (net assets) | $102.8M | 39.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832839, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Guadalupe Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$11.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$9.9M
Bad debt
Patient bills written off as uncollectible, at charges
$1.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$55,656
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$14.5M
Total unreimbursed and uncompensated care
8.8% 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 832839, amended. Hospitals report these figures themselves; they are not audited financial statements.
Guadalupe Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $102.7M | $126.2M | $128.8M | $135.6M | $143.5M | $147.6M |
| Operating expenses | $114.4M | $126M | $136.5M | $149.4M | $158.5M | $165.6M |
| Operating margin | -11.4% | 0.2% | -5.9% | -10.2% | -10.4% | -12.2% |
| Net income | $5.5M | $22.3M | $8.8M | $3.7M | -$939,867 | $1.3M |
| Total assets | $225.6M | $236.3M | $238.3M | $257.6M | $254.1M | $259.2M |
| Discharges | 3,482 | 4,059 | 3,648 | 3,800 | 3,611 | 3,553 |
| Inpatient days | 12,767 | 17,113 | 13,505 | 12,396 | 11,764 | 11,465 |
| Medicare Advantage days | 1,128 | 2,970 | 2,575 | 2,739 | 2,793 | 2,956 |
| Beds | 139 | 139 | 139 | 139 | 139 | 139 |
| Employees (FTE) | 727 | 622 | 643 | 636 | 669 | 683 |
Source: CMS cost report (HCRIS, Form 2552-10), report 832839, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Guadalupe 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 |
|---|---|---|---|---|---|
| Operating room | $3.8M | $13.5M | $70.1M | 0.19 | 28,714 |
| Emergency | $5.1M | $10.7M | $36.7M | 0.29 | 17,273 |
| Laboratory | $2.4M | $10.4M | $71.8M | 0.14 | 7,390 |
| Observation beds (non-distinct part | $9.2M | $12M | 0.77 | ||
| Drugs charged to patients | $1.1M | $9M | $50.8M | 0.18 | 2,349 |
| Medical supplies charged to patient | $7.6M | $20.5M | 0.37 | ||
| Impl. dev. charged to patients | $6.5M | $15.4M | 0.42 | ||
| Radiology-diagnostic | $2.7M | $5.3M | $45.5M | 0.12 | 5,037 |
| Ct scan | $5.2M | $44.9M | 0.12 | 4,971 | |
| Physical therapy | $1.7M | $3.3M | $16.8M | 0.20 | 8,867 |
| Cardiac catheterization | $1.2M | $3.3M | $9.8M | 0.33 | 4,896 |
| Recovery room | $1.6M | $3.2M | $6.7M | 0.48 | 3,501 |
| Respiratory therapy | $1.1M | $2.4M | $15.7M | 0.15 | 2,023 |
| Mri | $2M | $17.4M | 0.12 | 1,928 | |
| Geri psych | $435,699 | $926,459 | $1.2M | 0.77 | 2,059 |
| Cardiac rehabilitation | $336,132 | $661,586 | $2.2M | 0.30 | 870 |
| Intravenous therapy | $372,189 | $638,146 | $7M | 0.09 | |
| Clinic | $401,967 | $512,156 | $951,601 | 0.54 | |
| Sleep lab | $202,700 | $824,407 | 0.25 | ||
| Anesthesiology | $146,250 | $6.7M | 0.02 | 760 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $10M | $22.9M | $18.5M | 1.24 | 55,347 |
| Subprovider - irf | $1.9M | $4.4M | $4.7M | 0.95 | 12,313 |
| Intensive care unit | $2M | $4.1M | $5.1M | 0.80 | 5,337 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $13M | $21.6M | 351,197 | $36.79 | 22,263 |
| Cap rel costs-bldg & fixt | $8.3M | 340,710 | |||
| Nursing administration | $1.3M | $2.2M | 22,190 | $56.63 | 440 |
| Maintenance & repairs | $507,533 | $2.1M | 15,250 | $33.28 | 2,275 |
| Dietary | $2M | 4,317 | |||
| Operation of plant | $86,509 | $1.9M | 876 | $98.76 | 84,604 |
| Housekeeping | $1.8M | 1,482 | |||
| Cap rel costs-mvble equip | $1.2M | ||||
| Central services & supply | $265,695 | $505,456 | 9,539 | $27.85 | 3,489 |
| Laundry & linen service | $456,998 | 800 | |||
| Employee benefits department | -$3,655 | $162,625 | 2,080 | $32.52 |
Source: CMS cost report (HCRIS, Form 2552-10), report 832839, amended. 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 Guadalupe Regional Medical Center for an inpatient stay.
1.52
Case mix index
Higher than 30% 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).
27.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,024
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
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 | 1.70 | 1.70 | 1.60 | 1.52 | 1.55 | 1.52 | 1.52 |
| Wage index | 0.847 | 0.841 | 0.863 | 0.876 | 0.896 | 0.972 | 1.000 |
| Readmissions adjustment | -2.36% | -1.98% | -1.16% | -0.13% | -0.73% | -1.75% | -1.55% |
| Value-based purchasing adjustment | +1.09% | +1.39% | +1.40% | -0.55% | +0.04% | -0.01% | +0.11% |
| Medicare inpatient stays | 1,165 | 1,165 | 1,315 | 1,180 | 1,214 | 1,083 | 1,024 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Guadalupe Regional Medical Center reports to Medicare as owners or with operational control.
Guadalupe County Hospital Board
Operational/managerial control, since 1975
Sources: CMS Hospital All Owners.
The officers and board members on Guadalupe 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.
340B drug pricing program
Participating since 2004
340B ID DSH450104, registered as a disproportionate share hospital; 2 registered outpatient sites. Authorizing official: Kody Bryan Gann, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Guadalupe Hospital
FAA location ID XS98, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Guadalup valley rehab unit
CCN 45T104, certified 2002, Medicare prospective payment
Hospice of guadalupe
CCN 451541, certified 1990
Source: Worksheet S-2 Part I of Guadalupe Regional Medical Center's latest Medicare cost report (HCRIS).
About Guadalupe Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Guadalupe Regional Medical Center range from $792 to $3,981 across 4 insurers. Aetna's rate is $3,981. The median at nearby comparable hospitals is $1,117. 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 Guadalupe Regional Medical Center range from $1,441 to $2,817 across 4 insurers. Blue Cross Blue Shield's rate is $1,441. The median at nearby comparable hospitals is $1,020. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Guadalupe Regional Medical Center range from $790 to $3,911 across 4 insurers. Cigna's rate is $3,911. The median at nearby comparable hospitals is $3,015. 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 Guadalupe Regional Medical Center range from $5,441 to $16,587 across 4 insurers. UnitedHealthcare's rate is $13,822. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Guadalupe Regional Medical Center range from $72 to $321 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $315. 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 Guadalupe Regional Medical Center range from $11,513 to $38,169 across 4 insurers. Aetna's rate is $36,048. The median at nearby comparable hospitals is $19,858. What a patient pays depends on their plan's deductible, coinsurance and network status.
Guadalupe Regional Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Guadalupe Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Guadalupe Regional Medical Center's base inpatient payments by an estimated 1.55% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (87 discharges), septicemia or severe sepsis without mv >96 hours with mcc (56 discharges), kidney and urinary tract infections without mcc (31 discharges).
Guadalupe Regional Medical Center's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.
Guadalupe Regional Medical Center reported 3,553 inpatient discharges and 11,465 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Guadalupe Regional Medical Center reported 683 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Guadalupe Regional Medical Center reported $147.6M in net patient revenue on $510.6M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -12.2%, and net income of $1.3M.
Guadalupe Regional Medical Center reported $14.5M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $11.9M of charity care at cost.
Insurers' price transparency files list Guadalupe Regional Medical Center under employer identification number 74-1386053 (Guadalupe Regional Medical Center). 56 health plans and networks list 74-1386053 for it.
Yes. HRSA's 340B database lists Guadalupe Regional Medical Center (340B ID DSH450104) as a participating disproportionate share hospital since 2004.
314 clinicians who bill Medicare list Guadalupe Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (40), family nurse practitioner (35), physician assistant (20).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Guadalupe Regional Medical Center, effective 2025.
In its Medicare enrollment, Guadalupe Regional Medical Center reports Guadalupe County Hospital Board as Operational/managerial control.
CMS lists 38 services at Guadalupe Regional Medical Center, including Acute Renal Dialysis, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Guadalupe Regional Medical Center came from ZIP codes 78155 (1,091), 78629 (82), 78121 (78).
Guadalupe Regional Medical Center has 139 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 153 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Guadalupe Regional Medical Center is located at 1215 East Court Street, Seguin, TX 78155. Its main phone number is (830) 379-2411.
Guadalupe Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450104.
The National Provider Identifier (NPI) on file for Guadalupe Regional Medical Center is 1720088123.
Guadalupe Regional Medical Center lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
242 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