Hamilton, TX
35
In-network payers
330
Disclosed rate categories
25
Beds
Hamilton General Hospital is a 25-bed hospital in Hamilton, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 330 disclosed rate categories.
CCN (Medicare provider number)
450754
NPI
1326037607
Type
Critical Access Hospital
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Hamilton General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$859 - $3,035
from 4 insurers · median $1,654
Typical for a hospital with this service line
CT imaging
CPT 70450
$252 - $1,498
from 4 insurers · median $681
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$551 - $5,620
from 4 insurers · median $3,044
Typical for a hospital with this service line
Gynecology
CPT 58571
$7,096 - $40,825
from 2 insurers · median $23,961
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$445 - $5,868
from 4 insurers · median $3,208
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,081 - $4,907
from 4 insurers · median $3,296
Typical for a hospital with this service line
Mammography
CPT 77067
$198 - $509
from 4 insurers · median $327
Typical for a hospital with this service line
CT imaging
CPT 71275
$410 - $2,261
from 4 insurers · median $1,368
Typical for a hospital with this service line
CT imaging
CPT 74176
$524 - $2,109
from 4 insurers · median $1,030
Typical for a hospital with this service line
MRI imaging
CPT 70553
$859 - $2,370
from 3 insurers · median $2,152
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$180 - $331
from 4 insurers · median $248
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$291 - $4,088
from 4 insurers · median $2,904
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,659 - $13,017
from 4 insurers · median $8,478
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$31,215 - $34,760
from 2 insurers · median $32,988
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58661
$7,096 - $23,521
from 2 insurers · median $15,308
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,192 - $10,585
from 4 insurers · median $4,058
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,192 - $12,370
from 2 insurers · median $7,781
Typical for a hospital with this service line
MRI imaging
CPT 72148
$524 - $2,291
from 4 insurers · median $1,380
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 473
$19,446 - $23,434
from 2 insurers · median $21,440
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$400 - $1,139
from 3 insurers · median $463
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$10,344 - $40,313
from 2 insurers · median $25,328
Typical for a hospital with this service line
MRI imaging
CPT 70551
$524 - $2,082
from 4 insurers · median $1,275
Typical for a hospital with this service line
Ultrasound
CPT 76705
$252 - $718
from 4 insurers · median $485
Typical for a hospital with this service line
MRI imaging
CPT 74183
$859 - $2,347
from 3 insurers · median $1,958
Typical for a hospital with this service line
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* | 15 | 607% | 13 | 2 |
| Insurer B* | 24 | 399% | 17 | 5 |
| Insurer C* | 18 | 352% | 5 | 12 |
| Insurer D* | 24 | 212% | 15 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hamilton General Hospital.
400 North Brown Street, Hamilton, TX 76531
2543863151
The nearest hospitals of similar type and size. Their rates are compared with Hamilton General Hospital for the same insurers and services above.
Glen Rose Medical Center-Hospital
▼ Rates typically 26% lower than Hamilton General Hospital (24 services)
Hill Regional Hospital
▼ Rates typically 22% lower than Hamilton General Hospital (24 services)
Falls Community Hospital And Clinic
▼ Rates typically 23% lower than Hamilton General Hospital (23 services)
Baylor Scott & White Medical Center – Marble Falls
▼ Rates typically 8% lower than Hamilton General Hospital (24 services)
Stephens Memorial Hospital
▼ Rates typically 35% lower than Hamilton General Hospital (24 services)
Methodist Midlothian Medical Center
▼ Rates typically 53% lower than Hamilton General Hospital (24 services)
Olney Hamilton Hospital District
Comanche County Medical Center
Lavaca Medical Center
Limestone Medical Center
About Hamilton General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hamilton General Hospital range from $859 to $2,370 across 3 insurers. Blue Cross Blue Shield's rate is $2,370. The median at nearby comparable hospitals is $1,816. 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 Hamilton General Hospital range from $859 to $3,035 across 4 insurers. UnitedHealthcare's rate is $859. The median at nearby comparable hospitals is $1,523. 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 Hamilton General Hospital range from $445 to $5,868 across 4 insurers. Aetna's rate is $5,868. The median at nearby comparable hospitals is $2,037. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hamilton General Hospital range from $198 to $509 across 4 insurers. Aetna's rate is $509. The median at nearby comparable hospitals is $228. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hamilton General Hospital has 25 beds. Facility type: Critical Access Hospital.
Hamilton General Hospital is located at 400 North Brown Street, Hamilton, TX 76531. Its main phone number is 2543863151.
Hamilton General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 450754.
The National Provider Identifier (NPI) on file for Hamilton General Hospital is 1326037607.
Hamilton General Hospital lists 35 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.
330 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