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HOSPITALGovernment - Hospital District or Authority

Hamilton General Hospital

Hamilton, TX

400 N BROWN, BUILDING 1, Hamilton, TX 76531(254) 386-1950

Not rated by CMS

CMS star rating

25

Beds

341

Inpatient discharges a year

$46.1M

Net patient revenue a year

35

In-network payers

About this hospital

Hamilton General Hospital is a 25-bed government - hospital district or authority 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.

  • 340B participant
CCN
451392
NPI
1326037607
County
Hamilton County
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2018
Last CMS survey
2015

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Ambulance and Other Transport Services and Supplies

Range: A0021 - A0999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Chemotherapy Drugs

Range: J9000 - J9999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health Plan

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-2570068Hamilton County Hospital District61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1326037607 Hamilton County Hospital District1164810925 Hamilton County Hospital District1932814803 Hamilton County Hospital Districtand 116 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

400 N BROWN, BUILDING 1, Hamilton, TX 76531

(254) 386-1950

Get directions

Frequently asked questions

About Hamilton General Hospital's rates and hospital price transparency.

How many patients does Hamilton General Hospital admit?

Hamilton General Hospital reported 341 inpatient discharges and 2,729 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Hamilton General Hospital have?

Hamilton General Hospital reported 484 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Hamilton General Hospital make?

Hamilton General Hospital reported $46.1M in net patient revenue on $143.2M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -17.4%, and net income of $4.9M.

How much charity and uncompensated care does Hamilton General Hospital provide?

Hamilton General Hospital reported $2.9M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $2.7M of charity care at cost.

What is Hamilton General Hospital's tax ID (EIN)?

Insurers' price transparency files list Hamilton General Hospital under employer identification number 74-2570068 (Hamilton County Hospital District). 61 health plans and networks list 74-2570068 for it.

Does Hamilton General Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Hamilton General Hospital (340B ID CAH451392-00) as a participating critical access hospital since 2019, with 2 active contract pharmacies.

How many doctors are affiliated with Hamilton General Hospital?

82 clinicians who bill Medicare list Hamilton General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (15), diagnostic radiology physician (8), family nurse practitioner (6).

Is Hamilton General Hospital accredited?

Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Hamilton General Hospital, effective 2021.

Who owns Hamilton General Hospital?

In its Medicare enrollment, Hamilton General Hospital reports Hamilton County Hospital District as 5% or greater direct ownership interest (100%).

Where do Hamilton General Hospital's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hamilton General Hospital came from ZIP codes 76531 (38), 76457 (17), 76844 (17).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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