Prime Healthcare Services · Harlingen, TX
4 of 5
CMS star rating
118
Beds
6,135
Inpatient discharges a year
$142M
Net patient revenue a year
32
In-network payers
Harlingen Medical Center is a 118-bed proprietary hospital in Harlingen, TX, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 278 disclosed rate categories.
The 24 services Harlingen 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 807
$5,026 - $9,156
from 3 insurers · median $6,883
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,966 - $9,788
from 3 insurers · median $9,581
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$4,050 - $19,519
from 4 insurers · median $17,490
41 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$91,879 - $99,873
from 3 insurers · median $92,742
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$1,871 - $8,821
from 4 insurers · median $6,955
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,026 - $9,156
from 3 insurers · median $6,883
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$282 - $3,635
from 4 insurers · median $1,037
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $1,667
from 4 insurers · median $784
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$29,749 - $37,344
from 3 insurers · median $35,264
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 49650
$1,757 - $6,998
from 4 insurers · median $5,378
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$20,107 - $25,022
from 3 insurers · median $23,284
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 43239
$1,124 - $3,286
from 4 insurers · median $2,257
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$1,871 - $7,663
from 4 insurers · median $6,955
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$666 - $2,920
from 4 insurers · median $935
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,436 - $4,228
from 4 insurers · median $2,257
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$579 - $2,755
from 4 insurers · median $1,206
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$91 - $316
from 4 insurers · median $268
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$23 - $404
from 4 insurers · median $281
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,998 - $13,382
from 3 insurers · median $11,442
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$322 - $1,459
from 4 insurers · median $542
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$218 - $2,648
from 4 insurers · median $973
Common here, based on CMS Medicare volume
Urology
CPT 50590
$2,276 - $6,998
from 4 insurers · median $4,930
16 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93971
$319 - $801
from 4 insurers · median $630
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$387 - $2,298
from 4 insurers · median $783
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* | 18 | 355% | 3 | 10 |
| Insurer B* | 24 | 245% | 2 | 14 |
| Insurer C* | 24 | 245% | 6 | 11 |
| Insurer D* | 23 | 116% | 3 | 15 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 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 Harlingen 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
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$142M net patient revenue
Ownership and leadership
Owned by Kasp Trust
The employer identification numbers (EINs) health plans and networks list for Harlingen 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 |
|---|---|---|
| 56-2143518Harlingen Medical Center Limited Partnership | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1881688976 Harlingen Medical Center Limited Partnership |
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.
5501 South Expressway 77, Harlingen, TX 78550
(956) 365-1000
How Harlingen Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 6 measures
3 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 8 measures
1 better, 6 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
77%
Higher than 69% 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)
1.09
Higher than 80% 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
156 min
Higher than 55% 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
49%
Lower than 82% 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 | 4 of 5 | |
| Death rates | Better on 1 of 7 measures | |
| Safety | Better on 3 of 6 measures | |
| Readmissions | Mixed on 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 77% | 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) | 1.09 | 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 | 156 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 49% | 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 Harlingen Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.12% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.36% 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 Harlingen 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 | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 62 cases | 3.5 | 4.1 | 4.144 | Better than 77% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,837 cases | 3.3 | 3.9 | 3.887 | Better than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 46 cases | 11.8 | 11.8 | 11.91 | Worse than 49% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 38 cases | 3.7 | 2.3 | 2.71 | Worse than 93% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 111 cases | 8.8 | 11 | 10.52 | Better than 88% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 228 cases | 11 | 15.2 | 14.69 | Better than 96% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 39 cases | 14.6 | 11.6 | 12.01 | Worse than 86% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,415 cases | 0.99 | 0.51 | 0.52 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 25 cases | 169 | 173 | 166 | No Different Than the National Rate | Better than 56% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,783 cases | 0.19 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,835 cases | 0.25 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 375 cases | 2.14 | 2.29 | 2.31 | No Different Than the National Rate | Better than 74% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 129 cases | 1.63 | 1.63 | 1.619 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 130 cases | 10.84 | 8.88 | 10.06 | No Different Than the National Rate | Worse than 74% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 397 cases | 2.95 | 3.4 | 3.337 | No Different Than the National Rate | Better than 83% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 117 cases | 4.88 | 5.105 | 5.234 | No Different Than the National Rate | Better than 67% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 65 cases | 1.73 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 312 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 | Harlingen Medical Center | 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 · 127 cases | -40.2 | 1.25 | -1.323 | Better than 93% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 250 cases | -15 | 3.85 | 2.422 | Better than 75% 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 | Not Available | 13.1 | Number of Cases Too Small | ||
| 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 · 78 cases | 1 | 1 | 1.017 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 160 cases | 14.6 | 14.4 | 14.48 | Worse than 60% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 118 cases | 12.7 | 10.9 | 11.35 | Worse than 87% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 83 cases | 18.9 | 19.8 | 19.85 | Better than 87% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 331 cases | 20.5 | 21.3 | 21.26 | Better than 75% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 70 cases | 5.2 | 5.8 | 5.89 | Better than 82% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 574 cases | 16 | 17.2 | 17.32 | Better than 92% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Harlingen Medical Center | 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 | 0.243 | 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 | 2.595 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 3,911 | 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 | 3.146 | 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 | 3 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.954 | 0.484 | 0.524 | No Different than National Benchmark | Worse than 83% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.013 | 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 | 1.307 | 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 | 4,751 | 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 | 3.774 | 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 | 1 | 0 | 1.82 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.265 | 0.399 | 0.3671 | No Different than National Benchmark | Better than 62% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.872 | 2.135 | 2.124 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 39 | 61 | 131 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.043 | 1.591 | 3.62 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.647 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.6967 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| 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 | 2 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.021 | 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 | 30,273 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.93 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.221 | 0.747 | 0.935 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 30,273 | 13,646 | 38,870 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 13.54 | 5.683 | 20.56 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2623 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 400 cases | 80 | 73 | 75.97 | Better than 75% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 400 cases | 8 | 8 | 7.771 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 400 cases | 12 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 90 | 87 | 87.82 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 400 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 400 cases | 78 | 80 | 79.96 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 92 | 91 | 90.97 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 400 cases | 5 | 4 | 4.535 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 400 cases | 4 | 3 | 3.275 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 400 cases | 17 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 400 cases | 72 | 79 | 79.72 | Worse than 91% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 87 | 91 | 90.24 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 400 cases | 9 | 5 | 5.687 | Worse than 90% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 400 cases | 2 | 3 | 2.956 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 400 cases | 19 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 400 cases | 59 | 61 | 62.66 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 76 | 77 | 76.88 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 400 cases | 23 | 19 | 19.26 | Worse than 73% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 400 cases | 2 | 3 | 2.672 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 400 cases | 18 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 78 | 86 | 84.56 | Worse than 95% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 400 cases | 22 | 13 | 13.98 | Worse than 95% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 400 cases | 2 | 3 | 3.07 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 400 cases | 78 | 87 | 86.02 | Worse than 95% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 400 cases | 28 | 14 | 16.2 | Worse than 98% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 400 cases | 72 | 86 | 83.8 | Worse than 98% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 400 cases | 70 | 74 | 74.6 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 400 cases | 11 | 7 | 7.327 | Worse than 90% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 400 cases | 19 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 400 cases | 70 | 77 | 77.72 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 400 cases | 8 | 6 | 6.395 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 400 cases | 22 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 400 cases | 75 | 85 | 85.15 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 400 cases | 8 | 3 | 4.015 | Worse than 96% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 400 cases | 17 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 400 cases | 7 | 8 | 8.293 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 400 cases | 20 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 400 cases | 73 | 72 | 73.52 | Better than 54% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 90 | 88 | 88.12 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 400 cases | 4 | 3 | 3.319 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 400 cases | 72 | 74 | 74.97 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 400 cases | 17 | 9 | 9.68 | Worse than 96% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 400 cases | 11 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 400 cases | 77 | 75 | 75.27 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 400 cases | 5 | 5 | 6.154 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 400 cases | 18 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 400 cases | 73 | 77 | 76.85 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 400 cases | 6 | 4 | 5 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 400 cases | 21 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 400 cases | 84 | 86 | 85.92 | Worse than 65% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 400 cases | 3 | 3 | 3.094 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 400 cases | 13 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 400 cases | 60 | 59 | 65.6 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 400 cases | 8 | 9 | 7.774 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 400 cases | 32 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 85 | 82 | 84.26 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 400 cases | 4 | 3 | 3.821 | Better than 56% 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 · 400 cases | 5 | 5 | 6.017 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 400 cases | 77 | 71 | 72.87 | Better than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 400 cases | 90 | 87 | 87.21 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 400 cases | 18 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 400 cases | 4 | 4 | 3.694 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 400 cases | 47 | 47 | 49.46 | Worse than 47% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 400 cases | 30 | 30 | 29.64 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 400 cases | 23 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 400 cases | 3 | 3 | 3.266 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 400 cases | 16 | 12 | 12.55 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 400 cases | 84 | 88 | 87.45 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Harlingen Medical Center | 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 · 14,148 cases | 4 | 8 | 6.38 | Better than 74% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,423 cases | 0 | 1 | 1.192 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,132 cases | 84 | 79 | 72.24 | Better than 58% 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 · 423 cases | 159 | 154 | 151 | Worse than 53% 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 · 399 cases | 156 | 148 | 146 | Worse than 55% 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 · 18 cases | 250 | 247 | 331 | Worse than 51% 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 | Not Available | 279 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 28,279 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.54 | |||
| 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 · 614 cases | 11 | 15 | 13.94 | Better than 77% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 140 cases | 49 | 65 | 66.54 | Worse than 82% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 45 | 73 | 71.35 | Worse than 93% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 13 cases | 85 | 88 | 89.11 | Worse than 60% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 140 cases | 74 | 82 | 82.14 | Worse than 76% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 88 cases | 85 | 94 | 92.38 | Worse than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 30 cases | 47 | 94 | 92.48 | Worse than 99% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.56 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 18.2 | 5 | 7.719 | Worse than 98% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 1.8 | 6.6 | 6.859 | Better than 98% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 1.034 | Better than 58% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 41.67 | 20 | 25.32 | Better than 84% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 10.42 | 5 | 6.413 | Better than 83% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 6.145 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 1.611 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 29 | 34 | 39.47 | Worse than 60% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7.25 | 8.75 | 10.13 | Worse than 60% of US hospitals | |
| VBP safety domain scoreFY 2026 | 46 | 40 | 48.35 | Better than 60% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 11.5 | 10 | 12.26 | Better than 59% of US hospitals | |
| VBP total performance scoreFY 2026 | 34.17 | 29.5 | 29.94 | Better than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 54 | 53.33 | 48 | 28.33 | 21.67 | 41.67 |
| VBP clinical outcomes weighted domain score | 13.5 | 13.33 | 12 | 7.083 | 5.417 | 10.42 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 10 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 2.5 | 5 |
| VBP person and community engagement domain score | 36 | Not Available | Not Available | 22 | 29 | 29 |
| VBP person and community engagement weighted domain score | 9 | Not Available | Not Available | 5.5 | 7.25 | 7.25 |
| VBP safety domain score | 86.67 | Not Available | Not Available | 47.5 | 30 | 46 |
| VBP safety weighted domain score | 21.67 | Not Available | Not Available | 11.88 | 7.5 | 11.5 |
| VBP total performance score | 44.17 | Not Available | Not Available | 24.46 | 22.67 | 34.17 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 50 cases | 1.044 | 0.9995 | 1.013 | Worse than 76% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.013 | 1 | 1.01 | Worse than 55% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9613 | 0.9969 | 0.999 | Better than 82% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 132 cases | 0.9835 | 0.9983 | 1 | Better than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9528 | 0.9916 | 1.006 | Better than 62% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 215 cases | 0.933 | 0.9955 | 1.003 | Better than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9893 | 0.9881 | 0.9674 | 0.9335 | 0.9785 | 1.044 |
| READM-30-CABG-HRRP | 1.112 | 1.121 | 1.023 | 1.013 | 1.029 | 1.013 |
| READM-30-COPD-HRRP | 1.019 | 1.02 | 1.015 | 0.9979 | 0.9774 | 0.9613 |
| READM-30-HF-HRRP | 1.044 | 1.018 | 1.005 | 0.9765 | 0.9762 | 0.9835 |
| READM-30-HIP-KNEE-HRRP | 1.002 | 0.9486 | 0.9558 | 0.9641 | 0.8996 | 0.9528 |
| READM-30-PN-HRRP | 0.9821 | 1.048 | 1.004 | 0.987 | 0.9422 | 0.933 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Harlingen Medical Center | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.753 | 0.489 | 0.4327 | Worse than 74% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.336 | 0.346 | 0.2562 | Better than 51% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.911 | 0.559 | 0.5596 | Worse than 77% 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 | 1.093 | 0.9628 | 0.9684 | Worse than 80% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.425 | 0.7945 | 0.7483 | Worse than 83% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2163 | -0.0453 | -0.1734 | Worse than 66% 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 | -0.2349 | -1.208 | 0 | -0.6009 | 0.0261 | 0.2163 |
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
Major
Medical school affiliation
Private (for profit)
Ownership type
118
Medicare-certified beds
166
Registered nurses (full-time equivalent)
2002
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Harlingen Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
6,135
Inpatient discharges
Medicare 15%, Medicaid 1%
29,889
Inpatient days
72% of available bed days used
581
Employees (full-time equivalent)
19
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839614). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Harlingen Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,460 | 734 | 24,695 | 29,889 |
| Discharges | 939 | 47 | 5,149 | 6,135 |
| Average length of stay | 4.7 days | 15.6 days | 4.8 days | 4.9 days |
| Average daily census | 12.2 | 2.0 | 67.7 | 81.9 |
13,764
Medicare Advantage days
2,637 discharges
1,511
Medicaid managed care days
297 discharges
1,219
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 86 | 19,127 | 2,836 | 64% |
| Intensive care unit | 14 | 3,463 | 490 | 68% |
| Nursery | 10 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Harlingen Medical Center treats Medicare patients for most often, in 2024. 460 Medicare discharges in 16 published DRGs; 14% surgical; 84% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 156 | $82,940 | $12,665 | $14,266 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 47 | $49,097 | $8,575 | $8,445 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $80,944 | $11,094 | $13,922 | 1.70 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $182,336 | $29,532 | $31,362 | 5.00 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $34,313 | $5,064 | $5,902 | 0.79 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 22 | $100,831 | $12,107 | $17,343 | 1.88 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 21 | $75,140 | $8,473 | $12,924 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $47,486 | $6,234 | $8,168 | 1.03 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $65,782 | $11,807 | $11,315 | 1.79 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $53,773 | $11,026 | $9,249 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $32,383 | $7,000 | $5,570 | 1.20 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $41,369 | $8,190 | $7,115 | 1.32 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $46,689 | $7,015 | $8,031 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $26,253 | $5,162 | $4,516 | 0.81 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $192,847 | $17,248 | $33,170 | 2.87 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $43,897 | $6,037 | $7,550 | 0.98 |
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) Harlingen Medical Center billed Medicare for most in 2024: 314 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 78 | 78 | $32,186 | $2,030 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 33 | 30 | $19,994 | $1,323 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 32 | 31 | $27,191 | $1,887 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 30 | $138,484 | $7,905 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 28 | 27 | $101,777 | $9,774 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $39,959 | $3,982 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 13 | $27,468 | $2,408 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 15 | 13 | $24,275 | $1,401 | $1,516 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 14 | 13 | $193,741 | $18,925 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $109,316 | $7,628 | $8,569 |
See all 12 Medicare outpatient services at Harlingen 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 Harlingen 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 2,118 in 2020 to 3,235 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 78586 | 712 | 22% | 3,464 | $58.7M | 33% | 28% |
| 78550 | 692 | 21% | 3,625 | $58.9M | 27% | 24% |
| 78552 | 570 | 18% | 2,787 | $46M | 35% | 27% |
| 78559 | 184 | 6% | 949 | $13.4M | 31% | 20% |
| 78580 | 159 | 5% | 860 | $13.7M | 29% | 27% |
| 78566 | 115 | 4% | 596 | $10.4M | 16% | 13% |
| 78578 | 113 | 3% | 551 | $10.8M | 23% | 15% |
| 78583 | 98 | 3% | 545 | $9.1M | 28% | 30% |
| 78570 | 82 | 3% | 479 | $10.4M | 6% | 5% |
| 78593 | 79 | 2% | 412 | $6.7M | 31% | 28% |
| 78596 | 74 | 2% | 332 | $7.7M | 4% | 3% |
| 78569 | 50 | 2% | 310 | $4.9M | 26% | 20% |
| 78521 | 38 | 1% | 173 | $4.3M | 1% | 1% |
| 78599 | 34 | 1% | 156 | $4.5M | 3% | 2% |
| 78553 | 32 | 1% | 155 | $2.8M | 32% | 22% |
| 78594 | 32 | 1% | 186 | $2.6M | 33% | 19% |
| 78535 | 31 | 1% | 176 | $3.4M | 35% | 35% |
| 78520 | 25 | 1% | 122 | $2.9M | 1% | 1% |
| 78537 | 25 | 1% | 190 | $3.9M | 2% | 1% |
| 78526 | 22 | 1% | 98 | $2.2M | 1% | 1% |
| 78597 | 21 | 1% | 83 | $1.9M | 23% | 19% |
| 78551 | 18 | 1% | 69 | $1.1M | 32% | |
| 78575 | 17 | 1% | 58 | $858,708 | 8% | 10% |
| 78592 | 12 | 0% | 77 | $1.7M | 27% |
Source: CMS Hospital Service Area file. Shares are of the 3,235 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 Harlingen Medical Center reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
10
Operating rooms
2
Endoscopy rooms
2
Cardiac catheterization rooms
2
Off-site locations
166
Registered nurses
30
Licensed practical nurses
2
Physicians
25
Resident physicians
2
Nurse practitioners
6
Pharmacists
12
Respiratory therapists
2
Physical therapists
1
Speech pathologists and audiologists
15
Radiology technicians
3
Nuclear medicine technicians
4
Laboratory technicians
2
Dietitians
2
Social workers
295
Other personnel
Source: CMS Provider of Services file.
185 clinicians who bill Medicare list Harlingen 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.
Todd Shenkenberg, M.D.
Hematology & Oncology Physician
NPI 1679673248
See commercial rates for Todd Shenkenberg, M.D.Marco Araneda, M.D.
Hematology & Oncology Physician
NPI 1336181502
See commercial rates for Marco Araneda, M.D.Nabeel Sarhill, MD
Hematology & Oncology Physician
NPI 1811098304
See commercial rates for Nabeel Sarhill, MDEmmanuel Akinyemi, MD
Infectious Disease Physician
NPI 1477740405
See commercial rates for Emmanuel Akinyemi, MDHabib Ghaddar, M.D.
Hematology & Oncology Physician
NPI 1043259476
See commercial rates for Habib Ghaddar, M.D.Cynthia Garcia, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1952394611
See commercial rates for Cynthia Garcia, M.D.Steven Karidas, MD
Body Imaging Physician
NPI 1396940342
See commercial rates for Steven Karidas, MDShridhar Kotta, M.D.
Internal Medicine Physician
NPI 1780674432
See commercial rates for Shridhar Kotta, M.D.Brajesh Bhatla, M.D.
Nephrology Physician
NPI 1821045600
See commercial rates for Brajesh Bhatla, M.D.Diana Lozano, M.D.
Internal Medicine Physician
NPI 1184620247
See commercial rates for Diana Lozano, M.D.Arthur Ballard, MD
Diagnostic Radiology Physician
NPI 1649489014
See commercial rates for Arthur Ballard, MDJairo Rodriguez, M.D.
Pulmonary Disease Physician
NPI 1689625741
See commercial rates for Jairo Rodriguez, M.D.Mario Quesada, M.D.
Orthopaedic Surgery Physician
NPI 1003018086
See commercial rates for Mario Quesada, M.D.Cynthia Luna-Salazar, MD
Nephrology Physician
NPI 1598967366
See commercial rates for Cynthia Luna-Salazar, MDPadmini Bhadriraju, MD
Internal Medicine Physician
NPI 1518991447
See commercial rates for Padmini Bhadriraju, MDAlex Lobera, MD
Diagnostic Radiology Physician
NPI 1881674810
See commercial rates for Alex Lobera, MDLuis Reynoso, MD
Internal Medicine Physician
NPI 1063402741
See commercial rates for Luis Reynoso, MDDavid Forman, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1174588602
See commercial rates for David Forman, M.D.Kamesh Sivagnanam, MD
Cardiovascular Disease Physician
NPI 1396043055
See commercial rates for Kamesh Sivagnanam, MDUsman Sheriff, M.D.
Cardiovascular Disease Physician
NPI 1356396303
See commercial rates for Usman Sheriff, M.D.Stephanie Baker, M.D.
Orthopaedic Surgery Physician
NPI 1427378470
See commercial rates for Stephanie Baker, M.D.Frank Mazzola, MD
Clinical Cardiac Electrophysiology Physician
NPI 1558323915
See commercial rates for Frank Mazzola, MDJose Rodriguez, MD
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
NPI 1346655669
See commercial rates for Jose Rodriguez, MDJose Cobos, M.D.
Orthopaedic Surgery Physician
NPI 1154413227
See commercial rates for Jose Cobos, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Harlingen Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $878.8M | 619.0% |
| Inpatient | $508.2M | 358.0% |
| Outpatient | $370.6M | 261.0% |
| Contractual allowances and discounts | -$736.8M | -519.0% |
| Net patient revenue | $142M | 100.0% |
| Operating expenses | -$127.8M | -90.0% |
| Operating income from patient care | $14.2M | 10.0% |
| Other income | $975,554 | 0.7% |
| Contributions and donations | $264,222 | 0.2% |
| Other | $711,332 | 0.5% |
| Net income | $15.2M | 10.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $105.7M | 12.0% |
| Medicaid (including managed care) | $65.3M | 7.4% |
| Other payers and self-pay | $707.8M | 80.5% |
| Total charges | $878.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Harlingen Medical Center's latest cost report.
10.0%
Operating margin
Operating income from patient care / net patient revenue
10.6%
Total margin
Net income / net patient revenue plus other income
17.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
40% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$34.10
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
25.8%
Return on assets
Net income for a year / total assets
30.5%
Return on equity
Net income for a year / fund balance
-0.92
Current ratio
Current assets / current liabilities
-0.64
Quick ratio
Cash, temporary investments and net receivables / current liabilities
4 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
27 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-57 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.43
Asset turnover
Total revenue for a year / total assets
14.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Harlingen Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $58.7M in total assets and a $49.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.4M | 2.4% |
| Patient receivables, net | $10.6M | 18.0% |
| Inventory | $3.5M | 5.9% |
| Total current assets | $17.3M | 29.5% |
| Property and equipment, net of depreciation | $40.6M | 69.1% |
| Investments and other assets | $828,831 | 1.4% |
| Total assets | $58.7M | 100.0% |
| Current liabilities | -$18.9M | -32.1% |
| Total liabilities | $9M | 15.3% |
| Fund balance (net assets) | $49.8M | 84.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Harlingen Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$12.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$16.4M
Bad debt
Patient bills written off as uncollectible, at charges
$3.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$17.2M
Total unreimbursed and uncompensated care
13.4% 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 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Harlingen Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $101.5M | $105M | $111.4M | $121.9M | $122.6M | $142M |
| Operating expenses | $101.9M | $111.3M | $111.9M | $115.1M | $123.8M | $127.8M |
| Operating margin | -0.5% | -6.0% | -0.4% | 5.6% | -0.9% | 10.0% |
| Net income | $10M | -$2.7M | $884,647 | $7.6M | -$65,077 | $15.2M |
| Total assets | $95M | $88.5M | $100.4M | $68.6M | $62.7M | $58.7M |
| Discharges | 3,754 | 5,196 | 5,616 | 6,391 | 6,695 | 6,135 |
| Inpatient days | 27,319 | 27,439 | 27,310 | 31,023 | 31,972 | 29,889 |
| Medicare Advantage days | 6,437 | 7,431 | 8,350 | 11,673 | 12,283 | 13,764 |
| Beds | 112 | 112 | 112 | 112 | 112 | 118 |
| Employees (FTE) | 544 | 541 | 550 | 505 | 601 | 581 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Harlingen 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 |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $13.9M | $94.7M | 0.15 | ||
| Operating room | $3.4M | $12.7M | $65.6M | 0.19 | 31,017 |
| Impl. dev. charged to patients | $8.5M | $60.1M | 0.14 | ||
| Radiology-diagnostic | $2.7M | $8.4M | $117.7M | 0.07 | 19,174 |
| Emergency | $2.9M | $8.2M | $99.6M | 0.08 | 14,000 |
| Drugs charged to patients | $5.8M | $71.3M | 0.08 | ||
| Anesthesiology | $112,420 | $5.2M | $10.3M | 0.51 | 350 |
| Laboratory | $1.8M | $4.2M | $90.1M | 0.05 | 2,776 |
| Cardiac catheterization | $1.4M | $3.2M | $97.5M | 0.03 | 6,089 |
| Respiratory therapy | $1M | $2M | $44.6M | 0.05 | 634 |
| Observation beds (non-distinct part | $1.2M | $11.5M | 0.11 | ||
| Recovery room | $549,077 | $1.1M | $4.8M | 0.23 | 1,267 |
| Wound care | $243,768 | $1M | $5.9M | 0.18 | 3,349 |
| Physical therapy | $769,612 | $4.6M | 0.17 | 448 | |
| Whole blood & packed red blood cell | $740,123 | $4.8M | 0.15 | ||
| Renal dialysis | $296,775 | $663,966 | $3.9M | 0.17 | |
| Speech pathology | $97,384 | $178,590 | $627,631 | 0.28 | |
| Sleep lab | $86,128 | $155,861 | $2M | 0.08 | |
| Delivery room & labor room | $34,494 | $94,151 | $68,494 | 1.37 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7M | $20.2M | $53M | 0.38 | 48,617 |
| Telemetry | $2.9M | $8.4M | $21.6M | 0.39 | 19,881 |
| Intensive care unit | $3.4M | $7.8M | $14.5M | 0.54 | 11,723 |
| Nursery | $13,128 | $35,325 | $14,241 | 2.48 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $4.4M | $22.3M | 147,972 | $29.84 | 8,010 |
| Cap rel costs-bldg & fixt | $7.6M | 191,499 | |||
| Cap rel costs-mvble equip | $3.4M | ||||
| Maintenance & repairs | $446,075 | $3.1M | 13,530 | $32.97 | 5,818 |
| Medical records & library | $485,624 | $2.2M | 20,387 | $23.82 | 1,056 |
| Housekeeping | $1.1M | $2.2M | 65,064 | $17.66 | 182 |
| Operation of plant | $416,108 | $2M | 21,504 | $19.35 | |
| Employee benefits department | $646,972 | $2M | 19,586 | $33.03 | 172 |
| Nursing administration | $1.4M | $1.8M | 26,339 | $52.03 | 1,477 |
| Pharmacy | $1.3M | $1.6M | 29,985 | $44.36 | 1,083 |
| I&r services-salary & fringes apprv | $1.3M | $1.3M | 3,045 | ||
| Dietary | $732,207 | $900,986 | 21,104 | $17.36 | 4,898 |
| I&r services-other prgm costs apprv | $702,581 | ||||
| Laundry & linen service | $389,162 | ||||
| Cafeteria | $330,459 | 21,074 | $17.36 | ||
| Central services & supply | $135,764 | $263,445 | 6,104 | $22.24 | 4,429 |
| Social service | $46,531 | $54,182 | 1,953 | $23.83 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839614, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Harlingen Medical Center for an inpatient stay.
1.79
Case mix index
Higher than 61% 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).
27.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
975
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 | 1.88 | 1.88 | 2.11 | 1.95 | 1.98 | 1.88 | 1.79 |
| Wage index | 0.869 | 0.854 | 0.863 | 0.876 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | -0.14% | -0.58% | -0.72% | -0.07% | -0.04% | -0.09% | -0.12% |
| Value-based purchasing adjustment | +0.60% | +0.83% | +0.83% | -0.00% | +0.32% | +0.03% | +0.36% |
| Medicare inpatient stays | 1,768 | 1,768 | 1,092 | 1,027 | 971 | 946 | 975 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Harlingen Medical Center reports to Medicare as owners or with operational control.
Prime Healthcare Services, Inc
Limited partnership interest, 68.5%, since 2011
Kasp Trust
5% or greater indirect ownership interest, 67.9%, since 2011
Prime Healthcare Holdings Inc
5% or greater indirect ownership interest, 67.9%, since 2011
Prime Healthcare Services, Inc
5% or greater indirect ownership interest, 67.9%, since 2011
Prime Healthcare Services-harlingen LLC
Limited partnership interest, 64.5%, since 2011
Prime Healthcare Services-harlingen LLC
5% or greater direct ownership interest, 64.5%, since 2011
Valley Baptist Service Corporation
5% or greater direct ownership interest, 32.1%, since 2009
Valley Baptist Service Corporation
Limited partnership interest, 32.1%, since 2009
Prime Healthcare Services-harlingen Manage
5% or greater direct ownership interest, 3.5%, since 2011
Prime Healthcare Services-harlingen Manage
General partnership interest, 3.5%, since 2011
Sources: CMS Hospital All Owners.
The officers and board members on Harlingen 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 2 of 4 are shown.
About Harlingen Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Harlingen Medical Center range from $218 to $2,648 across 4 insurers. Blue Cross Blue Shield's rate is $1,153. The median at nearby comparable hospitals is $1,751. 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 Harlingen Medical Center range from $282 to $3,635 across 4 insurers. Blue Cross Blue Shield's rate is $874. The median at nearby comparable hospitals is $1,169. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Harlingen Medical Center range from $1,436 to $4,228 across 4 insurers. UnitedHealthcare's rate is $2,997. The median at nearby comparable hospitals is $3,913. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Harlingen Medical Center range from $5,026 to $9,156 across 3 insurers. Aetna's rate is $6,883. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Harlingen Medical Center range from $91 to $316 across 4 insurers. Cigna's rate is $284. The median at nearby comparable hospitals is $354. 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 Harlingen Medical Center range from $4,050 to $19,519 across 4 insurers. Aetna's rate is $19,519. The median at nearby comparable hospitals is $21,654. What a patient pays depends on their plan's deductible, coinsurance and network status.
Harlingen Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Harlingen Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Harlingen Medical Center's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (156 discharges), heart failure and shock with mcc (47 discharges), respiratory infections and inflammations with mcc (36 discharges).
Harlingen Medical Center's Medicare case mix index is 1.79 for fiscal year 2027, higher than 61% of hospitals paid under the inpatient prospective payment system.
Harlingen Medical Center reported 6,135 inpatient discharges and 29,889 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Harlingen Medical Center reported 581 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Harlingen Medical Center reported $142M in net patient revenue on $878.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 10.0%, and net income of $15.2M.
Harlingen Medical Center reported $17.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $12.8M of charity care at cost.
Harlingen Medical Center's Medicare enrollment lists Candida E Constantine-Castillo as Chief Executive Officer since 2022.
Insurers' price transparency files list Harlingen Medical Center under employer identification number 56-2143518 (Harlingen Medical Center Limited Partnership). 53 health plans and networks list 56-2143518 for it.
185 clinicians who bill Medicare list Harlingen Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (24), internal medicine physician (18), cardiovascular disease physician (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Harlingen Medical Center, effective 2025.
In its Medicare enrollment, Harlingen Medical Center reports Kasp Trust as 5% or greater indirect ownership interest (67.9%).
CMS lists 33 services at Harlingen Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Harlingen Medical Center came from ZIP codes 78586 (712), 78550 (692), 78552 (570).
Harlingen Medical Center has 118 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Harlingen Medical Center is located at 5501 South Expressway 77, Harlingen, TX 78550. Its main phone number is (956) 365-1000.
Harlingen Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450855.
The National Provider Identifier (NPI) on file for Harlingen Medical Center is 1881688976.
Harlingen Medical Center is affiliated with Prime Healthcare Services.
Harlingen Medical Center lists 32 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.
278 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