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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Hill Country Memorial Hospital

Fredericksburg, TX

1020 South State Highway 16, Fredericksburg, TX 78624(830) 997-4353

4 of 5

CMS star rating

57

Beds

2,183

Inpatient discharges a year

$97.5M

Net patient revenue a year

26

In-network payers

About this hospital

Hill Country Memorial Hospital is a 57-bed voluntary non-profit - private hospital in Fredericksburg, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 196 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
CCN
450604
NPI
1497726343
Teaching
No Medicare-funded residents
County
Gillespie County
Metro area
Fredericksburg, TX MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1971
Last CMS survey
2026

Prices for common services

The 24 services Hill Country Memorial 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, or start a free trial.

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$366 - $3,405

from 4 insurers · median $3,158

Aetna$3,186
Insurer A*$366
Insurer B*$3,131
Insurer C*$3,405
Medicare $510Nearby hospitals $1,98259% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,389 - $6,898

from 4 insurers · median $5,755

UnitedHealthcare$4,787
Insurer A*$4,389
Insurer B*$6,722
Insurer C*$6,898

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

CT abdomen and pelvis with contrast

CPT 74177

$790 - $6,555

from 3 insurers · median $828

Blue Cross$790
Insurer A*$828
Insurer B*$6,555
Medicare $326Nearby hospitals $1,45143% below nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$4,389 - $8,956

from 4 insurers · median $7,658

UnitedHealthcare$6,445
Insurer A*$4,389
Insurer B*$8,872
Insurer C*$8,956

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

How the insurers pay at Hill Country Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
360%
141
Insurer B*18
330%
51
Insurer C*24
209%
810
Insurer D*24
158%
713

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 Hill Country Memorial Hospital, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    4 of 5 stars

    • 156 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.05%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 33 services, including trauma care
    • 319 affiliated clinicians
    See doctors and services
  • Finances

    $97.5M net patient revenue

    • Operating margin on patient care 15.8%
    • $6.4M unreimbursed and uncompensated care
    • $15.9M net income
    See finances
  • Ownership and leadership

    Owned by HCA Healthcare Inc

    • Private (for profit)
    • Clint Kotal, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hill Country Memorial 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
74-6083124Methodist Hospital Hill Country40Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 35 more1497726343 Hill Country Memorial Hospital1205839016 Hill Country Memorial Hospital1700885282 Hill Country Memorial Hospitaland 2 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

1020 South State Highway 16, Fredericksburg, TX 78624

(830) 997-4353

Get directions

Frequently asked questions

About Hill Country Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Hill Country Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hill Country Memorial Hospital range from $790 to $6,060 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,584. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Hill Country Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hill Country Memorial Hospital range from $790 to $6,555 across 3 insurers. Blue Cross Blue Shield's rate is $790. The median at nearby comparable hospitals is $1,451. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Hill Country Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Hill Country Memorial Hospital range from $805 to $3,322 across 4 insurers. Cigna's rate is $3,322. The median at nearby comparable hospitals is $2,045. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Hill Country Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hill Country Memorial Hospital range from $4,389 to $6,898 across 4 insurers. UnitedHealthcare's rate is $4,787. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Hill Country Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hill Country Memorial Hospital range from $174 to $641 across 3 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $349. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Hill Country Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Hill Country Memorial Hospital range from $4,389 to $17,185 across 4 insurers. Aetna's rate is $4,389. The median at nearby comparable hospitals is $16,091. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Hill Country Memorial Hospital's CMS star rating?

Hill Country Memorial Hospital 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.

Is Hill Country Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Hill Country Memorial Hospital for fiscal year 2027.

Does Medicare penalize Hill Country Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hill Country Memorial Hospital's base inpatient payments by an estimated 0.05% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Hill Country Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (127 discharges), septicemia or severe sepsis without mv >96 hours without mcc (44 discharges), heart failure and shock with mcc (26 discharges).

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.

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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
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