Edna, TX
26
In-network payers
328
Disclosed rate categories
25
Beds
Jackson County Hospital is a 25-bed government - hospital district or authority hospital in Edna, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 328 disclosed rate categories.
CCN (Medicare provider number)
451363
NPI
1124061882
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
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 Jackson County 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
$475 - $1,083
from 4 insurers · median $927
Typical for a hospital with this service line
CT imaging
CPT 74176
$475 - $1,219
from 4 insurers · median $1,124
Typical for a hospital with this service line
CT imaging
CPT 70450
$281 - $823
from 4 insurers · median $426
Typical for a hospital with this service line
CT imaging
CPT 71275
$475 - $1,445
from 4 insurers · median $1,043
Typical for a hospital with this service line
MRI imaging
CPT 70553
$625 - $2,163
from 4 insurers · median $1,251
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$270 - $600
from 4 insurers · median $548
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$116 - $227
from 4 insurers · median $171
Typical for a hospital with this service line
Mammography
CPT 77067
$125 - $206
from 4 insurers · median $138
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$375 - $1,060
from 4 insurers · median $896
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$563 - $1,180
from 4 insurers · median $800
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$375 - $937
from 4 insurers · median $582
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $1,186
from 4 insurers · median $779
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $1,186
from 4 insurers · median $766
Typical for a hospital with this service line
MRI imaging
CPT 74183
$625 - $1,736
from 4 insurers · median $1,267
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$10,178 - $10,683
from 2 insurers · median $10,431
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58571
$9,570
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $2,056
from 2 insurers · median $1,508
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$375 - $827
from 4 insurers · median $750
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$66 - $293
from 4 insurers · median $267
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $264
from 4 insurers · median $193
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$133 - $324
from 4 insurers · median $295
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,594 - $5,016
from 4 insurers · median $1,753
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,800 - $4,803
from 2 insurers · median $3,301
Typical for a hospital with this service line
Ultrasound
CPT 76642
$113 - $216
from 4 insurers · median $197
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* | 20 | 265% | 4 | 10 |
| Insurer B* | 20 | 175% | 14 | 4 |
| Insurer C* | 23 | 161% | 5 | 6 |
| Insurer D* | 24 | 127% | 4 | 18 |
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 Jackson County Hospital.
1013 South Wells Street, Edna, TX 77957
(361) 782-7800
The nearest hospitals of similar type and size. Their rates are compared with Jackson County Hospital for the same insurers and services above.
Memorial Medical Center
Rates about the same as Jackson County Hospital (24 services)
Palacios Community Medical Center
Rates about the same as Jackson County Hospital (24 services)
Yoakum Community Hospital
â–² Rates typically 44% higher than Jackson County Hospital (24 services)
Lavaca Medical Center
â–² Rates typically 17% higher than Jackson County Hospital (24 services)
Rice Medical Center
Rates about the same as Jackson County Hospital (24 services)
Sweeny Community Hospital
â–¼ Rates typically 21% lower than Jackson County Hospital (24 services)
Hansford County Hospital District
Electra Memorial Hospital
Culberson Hospital
Pecos County Memorial Hospital
About Jackson County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Jackson County Hospital range from $625 to $2,163 across 4 insurers. Blue Cross Blue Shield's rate is $2,163. The median at nearby comparable hospitals is $1,158. 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 Jackson County Hospital range from $475 to $1,083 across 4 insurers. Aetna's rate is $475. The median at nearby comparable hospitals is $1,420. 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 Jackson County Hospital range from $375 to $1,060 across 4 insurers. Cigna's rate is $1,060. The median at nearby comparable hospitals is $790. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jackson County Hospital range from $125 to $206 across 4 insurers. UnitedHealthcare's rate is $134. The median at nearby comparable hospitals is $201. 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 Jackson County Hospital range from $10,178 to $10,683 across 2 insurers. UnitedHealthcare's rate is $10,178. The median at nearby comparable hospitals is $11,087. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jackson County Hospital has 25 beds. Facility type: Critical Access Hospital.
Jackson County Hospital is located at 1013 South Wells Street, Edna, TX 77957. Its main phone number is (361) 782-7800.
Jackson County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451363.
The National Provider Identifier (NPI) on file for Jackson County Hospital is 1124061882.
Jackson County Hospital lists 26 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.
328 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