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Critical Access HospitalGovernment - Hospital District Or Authority

Lavaca Medical Center

Hallettsville, TX

1400 North Texana Street, Hallettsville, TX 77964(361) 798-3671

31

In-network payers

361

Disclosed rate categories

25

Beds

4

Care quality

About this hospital

Lavaca Medical Center is a 25-bed government - hospital district or authority hospital in Hallettsville, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 361 disclosed rate categories.

CCN (Medicare provider number)

451376

NPI

1992767511

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

25

Care Quality

4

Insurance Accepted

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.

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

Prices for common services

The 24 services Lavaca 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$323 - $1,035

from 2 insurers · median $679

Aetna$323
Insurer A*$1,035
Medicare $356Nearby hospitals $88323% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,234 - $2,193

from 3 insurers · median $1,988

Blue Cross$1,988
Insurer A*$1,234
Insurer B*$2,193
Medicare $927Nearby hospitals $743167% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,193 - $2,431

from 2 insurers · median $2,312

Blue Cross$2,431
Insurer A*$2,193
Medicare $1,223Nearby hospitals $896158% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$4,242 - $23,346

from 2 insurers · median $13,794

UnitedHealthcare$4,242
Insurer A*$23,346
Medicare $10,860Nearby hospitals $8,83456% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,234 - $2,400

from 3 insurers · median $2,193

Blue Cross$2,400
Insurer A*$1,234
Insurer B*$2,193
Medicare $1,223Nearby hospitals $940133% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$4,242 - $12,939

from 2 insurers · median $8,591

Blue Cross$12,939
Insurer A*$4,242
Medicare $6,176Nearby hospitals $4,60087% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$1,234 - $2,193

from 3 insurers · median $1,933

Blue Cross$1,933
Insurer A*$1,234
Insurer B*$2,193
Medicare $950Nearby hospitals $750158% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$190 - $752

from 2 insurers · median $471

Aetna$190
Insurer A*$752
Medicare $244Nearby hospitals $56416% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$74 - $309

from 2 insurers · median $192

Aetna$74
Insurer A*$309
Medicare $107Nearby hospitals $26227% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$739 - $5,115

from 3 insurers · median $3,347

Blue Cross$5,115
Insurer A*$739
Insurer B*$3,347
Medicare $2,358Nearby hospitals $2,05663% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$81 - $263

from 3 insurers · median $120

Cigna$120
Insurer A*$81
Insurer B*$263
Medicare $92Nearby hospitals $20642% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Tonsillectomy and adenoidectomy, patient under age 12

CPT 42820

$3,347 - $12,757

from 2 insurers · median $8,052

Blue Cross$12,757
Insurer A*$3,347
Medicare $6,048Nearby hospitals $4,42982% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$263 - $670

from 2 insurers · median $466

Aetna$263
Insurer A*$670
Medicare $179Nearby hospitals $51910% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$332 - $1,222

from 2 insurers · median $777

Aetna$332
Insurer A*$1,222
Medicare $356Nearby hospitals $1,32341% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$4,242 - $12,019

from 2 insurers · median $8,130

UnitedHealthcare$4,242
Insurer A*$12,019
Medicare $6,176Nearby hospitals $3,301146% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,347 - $6,438

from 2 insurers · median $4,892

UnitedHealthcare$3,347
Insurer A*$6,438
Medicare $3,307Nearby hospitals $2,332110% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic radical prostatectomy

CPT 55866

$8,696 - $20,665

from 2 insurers · median $14,681

Blue Cross$20,665
Insurer A*$8,696
Medicare $10,860Nearby hospitals $9,04462% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$4,242 - $11,553

from 2 insurers · median $7,897

UnitedHealthcare$4,242
Insurer A*$11,553
Medicare $6,176Nearby hospitals $3,619118% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$185 - $308

from 2 insurers · median $247

Aetna$185
Insurer A*$308
Medicare $558Nearby hospitals $31421% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$211

negotiated rate

Blue Cross$211
Medicare $89Nearby hospitals $16826% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$2,193 - $3,414

from 2 insurers · median $2,803

UnitedHealthcare$2,193
Insurer A*$3,414
Medicare $1,585Nearby hospitals $1,47690% above nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$4,242 - $16,600

from 2 insurers · median $10,421

UnitedHealthcare$4,242
Insurer A*$16,600
Medicare $7,413Nearby hospitals $6,58058% above nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Arthroscopic ACL reconstruction

CPT 29888

$4,242 - $14,297

from 2 insurers · median $9,269

UnitedHealthcare$4,242
Insurer A*$14,297
Medicare $7,413Nearby hospitals $4,202121% above nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$4,242 - $8,452

from 2 insurers · median $6,347

Blue Cross$8,452
Insurer A*$4,242
Medicare $3,601Nearby hospitals $3,46583% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Lavaca Medical Center

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*24
215%
186
Insurer B*4
130%
11
Insurer C*16
91%
100
Insurer D*8
83%
05

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 Lavaca Medical Center.

Location

1400 North Texana Street, Hallettsville, TX 77964

(361) 798-3671

Get directions

Frequently asked questions

About Lavaca Medical Center's rates and hospital price transparency.

How much does an MRI cost at Lavaca Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lavaca Medical Center range from $332 to $1,222 across 2 insurers. Aetna's rate is $332. The median at nearby comparable hospitals is $1,323. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Lavaca Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lavaca Medical Center range from $323 to $1,035 across 2 insurers. Aetna's rate is $323. The median at nearby comparable hospitals is $883. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Lavaca Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lavaca Medical Center range from $2,193 to $2,431 across 2 insurers. Blue Cross Blue Shield's rate is $2,431. The median at nearby comparable hospitals is $896. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Lavaca Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lavaca Medical Center range from $81 to $263 across 3 insurers. Cigna's rate is $120. The median at nearby comparable hospitals is $206. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Lavaca Medical Center have?

Lavaca Medical Center has 25 beds. Facility type: Critical Access Hospital.

Where is Lavaca Medical Center and what is its phone number?

Lavaca Medical Center is located at 1400 North Texana Street, Hallettsville, TX 77964. Its main phone number is (361) 798-3671.

What is Lavaca Medical Center's CCN (Medicare provider number)?

Lavaca Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 451376.

What is Lavaca Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Lavaca Medical Center is 1992767511.

Which insurance plans are in network at Lavaca Medical Center?

Lavaca Medical Center lists 31 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.

What price transparency data is available for Lavaca Medical Center?

361 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.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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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