Groesbeck, TX
33
In-network payers
264
Disclosed rate categories
20
Beds
Limestone Medical Center is a 20-bed government - hospital district or authority hospital in Groesbeck, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 264 disclosed rate categories.
CCN (Medicare provider number)
451303
NPI
1861487779
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
20
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 Limestone 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
CPT 74177
$398 - $3,224
from 4 insurers · median $2,055
Typical for a hospital with this service line
CT imaging
CPT 74176
$244 - $2,997
from 4 insurers · median $1,802
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$206 - $1,536
from 3 insurers · median $1,356
Typical for a hospital with this service line
CT imaging
CPT 71275
$354 - $2,622
from 4 insurers · median $1,541
Typical for a hospital with this service line
CT imaging
CPT 70450
$141 - $1,501
from 4 insurers · median $325
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$545 - $3,413
from 4 insurers · median $2,132
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 70553
$320 - $4,116
from 4 insurers · median $1,107
Typical for a hospital with this service line
Mammography
CPT 77067
$99 - $167
from 2 insurers · median $133
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$45 - $250
from 4 insurers · median $141
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$380 - $1,478
from 4 insurers · median $863
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $1,244
from 3 insurers · median $644
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$775 - $1,393
from 3 insurers · median $823
Typical for a hospital with this service line
MRI imaging
CPT 72148
$245 - $2,764
from 4 insurers · median $781
Typical for a hospital with this service line
MRI imaging
CPT 70551
$260 - $2,449
from 4 insurers · median $774
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$785 - $1,016
from 4 insurers · median $920
Typical for a hospital with this service line
MRI imaging
CPT 72197
$444 - $3,213
from 4 insurers · median $1,553
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$391 - $1,116
from 4 insurers · median $688
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $1,658
from 2 insurers · median $1,309
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$32 - $494
from 4 insurers · median $244
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$100 - $561
from 4 insurers · median $310
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$675 - $2,620
from 4 insurers · median $1,670
Typical for a hospital with this service line
Ultrasound
CPT 76642
$80 - $326
from 4 insurers · median $189
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$190 - $1,068
from 4 insurers · median $599
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,964
negotiated rate
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* | 21 | 409% | 16 | 5 |
| Insurer B* | 22 | 230% | 4 | 12 |
| Insurer C* | 23 | 108% | 7 | 14 |
| Insurer D* | 20 | 100% | 3 | 15 |
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 Limestone Medical Center.
701 Mcclintic Drive, Groesbeck, TX 76642
(254) 729-3281
The nearest hospitals of similar type and size. Their rates are compared with Limestone Medical Center for the same insurers and services above.
St. Joseph Health Madison Hospital - Madisonville Tx
â–² Rates typically 13% higher than Limestone Medical Center (24 services)
Goodall-Witcher Hospital Authority
â–¼ Rates typically 13% lower than Limestone Medical Center (24 services)
Chi St. Joseph Health Burleson Hospital
â–² Rates typically 88% higher than Limestone Medical Center (24 services)
Coryell Memorial Hospital
Rates about the same as Limestone Medical Center (24 services)
Christus Trinity Mother Frances Hospital - Jacksonville
â–¼ Rates typically 10% lower than Limestone Medical Center (23 services)
St. Joseph Health Grimes Hospital - Navasota Tx
â–² Rates typically 32% higher than Limestone Medical Center (24 services)
Seton Highland Lakes Hospital
Lillian M. Hudspeth Memorial Hosp.
Swisher Memorial Healthcare System
Otto Kaiser Memorial Hospital
About Limestone Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Limestone Medical Center range from $320 to $4,116 across 4 insurers. Blue Cross Blue Shield's rate is $1,422. The median at nearby comparable hospitals is $1,254. 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 Limestone Medical Center range from $398 to $3,224 across 4 insurers. Aetna's rate is $398. The median at nearby comparable hospitals is $1,651. 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 Limestone Medical Center range from $380 to $1,478 across 4 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $2,501. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Limestone Medical Center range from $99 to $167 across 2 insurers. Aetna's rate is $167. The median at nearby comparable hospitals is $270. What a patient pays depends on their plan's deductible, coinsurance and network status.
Limestone Medical Center has 20 beds. Facility type: Critical Access Hospital.
Limestone Medical Center is located at 701 Mcclintic Drive, Groesbeck, TX 76642. Its main phone number is (254) 729-3281.
Limestone Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 451303.
The National Provider Identifier (NPI) on file for Limestone Medical Center is 1861487779.
Limestone Medical Center lists 33 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.
264 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