Lubbock, TX
32
Beds
163
Inpatient discharges a year
$72.8M
Net patient revenue a year
33
In-network payers
Lubbock Heritage Hospital, Llc. is a 32-bed hospital in Lubbock, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 428 disclosed rate categories.
The 24 services Lubbock Heritage Hospital, Llc. 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.
Medicine & Surgery · Inpatient
MS-DRG 460
$26,362 - $68,355
from 3 insurers · median $58,298
13 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$1,576 - $1,789
from 2 insurers · median $1,683
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$281 - $533
from 3 insurers · median $378
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$833 - $2,121
from 2 insurers · median $1,477
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$769 - $1,092
from 2 insurers · median $930
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $530
from 3 insurers · median $403
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,656 - $4,433
from 3 insurers · median $2,184
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,415 - $4,433
from 3 insurers · median $1,656
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$590 - $1,275
from 2 insurers · median $933
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $2,800
from 3 insurers · median $1,802
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,656 - $4,369
from 3 insurers · median $1,677
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,682 - $6,415
from 3 insurers · median $5,502
56 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$191 - $417
from 3 insurers · median $247
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,623 - $6,783
from 3 insurers · median $4,286
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$2,623 - $4,566
from 3 insurers · median $3,645
103 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$5,434 - $12,353
from 3 insurers · median $6,782
87 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$5,434 - $13,545
from 3 insurers · median $7,397
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $1,801
from 3 insurers · median $1,100
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$112 - $601
from 3 insurers · median $503
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $1,135
from 3 insurers · median $1,067
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,434 - $9,716
from 3 insurers · median $6,783
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$1,577 - $4,566
from 3 insurers · median $1,656
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,099 - $2,467
from 2 insurers · median $1,783
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$4,710 - $8,586
from 3 insurers · median $6,585
11 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
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* | 23 | 363% | 21 | 0 |
| Insurer B* | 3 | 306% | 1 | 0 |
| Insurer C* | 23 | 182% | 21 | 0 |
| Insurer D* | 18 | 136% | 6 | 4 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 2 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 Lubbock Heritage Hospital, Llc., or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
Accredited by The Joint Commission
Finances
$72.8M net patient revenue
Ownership and leadership
Owned by Grace Clinic Holdings LLC
The employer identification numbers (EINs) health plans and networks list for Lubbock Heritage Hospital, Llc. 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 |
|---|---|---|
| 26-4021016Lubbock Heritage Hospital LLC | 54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 49 more | 1225289499 Lubbock Heritage Hospital Llc. |
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.
Lubbock, TX
How Medicare adjusts Lubbock Heritage Hospital, Llc.'s inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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).
The Joint Commission (since 2024)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
123
Medicare-certified beds
32
Registered nurses (full-time equivalent)
1974
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lubbock Heritage Hospital, Llc. reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
163
Inpatient discharges
Medicare 35%, Medicaid n/a
230
Inpatient days
2% of available bed days used
157
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839606). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lubbock Heritage Hospital, Llc. reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 82 | 3 | 145 | 230 |
| Discharges | 57 | 0 | 106 | 163 |
| Average length of stay | 1.4 days | 1.4 days | 1.4 days | |
| Average daily census | 0.2 | 0.0 | 0.4 | 0.6 |
70
Medicare Advantage days
48 discharges
22
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 32 | 230 | 82 | 2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839606, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
The comprehensive outpatient service groups (APCs) Lubbock Heritage Hospital, Llc. billed Medicare for most in 2024: 1,008 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 562 | 529 | $63,085 | $9,750 | $10,772 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 116 | 114 | $92,932 | $14,505 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 103 | 101 | $11,361 | $644 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 87 | 85 | $45,981 | $4,784 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 56 | 55 | $30,641 | $2,173 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 38 | 37 | $10,801 | $1,277 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $13,612 | $1,111 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 11 | 11 | $27,404 | $3,989 | $4,358 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $24,346 | $3,439 | $3,792 |
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.
Staff by profession and the rooms and units Lubbock Heritage Hospital, Llc. reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
10
Operating rooms
11
Rehabilitation unit beds
4
Off-site locations
32
Registered nurses
1
Licensed practical nurses
1
Pharmacists
5
Respiratory therapists
1
Physical therapists
10
Radiology technicians
4
Medical technologists
62
Other personnel
Source: CMS Provider of Services file.
290 clinicians who bill Medicare list Lubbock Heritage Hospital, Llc. 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.
Jitendra Vasandani, MD
Rheumatology Physician
NPI 1194707406
See commercial rates for Jitendra Vasandani, MDHoussam Al Kharrat, MD
Gastroenterology Physician
NPI 1295734424
See commercial rates for Houssam Al Kharrat, MDTheerapol Prasertsuntarasai, MD
Rheumatology Physician
NPI 1245373380
See commercial rates for Theerapol Prasertsuntarasai, MDSamuel Hale
Family Medicine Physician
NPI 1851369185
See commercial rates for Samuel HaleJana Redwine, PA-C
Physician Assistant
NPI 1356396808
See commercial rates for Jana Redwine, PA-CDylan Homen, MD
Orthopaedic Surgery Physician
NPI 1346760089
See commercial rates for Dylan Homen, MDJoseph Wolcott, M.D.
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
NPI 1114119872
See commercial rates for Joseph Wolcott, M.D.Jesus Hidalgo, M.D.
Surgery Physician
NPI 1255656476
See commercial rates for Jesus Hidalgo, M.D.Kenneth White, M.D.
Diagnostic Radiology Physician
NPI 1649276072
See commercial rates for Kenneth White, M.D.Jason Ramsey, MD
Orthopaedic Surgery Physician
NPI 1447479787
See commercial rates for Jason Ramsey, MDRichard Henderson, M.D.
Internal Medicine Physician
NPI 1427002336
See commercial rates for Richard Henderson, M.D.Piyush Mittal, MD
Internal Medicine Physician
NPI 1447250923
See commercial rates for Piyush Mittal, MDAtul Joshi, MD
Orthopaedic Surgery Physician
NPI 1164486031
See commercial rates for Atul Joshi, MDNilesh Patel, MD
Internal Medicine Physician
NPI 1689638421
See commercial rates for Nilesh Patel, MDAurelio Cervera, MD
Clinical Cardiac Electrophysiology Physician
NPI 1083833891
See commercial rates for Aurelio Cervera, MDBhupesh Dihenia, M.D.
Neurology Physician
NPI 1205835022
See commercial rates for Bhupesh Dihenia, M.D.Brent Paulger, M.D.
Dermatology Physician
NPI 1093701468
See commercial rates for Brent Paulger, M.D.Brad Snodgrass, M.D.
Internal Medicine Physician
NPI 1134168842
See commercial rates for Brad Snodgrass, M.D.Amanda Lewis, M.D.
Allergy Physician
NPI 1972949048
See commercial rates for Amanda Lewis, M.D.Hemmo Bosscher, M.D.
Interventional Pain Medicine Physician
NPI 1780687517
See commercial rates for Hemmo Bosscher, M.D.Tapan Nath, MD
Internal Medicine Physician
NPI 1588629323
See commercial rates for Tapan Nath, MDSteven Crow, MD
Family Medicine Physician
NPI 1740244078
See commercial rates for Steven Crow, MDKompal Parmar, M.D.
Family Medicine Physician
NPI 1710270988
See commercial rates for Kompal Parmar, M.D.Timi Tuamokumo, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1417154626
See commercial rates for Timi Tuamokumo, 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 Lubbock Heritage Hospital, Llc. reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $357.1M | 490.5% |
| Inpatient | $33.5M | 46.0% |
| Outpatient | $323.6M | 444.5% |
| Contractual allowances and discounts | -$284.3M | -390.5% |
| Net patient revenue | $72.8M | 100.0% |
| Operating expenses | -$69M | -94.8% |
| Operating income from patient care | $3.8M | 5.2% |
| Other income | $3.9M | 5.4% |
| Investment income | $805,156 | 1.1% |
| Other | $3.1M | 4.3% |
| Net income | $7.7M | 10.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $72.5M | 20.3% |
| Medicaid (including managed care) | $5.3M | 1.5% |
| Other payers and self-pay | $279.3M | 78.2% |
| Total charges | $357.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839606, 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 Lubbock Heritage Hospital, Llc.'s latest cost report.
5.2%
Operating margin
Operating income from patient care / net patient revenue
10.1%
Total margin
Net income / net patient revenue plus other income
32.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
22% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.54
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.3%
Return on assets
Net income for a year / total assets
12.8%
Return on equity
Net income for a year / fund balance
6.55
Current ratio
Current assets / current liabilities
6.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
448 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
34 days
Days in patient receivables
Net patient receivables / daily net patient revenue
82 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.33
Asset turnover
Total revenue for a year / total assets
7.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839606, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Lubbock Heritage Hospital, Llc. owned and owed at the end of its reporting period (Dec 2025), across all fund types: $230.8M in total assets and a $60.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $72.1M | 31.3% |
| Patient receivables, net | $6.9M | 3.0% |
| Inventory | $1.7M | 0.8% |
| Total current assets | $86M | 37.3% |
| Property and equipment, net of depreciation | $143.8M | 62.3% |
| Investments and other assets | $1M | 0.4% |
| Total assets | $230.8M | 100.0% |
| Current liabilities | $13.1M | 5.7% |
| Total liabilities | $170.5M | 73.9% |
| Fund balance (net assets) | $60.3M | 26.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839606, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Lubbock Heritage Hospital, Llc. provided without full payment, as reported on Worksheet S-10 of its cost report.
$605,061
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.4M
Bad debt
Patient bills written off as uncollectible, at charges
$474,865
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.4M
Total unreimbursed and uncompensated care
2.0% 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 839606, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Lubbock Heritage Hospital, Llc.'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 | $58.5M | $70.7M | $80.9M | $84.9M | $65.8M | $72.8M |
| Operating expenses | $59M | $79.3M | $104.4M | $71.2M | $70.2M | $69M |
| Operating margin | -0.9% | -12.1% | -29.2% | 16.1% | -6.8% | 5.2% |
| Net income | $3.7M | -$7.4M | -$15.7M | $18.7M | $1.3M | $7.7M |
| Total assets | $290.3M | $244.2M | $256.3M | $278.3M | $251.1M | $230.8M |
| Discharges | 163 | 184 | 263 | 210 | 144 | 163 |
| Inpatient days | 966 | 458 | 569 | 356 | 208 | 230 |
| Medicare Advantage days | 4 | 112 | 201 | 126 | 77 | 70 |
| Beds | 92 | 92 | 92 | 92 | 92 | 32 |
| Employees (FTE) | 202 | 183 | 241 | 169 | 165 | 157 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839606, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lubbock Heritage Hospital, Llc. 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 |
|---|---|---|---|---|---|
| Operating room | $3.9M | $26.3M | $82.5M | 0.32 | 31,419 |
| Impl. dev. charged to patients | $15.6M | $74.7M | 0.21 | ||
| Radiology-diagnostic | $1.8M | $6.8M | $58.7M | 0.12 | 4,047 |
| Medical supplies charged to patient | $5.4M | $27M | 0.20 | ||
| Laboratory | $1.1M | $4.1M | $47.7M | 0.09 | 1,780 |
| Drugs charged to patients | $3M | $37.8M | 0.08 | ||
| Recovery room | $538,161 | $2.5M | $15.9M | 0.16 | 4,221 |
| Respiratory therapy | $460,860 | $1.4M | $3.6M | 0.38 | 923 |
| Physical therapy | $245,768 | $907,263 | $4.4M | 0.21 | 1,021 |
| Observation beds (non-distinct part | $674,792 | $64,952 | 10.39 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.7M | $7.7M | $4.8M | 1.60 | 2,308 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $266,388 | $11.6M | 3,549 | $75.06 | 35,092 |
| Cap rel costs-mvble equip | $10M | ||||
| Cap rel costs-bldg & fixt | $7.9M | 95,533 | |||
| Employee benefits department | $2.7M | ||||
| Operation of plant | $215,800 | $2.3M | 7,265 | $29.70 | 6,099 |
| Laundry & linen service | $642,150 | 286 | $40.51 | ||
| Dietary | $334,794 | $613,191 | 19,072 | $17.55 | 5,410 |
| Housekeeping | $337,181 | $444,568 | 19,196 | $17.57 | 1,595 |
| Pharmacy | $414,869 | $386,134 | 8,739 | $47.47 | 1,366 |
| Central services & supply | $232,293 | ||||
| Nursing administration | $137,215 | $180,853 | 2,334 | $58.78 | 252 |
| Medical records & library | $67,341 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839606, 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 Lubbock Heritage Hospital, Llc. for an inpatient stay.
3.01
Case mix index
Higher than 97% 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).
3.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
60
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 | 2.90 | 2.90 | 2.22 | 2.76 | 2.86 | 2.81 | 3.01 |
| Wage index | 0.854 | 0.840 | 0.841 | 0.876 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | 0.00% | -1.21% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 263 | 263 | 74 | 75 | 75 | 53 | 60 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Lubbock Heritage Hospital, Llc. reports to Medicare as owners or with operational control.
Grace Clinic Holdings LLC
5% or greater direct ownership interest, 100%, since 2011
Providence Health & Services - Washington
Operational/managerial control, since 2020
Sources: CMS Hospital All Owners.
The officers and board members on Lubbock Heritage Hospital, Llc.'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 16 of 17 are shown.
About Lubbock Heritage Hospital, Llc.'s rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lubbock Heritage Hospital, Llc. range from $792 to $2,800 across 3 insurers. Aetna's rate is $2,800. The median at nearby comparable hospitals is $792. 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 Lubbock Heritage Hospital, Llc. range from $1,576 to $1,789 across 2 insurers. Aetna's rate is $1,576. The median at nearby comparable hospitals is $881. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lubbock Heritage Hospital, Llc. range from $1,656 to $4,433 across 3 insurers. UnitedHealthcare's rate is $1,656. The median at nearby comparable hospitals is $1,442. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lubbock Heritage Hospital, Llc. range from $281 to $533 across 3 insurers. Cigna's rate is $281. The median at nearby comparable hospitals is $220. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Lubbock Heritage Hospital, Llc. for fiscal year 2027.
No. Lubbock Heritage Hospital, Llc. has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
Lubbock Heritage Hospital, Llc.'s Medicare case mix index is 3.01 for fiscal year 2027, higher than 97% of hospitals paid under the inpatient prospective payment system.
Lubbock Heritage Hospital, Llc. reported 163 inpatient discharges and 230 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Lubbock Heritage Hospital, Llc. reported 157 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Lubbock Heritage Hospital, Llc. reported $72.8M in net patient revenue on $357.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 5.2%, and net income of $7.7M.
Lubbock Heritage Hospital, Llc. reported $1.4M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $605,061 of charity care at cost.
Lubbock Heritage Hospital, Llc.'s Medicare enrollment lists Amy N Thompson as Chief Executive since 2025.
Insurers' price transparency files list Lubbock Heritage Hospital, Llc. under employer identification number 26-4021016 (Lubbock Heritage Hospital LLC). 54 health plans and networks list 26-4021016 for it.
290 clinicians who bill Medicare list Lubbock Heritage Hospital, Llc. as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (63), family medicine physician (46), physician assistant (16).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Lubbock Heritage Hospital, Llc., effective 2024.
In its Medicare enrollment, Lubbock Heritage Hospital, Llc. reports Grace Clinic Holdings LLC as 5% or greater direct ownership interest (100%).
Lubbock Heritage Hospital, Llc. has 32 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 123 are Medicare-certified beds in CMS's Provider of Services file.
Lubbock Heritage Hospital, Llc. is located at Lubbock, TX.
Lubbock Heritage Hospital, Llc.'s CMS Certification Number (CCN), also called its Medicare provider number, is 450162.
The National Provider Identifier (NPI) on file for Lubbock Heritage Hospital, Llc. is 1225289499.
Lubbock Heritage Hospital, Llc. lists 33 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
428 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