Port Lavaca, TX
34
In-network payers
333
Disclosed rate categories
25
Beds
1
Care quality
Memorial Medical Center is a 25-bed government - local hospital in Port Lavaca, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 333 disclosed rate categories.
CCN (Medicare provider number)
451356
NPI
1689630865
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
1
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 Memorial 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.
Childbirth · Inpatient
MS-DRG 807
$2,591 - $9,370
from 4 insurers · median $5,811
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 neonatal nursery services to CMS
CT imaging
CPT 74177
$326 - $3,745
from 4 insurers · median $2,318
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$2,464 - $16,014
from 4 insurers · median $3,549
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 neonatal nursery services to CMS
CT imaging
CPT 74176
$192 - $3,404
from 4 insurers · median $2,115
Typical for a hospital with this service line
CT imaging
CPT 71275
$221 - $2,678
from 4 insurers · median $1,863
Typical for a hospital with this service line
CT imaging
CPT 70450
$111 - $1,499
from 4 insurers · median $434
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$2,591 - $9,370
from 4 insurers · median $5,811
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Mammography
CPT 77067
$106 - $318
from 4 insurers · median $238
Typical for a hospital with this service line
MRI imaging
CPT 70553
$339 - $3,212
from 4 insurers · median $1,567
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$217 - $1,237
from 4 insurers · median $685
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,363 - $2,383
from 4 insurers · median $2,114
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58571
$6,152 - $8,227
from 3 insurers · median $7,020
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$7,490 - $36,651
from 4 insurers · median $20,353
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$787 - $890
from 3 insurers · median $790
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$28 - $174
from 4 insurers · median $108
Typical for a hospital with this service line
MRI imaging
CPT 72197
$824 - $3,279
from 4 insurers · median $2,258
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $3,498
from 4 insurers · median $2,418
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$751 - $801
from 3 insurers · median $775
Typical for a hospital with this service line
MRI imaging
CPT 70551
$208 - $2,120
from 4 insurers · median $856
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$546 - $669
from 4 insurers · median $566
Typical for a hospital with this service line
MRI imaging
CPT 72148
$203 - $2,243
from 4 insurers · median $796
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$121 - $698
from 4 insurers · median $387
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$1,870 - $14,287
from 4 insurers · median $9,052
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$301 - $750
from 3 insurers · median $639
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* | 24 | 269% | 10 | 2 |
| Insurer B* | 24 | 180% | 5 | 4 |
| Insurer C* | 24 | 174% | 9 | 11 |
| Insurer D* | 20 | 100% | 6 | 6 |
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 Memorial Medical Center.
815 North Virginia Street, Port Lavaca, TX 77979
(361) 552-6713
The nearest hospitals of similar type and size. Their rates are compared with Memorial Medical Center for the same insurers and services above.
Jackson County Hospital
â–¼ Rates typically 12% lower than Memorial Medical Center (21 services)
Palacios Community Medical Center
Rates about the same as Memorial Medical Center (21 services)
Refugio Memorial Hospital
Rates about the same as Memorial Medical Center (19 services)
Yoakum Community Hospital
Rates about the same as Memorial Medical Center (21 services)
Lavaca Medical Center
Rates about the same as Memorial Medical Center (21 services)
Sweeny Community Hospital
â–¼ Rates typically 28% lower than Memorial Medical Center (21 services)
Golden Plains Community Hospital
Reeves County Hospital
Fisher County Hospital District
Knox County Hospital
About Memorial Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Memorial Medical Center range from $339 to $3,212 across 4 insurers. Blue Cross Blue Shield's rate is $2,341. 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 Memorial Medical Center range from $326 to $3,745 across 4 insurers. Aetna's rate is $326. The median at nearby comparable hospitals is $1,044. 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 Memorial Medical Center range from $787 to $890 across 3 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $992. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Medical Center range from $2,591 to $9,370 across 4 insurers. Aetna's rate is $9,370. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Medical Center range from $106 to $318 across 4 insurers. Cigna's rate is $318. The median at nearby comparable hospitals is $149. 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 Memorial Medical Center range from $7,490 to $36,651 across 4 insurers. Blue Cross Blue Shield's rate is $7,790. The median at nearby comparable hospitals is $11,892. What a patient pays depends on their plan's deductible, coinsurance and network status.
Memorial Medical Center has 25 beds. Facility type: Critical Access Hospital.
Memorial Medical Center is located at 815 North Virginia Street, Port Lavaca, TX 77979. Its main phone number is (361) 552-6713.
Memorial Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 451356.
The National Provider Identifier (NPI) on file for Memorial Medical Center is 1689630865.
Memorial Medical Center lists 34 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.
333 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