Community Hospital Corporation · Nacogdoches, TX
2 of 5
CMS star rating
226
Beds
1,587
Inpatient discharges a year
$41.5M
Net patient revenue a year
24
In-network payers
Nacogdoches Memorial Hospital is a 226-bed government - hospital district or authority hospital in Nacogdoches, TX, affiliated with Community Hospital Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 240 disclosed rate categories.
The 24 services Nacogdoches Memorial 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, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$4,956
negotiated rate
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
Childbirth · Inpatient
MS-DRG 788
$7,160
negotiated rate
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
Medicine & Surgery · Inpatient
MS-DRG 470
$3,472 - $26,188
from 2 insurers · median $14,830
20 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$31,510 - $38,056
from 2 insurers · median $34,783
Hospital reports neurosurgical services to CMS
Childbirth · Inpatient
MS-DRG 807
$4,956
negotiated rate
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
Medicine & Surgery · Inpatient
MS-DRG 473
$4,394 - $20,611
from 2 insurers · median $12,502
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$391 - $5,578
from 3 insurers · median $1,069
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$2,233 - $9,001
from 2 insurers · median $5,617
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 70450
$314 - $1,203
from 3 insurers · median $391
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$111 - $407
from 4 insurers · median $240
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$391 - $636
from 2 insurers · median $514
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$546 - $2,561
from 4 insurers · median $1,010
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,451 - $3,467
from 2 insurers · median $2,959
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$626 - $2,989
from 4 insurers · median $1,167
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$159 - $223
from 3 insurers · median $182
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$752 - $5,244
from 3 insurers · median $1,069
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$705 - $1,411
from 3 insurers · median $944
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$375 - $2,624
from 3 insurers · median $445
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$391 - $3,484
from 3 insurers · median $485
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,641 - $6,791
from 2 insurers · median $4,716
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$445 - $3,707
from 4 insurers · median $1,925
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$620 - $1,517
from 4 insurers · median $820
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$620 - $1,101
from 3 insurers · median $752
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$271 - $1,127
from 3 insurers · median $529
Common here, based on CMS Medicare volume
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* | 14 | 477% | 6 | 7 |
| Insurer B* | 5 | 280% | 1 | 4 |
| Insurer C* | 24 | 253% | 3 | 9 |
| Insurer D* | 21 | 160% | 6 | 11 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 7 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 Nacogdoches Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$41.5M net patient revenue
Ownership and leadership
Private (for profit)
The employer identification numbers (EINs) health plans and networks list for Nacogdoches Memorial Hospital 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 |
|---|---|---|
| 75-6000602Nacogdoches County Hospital District | 30Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Avera Health Plans, BCBS and 25 more | 1801831748 Nacogdoches County Hospital District1053711804 Nacogdoches County Hospital District1093131476 Nacogdoches County Hospital Districtand 15 more |
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.
1204 North Mound Street, Nacogdoches, TX 75961
(936) 564-4611
How Nacogdoches Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 5 measures
0 better, 3 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
78%
Higher than 72% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 52% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
174 min
Higher than 67% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
51%
Lower than 80% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Worse on 2 of 5 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 78% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 174 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 51% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Nacogdoches Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.90% on Medicare payments
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).
Each result CMS publishes for Nacogdoches Memorial Hospital, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 463 cases | 4.6 | 3.9 | 3.887 | Worse than 80% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 40 cases | 8 | 8.5 | 8.703 | Better than 62% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 74 cases | 10.3 | 11 | 10.52 | Better than 63% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 121 cases | 15.6 | 15.2 | 14.69 | Worse than 56% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 37 cases | 11.2 | 11.6 | 12.01 | Better than 57% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 876 cases | 0.43 | 0.51 | 0.52 | No Different Than the National Rate | Better than 62% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,111 cases | 0.26 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 85% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,059 cases | 0.31 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 160 cases | 2.26 | 2.29 | 2.31 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 31 cases | 1.67 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 31 cases | 8.91 | 8.88 | 10.06 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 172 cases | 4.18 | 3.4 | 3.337 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 26 cases | 5.16 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 30 cases | 1.74 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 80 cases | 1.02 | 1.02 | 1.035 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 82 cases | 16.4 | 1.25 | -1.323 | Worse than 70% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 131 cases | -4.1 | 3.85 | 2.422 | Better than 61% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 40 cases | 13.1 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 32 cases | 0.9 | 1 | 1.017 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.48 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 81 cases | 19.3 | 19.8 | 19.85 | Better than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 134 cases | 21.7 | 21.3 | 21.26 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 195 cases | 18.5 | 17.2 | 17.32 | Worse than 87% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2089 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.687 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,754 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.115 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.524 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,542 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.82 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 13 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.358 | 1.591 | 3.62 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.647 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 2 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.015 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9659 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 6,202 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.31 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.01 | 0.127 | 0.1195 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.972 | 0.747 | 0.935 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 6,202 | 13,646 | 38,870 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.073 | 5.683 | 20.56 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 4.894 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.197 | 0.279 | 0.2623 | Better than the National Benchmark | Better than 62% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 142 cases | 58 | 73 | 75.97 | Worse than 96% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 142 cases | 16 | 8 | 7.771 | Worse than 92% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 142 cases | 26 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 80 | 87 | 87.82 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 142 cases | 2 | 4 | 3.712 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 142 cases | 76 | 80 | 79.96 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 90 | 91 | 90.97 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 142 cases | 5 | 4 | 4.535 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 142 cases | 3 | 3 | 3.275 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 142 cases | 19 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 142 cases | 75 | 79 | 79.72 | Worse than 77% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 89 | 91 | 90.24 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 142 cases | 7 | 5 | 5.687 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 142 cases | 2 | 3 | 2.956 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 142 cases | 18 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 142 cases | 61 | 61 | 62.66 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 77 | 77 | 76.88 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 142 cases | 19 | 19 | 19.26 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 142 cases | 3 | 3 | 2.672 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 142 cases | 20 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 85 | 86 | 84.56 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 142 cases | 14 | 13 | 13.98 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 142 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 142 cases | 86 | 87 | 86.02 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 142 cases | 17 | 14 | 16.2 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 142 cases | 83 | 86 | 83.8 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 67 | 74 | 74.6 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 8 | 7 | 7.327 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 25 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 72 | 77 | 77.72 | Worse than 82% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 7 | 6 | 6.395 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 21 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 85 | 85 | 85.15 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 5 | 3 | 4.015 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 10 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 142 cases | 10 | 8 | 8.293 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 142 cases | 19 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 142 cases | 71 | 72 | 73.52 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 88 | 88 | 88.12 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 142 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 142 cases | 69 | 74 | 74.97 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 142 cases | 9 | 9 | 9.68 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 142 cases | 22 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 71 | 75 | 75.27 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 6 | 5 | 6.154 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 23 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 71 | 77 | 76.85 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 6 | 4 | 5 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 23 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 86 | 86 | 85.92 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 3 | 3 | 3.094 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 11 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 142 cases | 61 | 59 | 65.6 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 142 cases | 3 | 9 | 7.774 | Better than 89% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 142 cases | 36 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 86 | 82 | 84.26 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 142 cases | 4 | 3 | 3.821 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 142 cases | 5 | 5 | 6.017 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 142 cases | 78 | 71 | 72.87 | Better than 72% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 90 | 87 | 87.21 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 142 cases | 17 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 142 cases | 4 | 4 | 3.694 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 142 cases | 53 | 47 | 49.46 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 142 cases | 29 | 30 | 29.64 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 142 cases | 18 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 142 cases | 3 | 3 | 3.266 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 142 cases | 12 | 12 | 12.55 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 142 cases | 88 | 88 | 87.45 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 | Not Available | 72.24 | |||
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 372 cases | 178 | 154 | 151 | Worse than 65% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 344 cases | 174 | 148 | 146 | Worse than 67% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 15 cases | 204 | 247 | 331 | Better than 67% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 13 cases | 307 | 293 | 279 | Worse than 56% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 14,819 cases | 2 | 1 | 1.372 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 21 cases | 57 | 97 | 90.54 | Worse than 97% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 | Not Available | 13.94 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 75 cases | 51 | 65 | 66.54 | Worse than 80% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 33 | 73 | 71.35 | Worse than 98% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 75 cases | 79 | 82 | 82.14 | Worse than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 41 cases | 80 | 94 | 92.38 | Worse than 92% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.56 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 12 | 5 | 7.719 | Worse than 93% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.5 | 6.6 | 6.859 | Better than 50% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.08 | 0.99 | 1.034 | Worse than 87% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.016 | 0.9995 | 1.013 | Worse than 60% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9569 | 0.9969 | 0.999 | Better than 85% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 121 cases | 1.044 | 0.9983 | 1 | Worse than 76% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.968 | 0.9916 | 1.006 | Better than 57% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 119 cases | 1.104 | 0.9955 | 1.003 | Worse than 93% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.027 | 1.015 | 1.018 | 1.057 | 1.05 | 1.016 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9819 | 1.013 | 0.9673 | 0.9726 | 0.9498 | 0.9569 |
| READM-30-HF-HRRP | 0.9879 | 0.9708 | 1.021 | 1.018 | 1.044 | 1.044 |
| READM-30-HIP-KNEE-HRRP | 0.8793 | 0.8802 | 0.887 | 0.8822 | 0.9309 | 0.968 |
| READM-30-PN-HRRP | 1.055 | 1.122 | 1.139 | 1.162 | 1.129 | 1.104 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.46 | 0.489 | 0.4327 | Worse than 94% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.211 | 0.346 | 0.2562 | Better than 71% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.397 | 0.559 | 0.5596 | Better than 66% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9665 | 0.9628 | 0.9684 | Worse than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | 0.2293 | -0.0453 | -0.1734 | Worse than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | No |
| Total HAC score | -0.1266 | -0.0044 | 0 | 1.533 | 0.9946 | 0.2293 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2022)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
163
Medicare-certified beds
118
Registered nurses (full-time equivalent)
1968
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Nacogdoches Memorial Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,587
Inpatient discharges
Medicare 26%, Medicaid 0%
6,579
Inpatient days
9% of available bed days used
415
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824682). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Nacogdoches Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,801 | 20 | 4,758 | 6,579 |
| Discharges | 413 | 4 | 1,170 | 1,587 |
| Average length of stay | 4.4 days | 5.0 days | 4.1 days | 4.1 days |
| Average daily census | 4.9 | 0.1 | 13.0 | 18.0 |
1,991
Medicare Advantage days
448 discharges
2,745
Medicaid managed care days
114 discharges
948
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 169 | 4,029 | 1,365 | 7% |
| Intensive care unit | 23 | 2,550 | 436 | 30% |
| Subprovider - ipf | 14 | 184 | 71 | 4% |
| Subprovider - irf | 20 | 2,467 | 1,753 | 34% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824682, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Nacogdoches Memorial Hospital treats Medicare patients for most often, in 2024. 157 Medicare discharges in 8 published DRGs; 0% surgical; 76% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 39 | $67,101 | $11,791 | $18,721 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $52,484 | $8,778 | $14,643 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $62,498 | $11,336 | $17,437 | 1.70 |
| Heart failure and shock with MCCMS-DRG 291, medical | 22 | $36,297 | $8,894 | $10,127 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $40,770 | $8,133 | $11,375 | 1.23 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $82,042 | $10,222 | $22,890 | 1.59 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $45,100 | $5,120 | $12,583 | 0.79 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $36,615 | $6,532 | $10,215 | 1.03 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Nacogdoches Memorial Hospital billed Medicare for most in 2024: 108 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 50 | 48 | $18,890 | $1,892 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 46 | 46 | $18,578 | $2,032 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 12 | 12 | $13,764 | $2,188 | $2,405 |
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.
ZIP codes with the most Medicare inpatient stays at Nacogdoches Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,511 in 2020 to 694 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75964 | 179 | 26% | 775 | $9.6M | 18% | 44% |
| 75961 | 160 | 23% | 683 | $8.1M | 21% | 47% |
| 75965 | 86 | 12% | 331 | $4.1M | 11% | 27% |
| 75935 | 54 | 8% | 218 | $2.4M | 8% | 20% |
| 75946 | 51 | 7% | 238 | $3.1M | 20% | 50% |
| 75972 | 40 | 6% | 223 | $3M | 10% | 17% |
| 75975 | 28 | 4% | 127 | $2M | 14% | 41% |
| 75943 | 23 | 3% | 133 | $1.9M | 40% | 49% |
| 75963 | 22 | 3% | 125 | $1.2M | 22% | 49% |
| 75948 | 15 | 2% | 89 | $1.2M | 3% | 7% |
| 75954 | 14 | 2% | 57 | $642,286 | 8% | 15% |
| 75760 | 11 | 2% | 47 | $631,029 | 9% | 38% |
| 75973 | 11 | 2% | 44 | $632,161 | 9% | 20% |
Source: CMS Hospital Service Area file. Shares are of the 694 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Nacogdoches Memorial Hospital reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.
11
Operating rooms
2
Endoscopy rooms
2
Cardiac catheterization rooms
14
Psychiatric unit beds
21
Rehabilitation unit beds
118
Registered nurses
21
Licensed practical nurses
9
Nurse practitioners
3
Physician assistants
5
Pharmacists
15
Respiratory therapists
8
Physical therapists
3
Occupational therapists
2
Speech pathologists and audiologists
19
Radiology technicians
2
Nuclear medicine technicians
5
Laboratory technicians
6
Medical technologists
2
Dietitians
2
Social workers
305
Other personnel
Source: CMS Provider of Services file.
118 clinicians who bill Medicare list Nacogdoches Memorial Hospital 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.
Mark Cline, M.D.
Family Medicine Physician
NPI 1477563898
See commercial rates for Mark Cline, M.D.Binusha Moitheennazima, MD
Pulmonary Disease Physician
NPI 1760658330
See commercial rates for Binusha Moitheennazima, MDRichard Baker, MD
Internal Medicine Physician
NPI 1538185517
See commercial rates for Richard Baker, MDVictor Rodriguez, M.D., M.S.
Diagnostic Radiology Physician
NPI 1295982452
See commercial rates for Victor Rodriguez, M.D., M.S.Steven Overturf, M.D.
Orthopaedic Surgery Physician
NPI 1740454503
See commercial rates for Steven Overturf, M.D.Vijaya Pokala, M.D., F.A.C.C.
Interventional Cardiology Physician
NPI 1205847522
See commercial rates for Vijaya Pokala, M.D., F.A.C.C.Nilofar Firooznia, MD
Diagnostic Radiology Physician
NPI 1962521419
See commercial rates for Nilofar Firooznia, MDSubramanya Gajaraju Venkata, M.D
Interventional Cardiology Physician
NPI 1184854721
See commercial rates for Subramanya Gajaraju Venkata, M.DRachel Head, MD
Urology Physician
NPI 1407084114
See commercial rates for Rachel Head, MDSamir Germanwala, DO
Cardiovascular Disease Physician
NPI 1043287816
See commercial rates for Samir Germanwala, DOIlyas Khan, M.D
Cardiovascular Disease Physician
NPI 1598099327
See commercial rates for Ilyas Khan, M.DAhammed Hashim, M.D.
Pulmonary Disease Physician
NPI 1235134420
See commercial rates for Ahammed Hashim, M.D.Wilburn Furniss, M.D.
Family Medicine Physician
NPI 1932398377
See commercial rates for Wilburn Furniss, M.D.Marian Querry, D.O.
Surgery Physician
NPI 1356334783
See commercial rates for Marian Querry, D.O.Aaron Polk, MD
Family Medicine Physician
NPI 1578595997
See commercial rates for Aaron Polk, MDAaron Heller, D.O.
Interventional Pain Medicine Physician
NPI 1366860991
See commercial rates for Aaron Heller, D.O.Jamie Cook, FNP-BC
Family Nurse Practitioner
NPI 1720538093
See commercial rates for Jamie Cook, FNP-BCKavita Vyas, M.D.
Internal Medicine Physician
NPI 1346246964
See commercial rates for Kavita Vyas, M.D.Ryan Cradeur, M.D.
Emergency Medicine Physician
NPI 1326027897
See commercial rates for Ryan Cradeur, M.D.Lindsay Aldrich, MD
Family Medicine Physician
NPI 1598102493
See commercial rates for Lindsay Aldrich, MDSteven Ashlock, M. D.
Diagnostic Radiology Physician
NPI 1033197363
See commercial rates for Steven Ashlock, M. D.Philip Labarbera, M.D.
Family Medicine Physician
NPI 1528020823
See commercial rates for Philip Labarbera, M.D.Rhonda Holt, NP
Nurse Practitioner
NPI 1366930323
See commercial rates for Rhonda Holt, NPDavid Vinther, MD
Internal Medicine Physician
NPI 1235661018
See commercial rates for David Vinther, MDSource: 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 Nacogdoches Memorial Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $227.9M | 549.0% |
| Inpatient | $95M | 228.7% |
| Outpatient | $133M | 320.3% |
| Contractual allowances and discounts | -$186.4M | -449.0% |
| Net patient revenue | $41.5M | 100.0% |
| Operating expenses | -$64.5M | -155.3% |
| Operating income from patient care | -$23M | -55.3% |
| Other income | $26.8M | 64.5% |
| Investment income | $43,172 | 0.1% |
| Government appropriations | $10.5M | 25.3% |
| Other | $16.2M | 39.1% |
| Net income | $3.8M | 9.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $37.2M | 16.3% |
| Medicaid (including managed care) | $21.8M | 9.6% |
| Other payers and self-pay | $168.9M | 74.1% |
| Total charges | $227.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824682, 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 Nacogdoches Memorial Hospital's latest cost report.
-55.3%
Operating margin
Operating income from patient care / net patient revenue
5.6%
Total margin
Net income / net patient revenue plus other income
14.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$29.03
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.0%
Return on assets
Net income for a year / total assets
0.56
Current ratio
Current assets / current liabilities
0.33
Quick ratio
Cash, temporary investments and net receivables / current liabilities
21 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
113 days
Days in patient receivables
Net patient receivables / daily net patient revenue
305 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.07
Asset turnover
Total revenue for a year / total assets
21.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824682, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Nacogdoches Memorial Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $63.9M in total assets and a -$33.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $3.3M | 5.1% |
| Patient receivables, net | $12.9M | 20.2% |
| Inventory | $978,343 | 1.5% |
| Total current assets | $27.5M | 43.1% |
| Property and equipment, net of depreciation | $33.4M | 52.2% |
| Investments and other assets | $3M | 4.7% |
| Total assets | $63.9M | 100.0% |
| Current liabilities | $48.8M | 76.3% |
| Total liabilities | $97.1M | 151.9% |
| Fund balance (net assets) | -$33.2M | -51.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824682, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Nacogdoches Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$12.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$18.3M
Bad debt
Patient bills written off as uncollectible, at charges
$1.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$22,385
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$18.3M
Total unreimbursed and uncompensated care
28.3% 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 824682, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Nacogdoches Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jul 2021 | Jun 2022 | Jun 2023 | Jun 2025 |
|---|---|---|---|---|---|
| Net patient revenue | $47M | $60.4M | $54.4M | $62.5M | $41.5M |
| Operating expenses | $73.9M | $79.6M | $70.9M | $76M | $64.5M |
| Operating margin | -57.4% | -31.8% | -30.3% | -21.5% | -55.3% |
| Net income | $5.1M | -$501,706 | $772,979 | $818,297 | $3.8M |
| Total assets | $79.5M | $79.8M | $29.1M | $35M | $63.9M |
| Discharges | 3,460 | 3,485 | 3,021 | 2,821 | 1,587 |
| Inpatient days | 13,024 | 19,455 | 17,267 | 15,397 | 6,579 |
| Medicare Advantage days | 2,348 | 3,398 | 3,037 | 3,325 | 1,991 |
| Beds | 141 | 140 | 180 | 180 | 226 |
| Employees (FTE) | 523 | 492 | 396 | 291 | 415 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824682, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Nacogdoches Memorial Hospital 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 | $1.4M | $5.2M | $8.3M | 0.62 | 49,584 |
| Radiology-diagnostic | $1.3M | $4.8M | $52.4M | 0.09 | 11,058 |
| Ambulance services | $2.2M | $4.4M | $9.1M | 0.48 | 195 |
| Drugs charged to patients | $670,525 | $4.2M | $17.5M | 0.24 | 1,675 |
| Emergency | $1.7M | $3.8M | $36.1M | 0.11 | 13,413 |
| Laboratory | $1M | $3.4M | $22M | 0.15 | 5,375 |
| Physical therapy | $1.2M | $2.2M | $5.7M | 0.38 | 7,351 |
| Medical supplies charged to patient | $101,278 | $2M | $4.4M | 0.46 | 2,080 |
| Respiratory therapy | $1.1M | $2M | $25.4M | 0.08 | 2,455 |
| Observation beds (non-distinct part | $1.7M | $702,073 | 2.39 | ||
| Cardiac catheterization | $467,472 | $1.3M | $11.8M | 0.11 | 5,000 |
| Nmpg clinic | $1.2M | $1.2M | $832 | 1500.93 | |
| Impl. dev. charged to patients | $551,023 | $3M | 0.18 | ||
| Cardiac rehabilitation | $224,754 | $467,260 | $1.2M | 0.38 | 1,987 |
| Renal dialysis | $108,498 | $344,647 | $188,468 | 1.83 | 940 |
| Recovery room | $135,029 | $332,575 | $1.1M | 0.31 | 2,176 |
| Delivery room & labor room | $184,934 | 3,330 | |||
| Garrison clinc | $155,992 | 3,174 | |||
| Anesthesiology | $57,057 | $1.4M | 0.04 | 319 | |
| Whole blood & packed red blood cell | $17,464 | $1.6M | 0.01 | 176 | |
| Diabetic teaching | $13,529 | 281 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.9M | $8.8M | $11.7M | 0.75 | 98,222 |
| Intensive care unit | $1.6M | $3.3M | $7.2M | 0.46 | 9,186 |
| Subprovider - irf | $1.1M | $2.8M | $6.5M | 0.44 | 14,905 |
| Subprovider - ipf | $404,901 | $523,070 | 0.77 | 2,210 | |
| Nursery | $71,345 | 1,472 | |||
| Neonatal intensive care unit | $61,984 | 1,025 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5M | $9.8M | 168,004 | $29.50 | 46,535 |
| Employee benefits department | $250,864 | $4.8M | 7,182 | $34.93 | 4,883 |
| Cap rel costs-mvble equip | $3.6M | ||||
| Cap rel costs-bldg & fixt | $2.4M | 349,012 | |||
| Maintenance & repairs | $1.7M | 14,846 | |||
| Operation of plant | $735,442 | $1.7M | 32,451 | $22.66 | 27,183 |
| Dietary | $747,946 | $983,133 | 42,313 | $17.68 | 5,958 |
| Housekeeping | $619,224 | $686,453 | 49,477 | $12.52 | 1,457 |
| Medical records & library | $383,008 | $662,763 | 16,643 | $23.01 | 2,634 |
| Nursing administration | $478,955 | $479,696 | 9,425 | $50.82 | |
| Laundry & linen service | $64,494 | $113,205 | 5,562 | $11.59 | 2,898 |
| Physician office building | $96,436 | ||||
| Inservice education | $72,497 | $89,517 | 1,890 | $38.37 | 956 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824682, 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 Nacogdoches Memorial Hospital for an inpatient stay.
1.67
Case mix index
Higher than 48% 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).
34.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
409
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
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 | 1.57 | 1.57 | 1.69 | 1.66 | 1.87 | 1.67 | 1.67 |
| Wage index | 0.830 | 0.908 | 0.863 | 0.876 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | -0.45% | -0.49% | -0.99% | -0.19% | -0.97% | -0.92% | -0.90% |
| Value-based purchasing adjustment | -0.63% | +0.55% | +0.55% | +0.20% | -0.70% | 0.00% | 0.00% |
| Medicare inpatient stays | 1,094 | 1,094 | 862 | 694 | 621 | 466 | 409 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Nacogdoches Memorial Hospital reports to Medicare as owners or with operational control.
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Nacogdoches Memorial Hospital'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 2 of 3 are shown.
340B drug pricing program
Not participating
340B ID DSH450508, registered as a disproportionate share hospital. Authorizing official: Rhonda McCabe, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Nacogdoches Meml Hospital
FAA location ID 02TX, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Nacogdoches hosp psych
CCN 45S508, certified 2015, Medicare prospective payment
Nacogdoches hosp rehab
CCN 45T508, certified 1989, Medicare prospective payment
Source: Worksheet S-2 Part I of Nacogdoches Memorial Hospital's latest Medicare cost report (HCRIS).
About Nacogdoches Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Nacogdoches Memorial Hospital range from $752 to $5,244 across 3 insurers. Aetna's rate is $5,244. The median at nearby comparable hospitals is $1,226. 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 Nacogdoches Memorial Hospital range from $391 to $5,578 across 3 insurers. UnitedHealthcare's rate is $391. The median at nearby comparable hospitals is $1,049. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Nacogdoches Memorial Hospital range from $626 to $2,989 across 4 insurers. Aetna's rate is $2,989. The median at nearby comparable hospitals is $1,743. 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 Nacogdoches Memorial Hospital range from $4,956 to $4,956 across 1 insurers. Blue Cross Blue Shield's rate is $4,956. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Nacogdoches Memorial Hospital range from $111 to $407 across 4 insurers. Blue Cross Blue Shield's rate is $216. The median at nearby comparable hospitals is $295. 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 Nacogdoches Memorial Hospital range from $3,472 to $26,188 across 2 insurers. Blue Cross Blue Shield's rate is $26,188. The median at nearby comparable hospitals is $17,717. What a patient pays depends on their plan's deductible, coinsurance and network status.
Nacogdoches Memorial Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Nacogdoches Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Nacogdoches Memorial Hospital's base inpatient payments by an estimated 0.90% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (39 discharges), simple pneumonia and pleurisy with mcc (24 discharges), respiratory infections and inflammations with mcc (22 discharges).
Nacogdoches Memorial Hospital's Medicare case mix index is 1.67 for fiscal year 2027, higher than 48% of hospitals paid under the inpatient prospective payment system.
Nacogdoches Memorial Hospital reported 1,587 inpatient discharges and 6,579 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Nacogdoches Memorial Hospital reported 415 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Nacogdoches Memorial Hospital reported $41.5M in net patient revenue on $227.9M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -55.3%, and net income of $3.8M.
Nacogdoches Memorial Hospital reported $18.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $12.5M of charity care at cost.
Nacogdoches Memorial Hospital's Medicare enrollment lists Rhonda D Mccabe as CEO since 2024.
Insurers' price transparency files list Nacogdoches Memorial Hospital under employer identification number 75-6000602 (Nacogdoches County Hospital District). 30 health plans and networks list 75-6000602 for it.
HRSA's 340B database lists Nacogdoches Memorial Hospital (340B ID DSH450508) as no longer participating since 2026.
118 clinicians who bill Medicare list Nacogdoches Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (21), family nurse practitioner (15), internal medicine physician (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Nacogdoches Memorial Hospital, effective 2022.
CMS lists 43 services at Nacogdoches Memorial Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Nacogdoches Memorial Hospital came from ZIP codes 75964 (179), 75961 (160), 75965 (86).
Nacogdoches Memorial Hospital has 226 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 163 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Nacogdoches Memorial Hospital is located at 1204 North Mound Street, Nacogdoches, TX 75961. Its main phone number is (936) 564-4611.
Nacogdoches Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 450508.
The National Provider Identifier (NPI) on file for Nacogdoches Memorial Hospital is 1801831748.
Nacogdoches Memorial Hospital is affiliated with Community Hospital Corporation.
Nacogdoches Memorial Hospital lists 24 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
240 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