Community Health Systems · Corsicana, TX
2 of 5
CMS star rating
47
Beds
2,678
Inpatient discharges a year
$107M
Net patient revenue a year
33
In-network payers
Navarro Regional Hospital is a 47-bed government - hospital district or authority hospital in Corsicana, TX, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 209 disclosed rate categories.
The 24 services Navarro Regional 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
$5,747 - $9,894
from 3 insurers · median $9,894
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,189 - $12,906
from 3 insurers · median $12,906
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 obstetrics / child birth services to CMS
Ear, nose and throat
CPT 30520
$998 - $23,567
from 3 insurers · median $22,107
11 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$23,175 - $31,241
from 3 insurers · median $23,176
17 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$330 - $6,434
from 2 insurers · median $3,382
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,747 - $9,894
from 3 insurers · median $9,894
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 obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$41,478 - $52,648
from 3 insurers · median $41,478
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 47562
$2,400 - $22,609
from 4 insurers · median $13,681
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$213 - $4,447
from 3 insurers · median $2,823
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$2,400 - $33,651
from 4 insurers · median $29,035
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$28,600 - $28,763
from 3 insurers · median $28,600
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$961 - $9,829
from 4 insurers · median $2,450
103 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 43239
$550 - $10,778
from 4 insurers · median $2,929
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$912 - $2,125
from 4 insurers · median $1,833
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$213 - $1,377
from 4 insurers · median $607
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$58 - $588
from 4 insurers · median $457
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,295 - $21,357
from 3 insurers · median $21,357
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,800 - $39,178
from 4 insurers · median $7,347
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$372 - $2,421
from 2 insurers · median $1,397
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$681 - $9,827
from 4 insurers · median $2,311
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$467 - $6,228
from 4 insurers · median $5,211
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$587 - $3,689
from 4 insurers · median $2,144
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$237 - $489
from 4 insurers · median $336
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$387 - $2,356
from 4 insurers · median $2,216
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* | 23 | 634% | 10 | 4 |
| Insurer B* | 21 | 511% | 13 | 5 |
| Insurer C* | 15 | 288% | 10 | 4 |
| Insurer D* | 24 | 70% | 3 | 18 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Navarro Regional 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
$107M net patient revenue
Ownership and leadership
Owned by CHS Community Health Systems Inc
The employer identification numbers (EINs) health plans and networks list for Navarro Regional 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 |
|---|---|---|
| 62-1762428Navarro Regional Hospital | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1144274226 Navarro Hospital LP1831640747 Navarro Hospital LP1114370632 Navarro Hospital LPand 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.
3201 West State Highway 22, Corsicana, TX 75110
(903) 654-6800
How Navarro Regional 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
No different on 7 measures
0 better, 7 no different, 0 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
53%
Lower than 96% 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)
0.91
Lower than 69% 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
175 min
Higher than 68% 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
64%
Lower than 52% 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 | No different on 7 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 | 53% | 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) | 0.91 | 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 | 175 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 64% | 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 Navarro Regional Hospital's inpatient payments for its readmissions, quality and cost results.
-1.21% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-1.09% 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 Navarro Regional 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 | Navarro Regional 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 · 550 cases | 3.7 | 3.9 | 3.887 | Better than 62% 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 · 25 cases | 8.1 | 8.5 | 8.703 | Better than 59% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 86 cases | 13.4 | 11 | 10.52 | Worse than 88% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 157 cases | 15.3 | 15.2 | 14.69 | Worse than 51% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 50 cases | 17.9 | 11.6 | 12.01 | Worse than 96% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 832 cases | 0.45 | 0.51 | 0.52 | No Different Than the National Rate | Better than 59% 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 · 1,147 cases | 0.2 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,125 cases | 0.26 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 128 cases | 2.3 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 49 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 · 50 cases | 8.78 | 8.88 | 10.06 | No Different Than the National Rate | Better than 53% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 130 cases | 3.32 | 3.4 | 3.337 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 43 cases | 5.11 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.771 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 65 cases | 1.04 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Navarro Regional 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 · 112 cases | 14 | 1.25 | -1.323 | Worse than 67% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 161 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 · 550 cases | 13.5 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 45 cases | 1 | 1 | 1.017 | No Different than expected | Worse than 32% 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 · 66 cases | 21.4 | 19.8 | 19.85 | Worse than 93% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 147 cases | 24.1 | 21.3 | 21.26 | Worse than 97% 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 · 231 cases | 17.5 | 17.2 | 17.32 | Worse than 60% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Navarro Regional 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 | 2.92 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,149 | 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 | 1.026 | 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 | 0.144 | 0.138 | 0.1526 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.847 | 1.392 | 1.474 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,368 | 1,799 | 4,197 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.321 | 1.377 | 5.155 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.82 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.862 | 0.399 | 0.3671 | No Different than National Benchmark | Worse than 84% of US hospitals |
| 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 | 24 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.579 | 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 | 28 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.218 | 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 | 8,213 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.475 | 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 | Not Available | 0.1195 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.127 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 7,246 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.658 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2623 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Navarro Regional Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 213 cases | 71 | 73 | 75.97 | Worse than 58% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 213 cases | 13 | 8 | 7.771 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 213 cases | 16 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 84 | 87 | 87.82 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 213 cases | 3 | 4 | 3.712 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 213 cases | 78 | 80 | 79.96 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 90 | 91 | 90.97 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 213 cases | 6 | 4 | 4.535 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 213 cases | 3 | 3 | 3.275 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 213 cases | 16 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 213 cases | 79 | 79 | 79.72 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 90 | 91 | 90.24 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 213 cases | 7 | 5 | 5.687 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 213 cases | 3 | 3 | 2.956 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 213 cases | 14 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 213 cases | 61 | 61 | 62.66 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 76 | 77 | 76.88 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 213 cases | 21 | 19 | 19.26 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 213 cases | 2 | 3 | 2.672 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 213 cases | 18 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 84 | 86 | 84.56 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 213 cases | 16 | 13 | 13.98 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 213 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 213 cases | 84 | 87 | 86.02 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 213 cases | 19 | 14 | 16.2 | Worse than 80% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 213 cases | 81 | 86 | 83.8 | Worse than 80% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 213 cases | 75 | 74 | 74.6 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 213 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 · 213 cases | 17 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 213 cases | 76 | 77 | 77.72 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 213 cases | 7 | 6 | 6.395 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 213 cases | 17 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 213 cases | 86 | 85 | 85.15 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 213 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 · 213 cases | 9 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 213 cases | 14 | 8 | 8.293 | Worse than 89% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 213 cases | 25 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 213 cases | 61 | 72 | 73.52 | Worse than 87% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 84 | 88 | 88.12 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 213 cases | 2 | 3 | 3.319 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 213 cases | 72 | 74 | 74.97 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 213 cases | 12 | 9 | 9.68 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 213 cases | 16 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 213 cases | 72 | 75 | 75.27 | Worse than 67% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 213 cases | 9 | 5 | 6.154 | Worse than 86% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 213 cases | 19 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 213 cases | 77 | 77 | 76.85 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 213 cases | 4 | 4 | 5 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 213 cases | 19 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 213 cases | 85 | 86 | 85.92 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 213 cases | 4 | 3 | 3.094 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 213 cases | 11 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 213 cases | 60 | 59 | 65.6 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 213 cases | 11 | 9 | 7.774 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 213 cases | 29 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 82 | 82 | 84.26 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 213 cases | 3 | 3 | 3.821 | Worse than 44% 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 · 213 cases | 9 | 5 | 6.017 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 213 cases | 53 | 71 | 72.87 | Worse than 96% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 213 cases | 80 | 87 | 87.21 | Worse than 92% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 213 cases | 38 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 213 cases | 2 | 4 | 3.694 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 213 cases | 49 | 47 | 49.46 | Better than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 213 cases | 31 | 30 | 29.64 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 213 cases | 20 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 213 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 · 213 cases | 13 | 12 | 12.55 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 213 cases | 87 | 88 | 87.45 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Navarro Regional Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 638 cases | 2 | 1 | 1.192 | Worse than 72% of US hospitals | |
| 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 · 511 cases | 63 | 79 | 72.24 | Worse than 74% of US hospitals | |
| 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 · 409 cases | 182 | 154 | 151 | Worse than 68% 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 · 379 cases | 175 | 148 | 146 | Worse than 68% 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 | Not Available | 331 | |||
| 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 · 24 cases | 373 | 293 | 279 | Worse than 78% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 21,846 cases | 3 | 1 | 1.372 | Worse than 78% 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 · 63 cases | 84 | 97 | 90.54 | Worse than 87% 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 · 458 cases | 14 | 15 | 13.94 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 159 cases | 64 | 65 | 66.54 | Worse than 52% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 39 cases | 51 | 73 | 71.35 | Worse than 89% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 79 | 88 | 89.11 | Worse than 75% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 159 cases | 82 | 82 | 82.14 | Better than 48% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 108 cases | 94 | 94 | 92.38 | Worse than 49% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 36 cases | 92 | 98 | 93.64 | Worse than 89% of US hospitals | |
| 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 · 28 cases | 100 | 94 | 92.48 | The best result, shared by 6% of US hospitals | |
| 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 | Navarro Regional Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.3 | 5 | 7.719 | Worse than 72% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.2 | 6.6 | 6.859 | Worse than 58% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Navarro Regional 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 | 1.02 | 0.99 | 1.034 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Navarro Regional Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 15 | 20 | 25.32 | Worse than 59% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.75 | 5 | 6.413 | Worse than 60% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 18 | 34 | 39.47 | Worse than 83% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.5 | 8.75 | 10.13 | Worse than 83% of US hospitals | |
| VBP safety domain scoreFY 2026 | 20 | 40 | 48.35 | Worse than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5 | 10 | 12.26 | Worse than 85% of US hospitals | |
| VBP total performance scoreFY 2026 | 13.25 | 29.5 | 29.94 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 38 | 40 | 26.67 | 7.5 | 6.667 | 15 |
| VBP clinical outcomes weighted domain score | 12.67 | 10 | 6.667 | 1.875 | 1.667 | 3.75 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 10 | 10 | 30 | 0 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 2.5 | 2.5 | 7.5 | 0 |
| VBP person and community engagement domain score | 30 | Not Available | Not Available | 18 | 9 | 18 |
| VBP person and community engagement weighted domain score | 10 | Not Available | Not Available | 4.5 | 2.25 | 4.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | 70 | 50 | 20 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 17.5 | 12.5 | 5 |
| VBP total performance score | 32.67 | Not Available | Not Available | 26.38 | 23.92 | 13.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Navarro Regional Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.005 | 0.9969 | 0.999 | Worse than 57% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 124 cases | 0.9832 | 0.9983 | 1 | Better than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.098 | 0.9916 | 1.006 | Worse than 76% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 154 cases | 1.097 | 0.9955 | 1.003 | Worse than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9816 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9609 | 0.9496 | 0.9772 | N/A | N/A | 1.005 |
| READM-30-HF-HRRP | 0.9351 | 0.9145 | 0.9302 | 0.9277 | 0.9316 | 0.9832 |
| READM-30-HIP-KNEE-HRRP | 0.9116 | 0.9551 | 0.9387 | 0.9015 | 1.018 | 1.098 |
| READM-30-PN-HRRP | 0.948 | 0.9897 | 1.017 | 1.019 | 1.058 | 1.097 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Navarro Regional Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.274 | 0.489 | 0.4327 | Better than 72% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.845 | 0.346 | 0.2562 | Worse than 92% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.5596 | The best result, shared by 14% 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 | 0.9137 | 0.9628 | 0.9684 | Better than 69% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.409 | 0.7945 | 0.7483 | Worse than 83% of US hospitals | |
| Total HAC scoreFY 2026 | 0.036 | -0.0453 | -0.1734 | Worse than 55% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | No | No | No |
| Total HAC score | 0.7619 | -1.218 | 0 | -0.5031 | 0.1028 | 0.036 |
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 2021)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
147
Medicare-certified beds
65
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Navarro Regional Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,678
Inpatient discharges
Medicare 21%, Medicaid 18%
9,475
Inpatient days
55% of available bed days used
328
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838558). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Navarro Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,003 | 860 | 6,612 | 9,475 |
| Discharges | 559 | 474 | 1,645 | 2,678 |
| Average length of stay | 3.6 days | 1.8 days | 4.0 days | 3.5 days |
| Average daily census | 5.5 | 2.4 | 18.1 | 26.0 |
2,973
Medicare Advantage days
711 discharges
1,236
Medicaid managed care days
753
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 38 | 7,306 | 1,645 | 53% |
| Intensive care unit | 9 | 1,409 | 358 | 43% |
| Nursery | 760 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838558, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Navarro Regional Hospital treats Medicare patients for most often, in 2024. 261 Medicare discharges in 8 published DRGs; 0% surgical; 90% 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 | 119 | $107,931 | $15,236 | $13,815 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 41 | $73,361 | $10,346 | $9,390 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $86,841 | $12,923 | $11,116 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $80,973 | $10,885 | $10,364 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $55,693 | $9,373 | $7,129 | 1.17 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $64,756 | $8,098 | $8,289 | 1.03 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $63,452 | $8,947 | $8,122 | 1.10 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $53,429 | $6,650 | $6,839 | 0.81 |
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) Navarro Regional Hospital billed Medicare for most in 2024: 244 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 103 | 65 | $16,894 | $1,630 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 53 | 51 | $37,418 | $1,922 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 24 | 24 | $32,264 | $2,285 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 16 | 16 | $10,275 | $1,162 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 14 | 14 | $64,271 | $2,108 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $44,266 | $4,137 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 11 | 11 | $63,166 | $5,112 | $5,339 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $29,225 | $2,303 | $2,217 |
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 Navarro Regional 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 945 in 2020 to 1,124 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75110 | 734 | 65% | 2,808 | $72.7M | 48% | 55% |
| 75109 | 88 | 8% | 388 | $10.1M | 56% | 60% |
| 75144 | 65 | 6% | 271 | $6.7M | 37% | 35% |
| 76639 | 44 | 4% | 156 | $4.3M | 48% | 37% |
| 76641 | 38 | 3% | 146 | $3.4M | 51% | 31% |
| 76679 | 35 | 3% | 157 | $4.1M | 51% | 100% |
| 75102 | 27 | 2% | 78 | $2.6M | 59% | 100% |
| 75151 | 22 | 2% | 75 | $1.8M | 100% | 100% |
| 75859 | 21 | 2% | 117 | $3.3M | 31% | 31% |
| 75155 | 20 | 2% | 75 | $2M | 40% | 50% |
| 76626 | 18 | 2% | 69 | $1.5M | 53% | 49% |
| 76681 | 12 | 1% | 58 | $1.8M | 100% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 1,124 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 Navarro Regional Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
7
Operating rooms
3
Endoscopy rooms
30
Rehabilitation unit beds
3
Off-site locations
65
Registered nurses
19
Licensed practical nurses
11
Physicians
4
Nurse practitioners
2
Physician assistants
2
Pharmacists
9
Respiratory therapists
1
Physical therapists
8
Radiology technicians
4
Laboratory technicians
4
Medical technologists
221
Other personnel
Source: CMS Provider of Services file.
123 clinicians who bill Medicare list Navarro Regional 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.
David Leifer, M.D.
Diagnostic Radiology Physician
NPI 1386627958
See commercial rates for David Leifer, M.D.Ashwani Agarwal, M.D.
Hematology & Oncology Physician
NPI 1801837497
See commercial rates for Ashwani Agarwal, M.D.Jake Hutto
Rheumatology Physician
NPI 1154783843
See commercial rates for Jake HuttoOladimeji Sorunke, PA
Physician Assistant
NPI 1538182936
See commercial rates for Oladimeji Sorunke, PASteven Koerth, M.D.
Family Medicine Physician
NPI 1124023130
See commercial rates for Steven Koerth, M.D.Amir Khan, MD
Pulmonary Disease Physician
NPI 1467680868
See commercial rates for Amir Khan, MDKoti Reynolds, APRN, FNP-C
Family Nurse Practitioner
NPI 1285333674
See commercial rates for Koti Reynolds, APRN, FNP-CWilliam Smith, M.D.
Diagnostic Radiology Physician
NPI 1063808392
See commercial rates for William Smith, M.D.Donald Willig, M.D.
Diagnostic Radiology Physician
NPI 1265409585
See commercial rates for Donald Willig, M.D.Deepa Amberker, M.D.
Nephrology Physician
NPI 1154685592
See commercial rates for Deepa Amberker, M.D.James Hall, M.D.
Internal Medicine Physician
NPI 1073533956
See commercial rates for James Hall, M.D.Davey Perrin, MD
Family Medicine Physician
NPI 1518057439
See commercial rates for Davey Perrin, MDJeffrey Petty, DPM
Podiatrist
NPI 1437163607
See commercial rates for Jeffrey Petty, DPMChristine Page, MD
Diagnostic Radiology Physician
NPI 1689623464
See commercial rates for Christine Page, MDJason Conrad, MD
Diagnostic Radiology Physician
NPI 1730383829
See commercial rates for Jason Conrad, MDJoseph Saucedo, DO
Family Medicine Physician
NPI 1164485140
See commercial rates for Joseph Saucedo, DOGeorges Feghali, MD
Cardiovascular Disease Physician
NPI 1194744011
See commercial rates for Georges Feghali, MDOswald Binford, MD
Ophthalmology Physician
NPI 1760455315
See commercial rates for Oswald Binford, MDLee Chen, M.D.
Diagnostic Radiology Physician
NPI 1295051159
See commercial rates for Lee Chen, M.D.Thomas Bright, M.D.
Urology Physician
NPI 1811937378
See commercial rates for Thomas Bright, M.D.Marcus Roux, M.D.
Orthopaedic Surgery Physician
NPI 1700820743
See commercial rates for Marcus Roux, M.D.Larry Jinks, MD
Internal Medicine Physician
NPI 1750485306
See commercial rates for Larry Jinks, MDJustin Ramirez, MD
Diagnostic Radiology Physician
NPI 1194169847
See commercial rates for Justin Ramirez, MDTimothy Sullivan, M.D.
Diagnostic Radiology Physician
NPI 1821058595
See commercial rates for Timothy Sullivan, 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 Navarro Regional Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $650.4M | 607.9% |
| Inpatient | $253.9M | 237.3% |
| Outpatient | $396.5M | 370.6% |
| Contractual allowances and discounts | -$543.4M | -507.9% |
| Net patient revenue | $107M | 100.0% |
| Operating expenses | -$88.4M | -82.7% |
| Operating income from patient care | $18.6M | 17.3% |
| Other income | $561,310 | 0.5% |
| Net income | $19.1M | 17.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $88.4M | 14.2% |
| Medicaid (including managed care) | $75.1M | 12.1% |
| Other payers and self-pay | $458.2M | 73.7% |
| Total charges | $621.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838558, 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 Navarro Regional Hospital's latest cost report.
17.3%
Operating margin
Operating income from patient care / net patient revenue
17.8%
Total margin
Net income / net patient revenue plus other income
19.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$47.98
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
63.8%
Return on assets
Net income for a year / total assets
14.6%
Return on equity
Net income for a year / fund balance
0.06
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
-0.20
Current ratio
Current assets / current liabilities
-0.18
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
65 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-463 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
3.59
Asset turnover
Total revenue for a year / total assets
14.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838558, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Navarro Regional Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $30M in total assets and a $131.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$7,444 | -0.0% |
| Patient receivables, net | $19.2M | 64.0% |
| Inventory | $1.9M | 6.2% |
| Total current assets | $21.6M | 72.0% |
| Property and equipment, net of depreciation | $16.2M | 54.1% |
| Investments and other assets | -$7.8M | -26.1% |
| Total assets | $30M | 100.0% |
| Current liabilities | -$108.7M | -362.9% |
| Long-term debt | $7.3M | 24.2% |
| Total liabilities | -$101.4M | -338.7% |
| Fund balance (net assets) | $131.4M | 438.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838558, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Navarro Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$5.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$13.6M
Bad debt
Patient bills written off as uncollectible, at charges
-$8.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$42,772
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$249,467
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$7.5M
Total unreimbursed and uncompensated care
8.4% 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 838558, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Navarro Regional Hospital'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 | $71M | $88.4M | $89.4M | $85.2M | $98.5M | $107M |
| Operating expenses | $63.6M | $71.5M | $77.1M | $75.2M | $81.9M | $88.4M |
| Operating margin | 10.3% | 19.1% | 13.7% | 11.7% | 16.9% | 17.3% |
| Net income | $8.3M | $24.4M | $12.5M | $10.6M | $17.1M | $19.1M |
| Total assets | $24.5M | $40M | $44.2M | $38.8M | $46.7M | $30M |
| Discharges | 2,073 | 2,097 | 2,051 | 2,257 | 2,437 | 2,678 |
| Inpatient days | 8,578 | 10,733 | 7,642 | 7,846 | 8,582 | 9,475 |
| Medicare Advantage days | 1,415 | 2,460 | 1,867 | 2,150 | 2,220 | 2,973 |
| Beds | 49 | 49 | 49 | 47 | 48 | 47 |
| Employees (FTE) | 300 | 311 | 323 | 325 | 325 | 328 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838558, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Navarro Regional 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 |
|---|---|---|---|---|---|
| Emergency | $1.9M | $6.8M | $69.4M | 0.10 | 11,100 |
| Radiology-diagnostic | $779,250 | $5.5M | $20.5M | 0.27 | 4,662 |
| Laboratory | $1.2M | $5.1M | $127.5M | 0.04 | 4,526 |
| Operating room | $795,384 | $5M | $35.9M | 0.14 | 12,800 |
| Rural health clinic | $1.3M | $3.9M | $5.9M | 0.65 | 5,155 |
| Rural health clinic ii | $1.3M | $3.6M | $4.2M | 0.86 | 7,267 |
| Delivery room & labor room | $1M | $3.1M | $5.1M | 0.61 | 8,000 |
| Drugs charged to patients | $3M | $60.5M | 0.05 | ||
| Recovery room | $732,292 | $2.1M | $9.9M | 0.22 | 4,500 |
| Medical supplies charged to patient | $2.1M | $13.8M | 0.15 | ||
| Cardiac catheterization | $519,263 | $1.9M | $29.3M | 0.06 | 4,800 |
| Respiratory therapy | $714,468 | $1.7M | $6.7M | 0.26 | 2,600 |
| Impl. dev. charged to patients | $1.5M | $10.9M | 0.14 | ||
| Ct scan | $437,604 | $1.2M | $97.3M | 0.01 | 252 |
| Observation beds (non-distinct part | $1.1M | $5.4M | 0.21 | ||
| Physical therapy | $407,783 | $1.1M | $5.4M | 0.20 | 3,963 |
| Anesthesiology | $374,769 | $1M | $22.7M | 0.04 | 500 |
| Ultrasound | $359,638 | $731,621 | $4.9M | 0.15 | 189 |
| Electrocardiology | $148,282 | $518,809 | $16M | 0.03 | 2,100 |
| Renal dialysis | $154,610 | $454,486 | $997,799 | 0.46 | 1,000 |
| Radioisotope | $171,516 | $428,314 | $5.2M | 0.08 | 378 |
| Whole blood & packed red blood cell | $374,484 | $2.1M | 0.18 | 74 | |
| Mri | $117,632 | $311,446 | $4M | 0.08 | 819 |
| Speech pathology | $69,098 | $324,812 | 0.21 | 237 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.4M | $12.1M | $39.3M | 0.31 | 31,922 |
| Intensive care unit | $976,024 | $3.6M | $16.1M | 0.23 | 5,400 |
| Nursery | $754,400 | $2.4M | 0.32 | 1,918 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.3M | $23M | 70,821 | $44.31 | 10,000 |
| Employee benefits department | $141,403 | $4.1M | 2,870 | $49.27 | 340 |
| Operation of plant | $445,634 | $3.3M | 12,831 | $34.73 | 43,205 |
| Nursing administration | $1.5M | $1.9M | 34,739 | $48.18 | 6,486 |
| Cap rel costs-mvble equip | $1.6M | ||||
| Housekeeping | $1.2M | 1,800 | |||
| Cap rel costs-bldg & fixt | $973,707 | 197,107 | |||
| Central services & supply | $205,960 | $938,212 | 9,804 | $21.01 | 6,885 |
| Medical records & library | $380,108 | $850,630 | 13,388 | $28.39 | 3,250 |
| Dietary | $553,928 | 3,700 | |||
| Pharmacy | $385,140 | $456,316 | 7,469 | $51.57 | 1,400 |
| Cafeteria | $301,817 | 3,200 | |||
| Social service | $240,828 | $296,659 | 4,980 | $48.36 | 1,109 |
| Laundry & linen service | $202,958 | 800 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838558, 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 Navarro Regional Hospital for an inpatient stay.
1.53
Case mix index
Higher than 31% 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).
40.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
515
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 | 1.54 | 1.54 | 1.74 | 1.77 | 1.46 | 1.47 | 1.53 |
| Wage index | 0.949 | 0.955 | 0.953 | 0.933 | 0.936 | 0.972 | 0.991 |
| Readmissions adjustment | -0.03% | 0.00% | 0.00% | 0.00% | -0.15% | -0.52% | -1.21% |
| Value-based purchasing adjustment | -0.49% | +0.10% | +0.10% | -0.04% | +0.50% | +0.14% | -1.09% |
| Medicare inpatient stays | 760 | 760 | 637 | 527 | 538 | 644 | 515 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Navarro Regional Hospital reports to Medicare as owners or with operational control.
CHS Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2007
Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2007
Hma-tri Holdings LLC
5% or greater indirect ownership interest, 100%, since 2015
Tennyson Holdings LLC
5% or greater indirect ownership interest, 100%, since 2006
Triad Healthcare LLC
5% or greater indirect ownership interest, 100%, since 1999
Triad-navarro Regional Hospital Subsidiary, LLC
5% or greater direct ownership interest, 100%, since 1999
Nrh, LLC
Limited partnership interest, 99%, since 1998
Navarro Regional, LLC
General partnership interest, 1%, since 1998
Sources: CMS Hospital All Owners.
The officers and board members on Navarro Regional 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 10 of 12 are shown.
Accountable care organization (Medicare Shared Savings Program)
CHSPSC ACO 14, LLC
ACO A3724, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Navarro Regional Hospital's legal name.
Helipad
Navarro Rgnl Hospital
FAA location ID 25TE, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Navarro family clinic
CCN 673453, certified 2017, Medicare cost reimbursed
Navarro pediatrics
CCN 673456, certified 2017, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Navarro Regional Hospital's latest Medicare cost report (HCRIS).
About Navarro Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Navarro Regional Hospital range from $587 to $3,689 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,466. 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 Navarro Regional Hospital range from $330 to $6,434 across 2 insurers. Blue Cross Blue Shield's rate is $330. The median at nearby comparable hospitals is $1,077. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Navarro Regional Hospital range from $681 to $9,827 across 4 insurers. Cigna's rate is $9,827. The median at nearby comparable hospitals is $2,500. 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 Navarro Regional Hospital range from $5,747 to $9,894 across 3 insurers. Aetna's rate is $9,894. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Navarro Regional Hospital range from $58 to $588 across 4 insurers. UnitedHealthcare's rate is $428. The median at nearby comparable hospitals is $272. 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 Navarro Regional Hospital range from $23,175 to $31,241 across 3 insurers. Aetna's rate is $23,175. The median at nearby comparable hospitals is $35,168. What a patient pays depends on their plan's deductible, coinsurance and network status.
Navarro Regional 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 Navarro Regional Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Navarro Regional Hospital's base inpatient payments by an estimated 1.21% 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 (119 discharges), heart failure and shock with mcc (41 discharges), respiratory infections and inflammations with mcc (22 discharges).
Navarro Regional Hospital's Medicare case mix index is 1.53 for fiscal year 2027, higher than 31% of hospitals paid under the inpatient prospective payment system.
Navarro Regional Hospital reported 2,678 inpatient discharges and 9,475 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Navarro Regional Hospital reported 328 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Navarro Regional Hospital reported $107M in net patient revenue on $650.4M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 17.3%, and net income of $19.1M.
Navarro Regional Hospital reported $7.5M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $5.6M of charity care at cost.
Navarro Regional Hospital's Medicare enrollment lists Kevin J Hammons as President /board Member since 2012.
Insurers' price transparency files list Navarro Regional Hospital under employer identification number 62-1762428 (Navarro Regional Hospital). 56 health plans and networks list 62-1762428 for it.
123 clinicians who bill Medicare list Navarro Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (19), family medicine physician (16), certified registered nurse anesthetist (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Navarro Regional Hospital, effective 2021.
In its Medicare enrollment, Navarro Regional Hospital reports CHS Community Health Systems Inc as 5% or greater indirect ownership interest (100%).
CMS lists 33 services at Navarro Regional Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Navarro Regional Hospital came from ZIP codes 75110 (734), 75109 (88), 75144 (65).
Navarro Regional Hospital has 47 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 147 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Navarro Regional Hospital is located at 3201 West State Highway 22, Corsicana, TX 75110. Its main phone number is (903) 654-6800.
Navarro Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 450447.
The National Provider Identifier (NPI) on file for Navarro Regional Hospital is 1144274226.
Navarro Regional Hospital is affiliated with Community Health Systems.
Navarro Regional Hospital lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
209 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