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North Texas Medical Center

SSM Health

North Texas Medical Center is a 60-bed government - hospital district or authority hospital in Gainesville, TX, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 335 disclosed rate categories.

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Hospital Overview
Facility Details

CCN

450090

NPI

1972071991

Type

Short Term Acute Care Hospital

Ownership

Government - Hospital District Or Authority

Beds

60

Care Quality

5

Contact Information

Address

1900 Hospital Boulevard

Gainesville, TX 76240

Phone

(940) 612-8600

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)

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Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Outpatient

CPT

Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

Aetna

Outpatient

CPT

Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Drugs Administered Other than Oral Method

Range: J0120 - J8999

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Outpatient PPS

Range: C1713 - C9899

Percentage of Bill Charged

Showing 1 - 10 of 335

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