Palestine, TX
1 of 5
CMS star rating
86
Beds
3,140
Inpatient discharges a year
$114.2M
Net patient revenue a year
Palestine Regional Medical Center is an 86-bed proprietary hospital in Palestine, TX.
The 24 services Palestine Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 788
$2,958 - $36,534
from 4 insurers · median $6,072
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$1,262 - $5,819
from 4 insurers · median $4,421
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,015 - $3,947
from 3 insurers · median $2,313
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74176
$1,790 - $4,733
from 4 insurers · median $3,759
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $2,077
from 3 insurers · median $1,221
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $7,081
from 4 insurers · median $4,949
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,790 - $2,667
from 4 insurers · median $1,843
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$89 - $720
from 3 insurers · median $609
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$885 - $9,344
from 4 insurers · median $3,346
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$885 - $9,344
from 4 insurers · median $3,352
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$468 - $3,276
from 4 insurers · median $1,969
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $4,069
from 4 insurers · median $3,759
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$798 - $4,028
from 4 insurers · median $2,340
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$387 - $3,968
from 4 insurers · median $3,204
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$11,574 - $21,727
from 2 insurers · median $16,651
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$2,015 - $3,947
from 3 insurers · median $2,313
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 470
$12,571 - $17,673
from 2 insurers · median $15,122
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 73721
$393 - $3,968
from 4 insurers · median $3,370
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$965 - $1,248
from 3 insurers · median $1,221
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$885 - $10,269
from 3 insurers · median $7,372
18 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Ultrasound
CPT 76705
$112 - $1,221
from 3 insurers · median $899
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$885 - $8,285
from 4 insurers · median $2,958
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,550 - $9,691
from 2 insurers · median $6,621
14 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93971
$1,219 - $1,248
from 3 insurers · median $1,221
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* | 24 | 1144% | 13 | 8 |
| Insurer B* | 20 | 1142% | 16 | 1 |
| Insurer C* | 14 | 872% | 4 | 1 |
| Insurer D* | 24 | 310% | 16 | 2 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 5 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 Palestine Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$114.2M net patient revenue
Ownership and leadership
Owned by Knight Health Holdings LLC
2900 S Loop 256, Palestine, TX 75801
9037315000
How Palestine Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 4 measures
1 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 6 measures
0 better, 6 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
60%
Lower than 86% 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)
1.05
Higher than 73% 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
136 min
Lower than 59% 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
56%
Lower than 71% 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 | 1 of 5 | |
| Death rates | Worse on 1 of 5 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | No different on 6 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 | 60% | 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) | 1.05 | 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 | 136 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 56% | 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 Palestine Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.41% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.13% 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 Palestine Regional Medical Center, 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 · 595 cases | 5.2 | 3.9 | 3.887 | Worse than 92% 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 · 34 cases | 8.8 | 8.5 | 8.703 | Worse than 58% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 88 cases | 15.6 | 11 | 10.52 | Worse than 98% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 152 cases | 16.9 | 15.2 | 14.69 | Worse than 75% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 35 cases | 29.7 | 11.6 | 12.01 | Worse than 99% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 781 cases | 0.49 | 0.51 | 0.52 | No Different Than the National Rate | Better than 53% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,104 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 · 1,084 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 · 104 cases | 2.31 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.06 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 107 cases | 3.82 | 3.4 | 3.337 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.234 | Number of Cases Too Small | ||
| 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 · 54 cases | 1.05 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 64% 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 · 96 cases | -3.4 | 1.25 | -1.323 | Better than 57% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 147 cases | 7.7 | 3.85 | 2.422 | Worse than 56% 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 · 604 cases | 13.4 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 72% 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 · 44 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 · 29 cases | 14.5 | 14.4 | 14.48 | Worse than 55% of US hospitals | |
| 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 · 89 cases | 19.8 | 19.8 | 19.85 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 136 cases | 21.2 | 21.3 | 21.26 | Better than 53% 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 · 239 cases | 17.7 | 17.2 | 17.32 | Worse than 67% 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 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 565 | 1,370 | 5,045 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.39 | 0.9835 | 5.124 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.481 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.789 | 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 | 1,579 | 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 | 1.074 | 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 | 0 | 0 | 1.82 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3671 | No Different than National Benchmark | The best result, shared by 24% 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 | 2 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.04 | 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 | 38 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.376 | 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 | 8,739 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.369 | 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 | 0.018 | 0.127 | 0.1195 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.775 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 8,007 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.778 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.36 | 0.279 | 0.2623 | No Different than National Benchmark | Worse 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 · 217 cases | 66 | 73 | 75.97 | Worse than 79% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 217 cases | 11 | 8 | 7.771 | Worse than 70% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 217 cases | 23 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 85 | 87 | 87.82 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 217 cases | 3 | 4 | 3.712 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 217 cases | 79 | 80 | 79.96 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 92 | 91 | 90.97 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 217 cases | 3 | 4 | 4.535 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 217 cases | 4 | 3 | 3.275 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 217 cases | 18 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 217 cases | 82 | 79 | 79.72 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 93 | 91 | 90.24 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 217 cases | 4 | 5 | 5.687 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 217 cases | 4 | 3 | 2.956 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 217 cases | 14 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 217 cases | 62 | 61 | 62.66 | Better than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 78 | 77 | 76.88 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 217 cases | 19 | 19 | 19.26 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 217 cases | 3 | 3 | 2.672 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 217 cases | 19 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 83 | 86 | 84.56 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 217 cases | 16 | 13 | 13.98 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 217 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 217 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 · 217 cases | 18 | 14 | 16.2 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 217 cases | 82 | 86 | 83.8 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 217 cases | 79 | 74 | 74.6 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 217 cases | 5 | 7 | 7.327 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 217 cases | 16 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 217 cases | 80 | 77 | 77.72 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 217 cases | 4 | 6 | 6.395 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 217 cases | 16 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 217 cases | 87 | 85 | 85.15 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 217 cases | 3 | 3 | 4.015 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 217 cases | 10 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 217 cases | 9 | 8 | 8.293 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 217 cases | 30 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 217 cases | 61 | 72 | 73.52 | Worse than 87% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 86 | 88 | 88.12 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 217 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 217 cases | 76 | 74 | 74.97 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 217 cases | 10 | 9 | 9.68 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 217 cases | 14 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 217 cases | 76 | 75 | 75.27 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 217 cases | 5 | 5 | 6.154 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 217 cases | 19 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 217 cases | 77 | 77 | 76.85 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 217 cases | 3 | 4 | 5 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 217 cases | 20 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 217 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 · 217 cases | 2 | 3 | 3.094 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 217 cases | 13 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 217 cases | 63 | 59 | 65.6 | Better than 62% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 217 cases | 10 | 9 | 7.774 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 217 cases | 27 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 83 | 82 | 84.26 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 217 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 · 217 cases | 9 | 5 | 6.017 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 217 cases | 60 | 71 | 72.87 | Worse than 86% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 217 cases | 83 | 87 | 87.21 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 217 cases | 31 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 217 cases | 3 | 4 | 3.694 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 217 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 · 217 cases | 29 | 30 | 29.64 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 217 cases | 22 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 217 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 · 217 cases | 14 | 12 | 12.55 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 217 cases | 86 | 88 | 87.45 | Worse than 63% 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 | 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 | 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 · 768 cases | 69 | 79 | 72.24 | Worse than 65% 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 · 491 cases | 143 | 154 | 151 | Better than 59% 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 · 448 cases | 136 | 148 | 146 | Better than 59% 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 · 17 cases | 259 | 247 | 331 | Worse than 54% 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 · 26 cases | 388 | 293 | 279 | Worse than 81% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 30,325 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 16 cases | 50 | 74 | 69.2 | Worse than 85% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 97 cases | 97 | 97 | 90.54 | Better than 46% 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 · 614 cases | 16 | 15 | 13.94 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 89 cases | 56 | 65 | 66.54 | Worse than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 32 | 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 · 89 cases | 87 | 82 | 82.14 | Better than 69% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 56 cases | 98 | 94 | 92.38 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 28 cases | 89 | 98 | 93.64 | Worse than 94% 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 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,003 cases | 87 | 90 | 78.56 | Worse than 57% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 414 cases | 97 | 97 | 93.78 | Better than 45% of US hospitals |
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 | 17.8 | 5 | 7.719 | Worse than 98% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.7 | 6.6 | 6.859 | Worse than 51% 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 | 1.1 | 0.99 | 1.034 | Worse than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 25.32 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 6.413 | The worst result, shared by 11% 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 | 56 | 34 | 39.47 | Better than 82% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14 | 8.75 | 10.13 | Better than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 67.5 | 40 | 48.35 | Better than 88% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 16.88 | 10 | 12.26 | Better than 87% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.88 | 29.5 | 29.94 | Better than 55% 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 | 13.33 | 10 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 9.5 | 10 | 3.333 | 2.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 41 | Not Available | Not Available | 13 | 12 | 56 |
| VBP person and community engagement weighted domain score | 10.25 | Not Available | Not Available | 3.25 | 3 | 14 |
| VBP safety domain score | 100 | Not Available | Not Available | 36.67 | 93.33 | 67.5 |
| VBP safety weighted domain score | 25 | Not Available | Not Available | 9.167 | 23.33 | 16.88 |
| VBP total performance score | 44.75 | Not Available | Not Available | 14.92 | 26.33 | 30.88 |
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 | 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 · 33 cases | 1.087 | 0.9969 | 0.999 | Worse than 96% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 94 cases | 1.006 | 0.9983 | 1 | Worse than 55% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 149 cases | 1.02 | 0.9955 | 1.003 | Worse than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | 0.9878 | 0.976 | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9553 | 0.9901 | 1.022 | 1.09 | 1.103 | 1.087 |
| READM-30-HF-HRRP | 1.045 | 1.064 | 1.103 | 0.9978 | 0.9987 | 1.006 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.983 | 0.9134 | 0.9231 | 0.9191 | 0.961 | 1.02 |
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 | 0 | 0.489 | 0.4327 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.134 | 0.346 | 0.2562 | Better than 82% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.6118 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.045 | 0.9628 | 0.9684 | Worse than 73% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | -0.8306 | -0.0453 | -0.1734 | Better than 92% 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 | No | No | No |
| Total HAC score | -0.816 | -1.196 | 0 | 0.2751 | 0.1951 | -0.8306 |
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 2023)
Accreditation
Graduate
Medical school affiliation
Private (for profit)
Ownership type
71
Medicare-certified beds
184
Registered nurses (full-time equivalent)
1987
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Palestine Regional Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,140
Inpatient discharges
Medicare 18%, Medicaid 1%
26,766
Inpatient days
94% of available bed days used
506
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839337). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Palestine Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,897 | 151 | 24,718 | 26,766 |
| Discharges | 575 | 32 | 2,533 | 3,140 |
| Average length of stay | 3.3 days | 4.7 days | 9.8 days | 8.5 days |
| Average daily census | 5.2 | 0.4 | 67.7 | 73.3 |
2,901
Medicare Advantage days
823 discharges
2,111
Medicaid managed care days
403 discharges
2,087
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 68 | 24,587 | 1,554 | 99% |
| Intensive care unit | 10 | 1,445 | 343 | 40% |
| Nursery | 734 | |||
| Subprovider - irf | 8 | 1,153 | 803 | 39% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839337, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Palestine Regional Medical Center treats Medicare patients for most often, in 2024. 209 Medicare discharges in 9 published DRGs; 0% surgical; 81% 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 | 42 | $89,448 | $13,330 | $10,287 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $66,039 | $8,867 | $7,594 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 28 | $60,573 | $8,847 | $6,966 | 1.28 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $55,390 | $7,418 | $6,370 | 1.17 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 18 | $96,550 | $11,373 | $11,103 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $82,984 | $8,756 | $9,543 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $53,558 | $5,690 | $6,159 | 0.82 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $55,023 | $6,975 | $6,328 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $42,516 | $5,324 | $4,889 | 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) Palestine Regional Medical Center billed Medicare for most in 2024: 233 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 149 | 129 | $33,073 | $2,013 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 22 | 22 | $21,617 | $1,367 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 19 | 18 | $9,525 | $1,200 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 14 | $11,065 | $1,390 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 14 | 13 | $25,320 | $2,397 | $2,629 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $155,359 | $8,283 | $8,569 |
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 Palestine Regional Medical Center 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 1,313 in 2020 to 1,274 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75801 | 370 | 29% | 1,268 | $27.8M | 46% | 53% |
| 75803 | 341 | 27% | 1,153 | $25.5M | 37% | 45% |
| 75839 | 173 | 14% | 547 | $11.7M | 49% | 50% |
| 75844 | 83 | 7% | 257 | $6.1M | 30% | 40% |
| 75835 | 56 | 4% | 185 | $4.5M | 9% | 19% |
| 75855 | 56 | 4% | 201 | $4.6M | 41% | 48% |
| 75802 | 46 | 4% | 152 | $2.8M | 53% | 53% |
| 75861 | 41 | 3% | 147 | $3.5M | 47% | 53% |
| 75831 | 34 | 3% | 111 | $2.5M | 16% | 29% |
| 75763 | 25 | 2% | 155 | $2.4M | 5% | 7% |
| 75853 | 22 | 2% | 68 | $1.6M | 37% | |
| 75840 | 14 | 1% | 44 | $1.2M | 5% | 10% |
| 75779 | 13 | 1% | 46 | $1M | 48% |
Source: CMS Hospital Service Area file. Shares are of the 1,274 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 Palestine Regional Medical Center reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
6
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
19
Psychiatric unit beds
8
Rehabilitation unit beds
184
Registered nurses
21
Licensed practical nurses
12
Physicians
4
Nurse practitioners
3
Pharmacists
10
Respiratory therapists
3
Physical therapists
3
Occupational therapists
1
Speech pathologists and audiologists
10
Radiology technicians
1
Nuclear medicine technicians
6
Laboratory technicians
6
Medical technologists
6
Social workers
1
Psychologists
183
Other personnel
Source: CMS Provider of Services file.
120 clinicians who bill Medicare list Palestine Regional Medical Center 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.
Shail Dalal, MD
Hematology & Oncology Physician
NPI 1144241597
See commercial rates for Shail Dalal, MDChristina Sheely, D.O.
Orthopaedic Surgery Physician
NPI 1154379899
See commercial rates for Christina Sheely, D.O.Robert Pyle, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1821007253
See commercial rates for Robert Pyle, M.D.Binusha Moitheennazima, MD
Pulmonary Disease Physician
NPI 1760658330
See commercial rates for Binusha Moitheennazima, MDJennifer Symmank, MD
Family Medicine Physician
NPI 1396867511
See commercial rates for Jennifer Symmank, MDKelley Slate, FNP-C
Family Nurse Practitioner
NPI 1629601810
See commercial rates for Kelley Slate, FNP-CMichael Mcleod, M.D.
Family Medicine Physician
NPI 1104897750
See commercial rates for Michael Mcleod, M.D.Waleed Mahmoud, D.O.
Family Medicine Physician
NPI 1366447062
See commercial rates for Waleed Mahmoud, D.O.Relvert Coe, M.D.
Internal Medicine Physician
NPI 1215946637
See commercial rates for Relvert Coe, M.D.Eric Hensen, DO
Otolaryngology Physician
NPI 1891864666
See commercial rates for Eric Hensen, DOScott Wright, MD
Cardiovascular Disease Physician
NPI 1043200785
See commercial rates for Scott Wright, MDKenneth Kaminski, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1518136225
See commercial rates for Kenneth Kaminski, MDAhammed Hashim, M.D.
Pulmonary Disease Physician
NPI 1235134420
See commercial rates for Ahammed Hashim, M.D.Lauren Martinez, MD
Diagnostic Radiology Physician
NPI 1184043424
See commercial rates for Lauren Martinez, MDKyle Smith, MD
Interventional Cardiology Physician
NPI 1902817992
See commercial rates for Kyle Smith, MDSidney Chadwell, D.O.
Family Medicine Physician
NPI 1902827801
See commercial rates for Sidney Chadwell, D.O.Michael Gorby, M.D.
Internal Medicine Physician
NPI 1366446049
See commercial rates for Michael Gorby, M.D.Bryan Shaver, PA
Physician Assistant
NPI 1659826626
See commercial rates for Bryan Shaver, PAMarco Peterson, M.D., M.S.
Family Medicine Physician
NPI 1881058709
See commercial rates for Marco Peterson, M.D., M.S.Delaney French, MD
Family Medicine Physician
NPI 1861405417
See commercial rates for Delaney French, MDJohn Camp, MD
Orthopaedic Hand Surgery Physician
NPI 1467440628
See commercial rates for John Camp, MDSteven Johnson, DO
Orthopaedic Surgery Physician
NPI 1952580144
See commercial rates for Steven Johnson, DOJamie Bishop, FNP
Family Nurse Practitioner
NPI 1194264614
See commercial rates for Jamie Bishop, FNPGary Waddell, M.D.
Diagnostic Radiology Physician
NPI 1629029806
See commercial rates for Gary Waddell, 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 Palestine Regional Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $633M | 554.4% |
| Inpatient | $332.3M | 291.0% |
| Outpatient | $300.7M | 263.3% |
| Contractual allowances and discounts | -$518.8M | -454.4% |
| Net patient revenue | $114.2M | 100.0% |
| Operating expenses | -$105.1M | -92.1% |
| Operating income from patient care | $9.1M | 7.9% |
| Other income | $738,194 | 0.6% |
| Investment income | $8,112 | 0.0% |
| Other | $730,082 | 0.6% |
| Net income | $9.8M | 8.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $82.3M | 13.4% |
| Medicaid (including managed care) | $59.9M | 9.7% |
| Other payers and self-pay | $473.8M | 76.9% |
| Total charges | $616M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839337, 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 Palestine Regional Medical Center's latest cost report.
7.9%
Operating margin
Operating income from patient care / net patient revenue
8.5%
Total margin
Net income / net patient revenue plus other income
18.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.08
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
18.8%
Return on assets
Net income for a year / total assets
6.4%
Return on equity
Net income for a year / fund balance
-1.18
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.28
Current ratio
Current assets / current liabilities
0.22
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
55 days
Days in patient receivables
Net patient receivables / daily net patient revenue
283 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.21
Asset turnover
Total revenue for a year / total assets
7.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839337, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Palestine Regional Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $52M in total assets and a $154.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $486,474 | 0.9% |
| Patient receivables, net | $17.2M | 33.0% |
| Inventory | $2.3M | 4.4% |
| Total current assets | $22M | 42.2% |
| Property and equipment, net of depreciation | $29.9M | 57.4% |
| Investments and other assets | $188,926 | 0.4% |
| Total assets | $52M | 100.0% |
| Current liabilities | $79.3M | 152.4% |
| Long-term debt | -$181.4M | -348.5% |
| Total liabilities | -$102M | -196.1% |
| Fund balance (net assets) | $154.1M | 296.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839337, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Palestine Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$15.9M
Bad debt
Patient bills written off as uncollectible, at charges
-$1.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.5M
Total unreimbursed and uncompensated care
6.2% 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 839337, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Palestine Regional Medical Center'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 | $74.4M | $90.7M | $90.6M | $107.9M | $114.2M | |
| Operating expenses | $73.3M | $82.4M | $88.2M | $104.6M | $98M | $105.1M |
| Operating margin | 1.6% | 2.8% | -15.4% | 9.2% | 7.9% | |
| Net income | $7.8M | -$82.4M | $2.9M | -$13.1M | $10.1M | $9.8M |
| Total assets | $43.6M | $45.8M | $58.5M | $42.8M | $52M | |
| Discharges | 3,239 | 3,153 | 2,704 | 2,469 | 2,569 | 3,140 |
| Inpatient days | 18,256 | 23,081 | 22,161 | 22,134 | 23,615 | 26,766 |
| Medicare Advantage days | 2,112 | 2,607 | 2,133 | 2,122 | 2,623 | 2,901 |
| Beds | 156 | 156 | 156 | 156 | 86 | 86 |
| Employees (FTE) | 416 | 428 | 956 | 463 | 485 | 506 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839337, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Palestine Regional Medical Center 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 | $982,422 | $6.2M | $15.1M | 0.41 | 28,665 |
| Ambulance services | $3M | $5.7M | $6.9M | 0.82 | |
| Medical supplies charged to patient | $141,956 | $5M | $12.7M | 0.40 | |
| Emergency | $3.1M | $4.9M | $87.7M | 0.06 | 7,164 |
| Drugs charged to patients | $4.7M | $85.4M | 0.06 | ||
| Radiology-diagnostic | $1.1M | $4M | $27.8M | 0.14 | 11,272 |
| Delivery room & labor room | $1.1M | $2.9M | $12.8M | 0.23 | 10,016 |
| Laboratory | $1.1M | $2.7M | $93.8M | 0.03 | 3,476 |
| Physical therapy | $865,889 | $2.4M | $6.7M | 0.36 | 9,108 |
| Electrocardiology | $779,994 | $1.9M | $23.1M | 0.08 | 5,573 |
| Observation beds (non-distinct part | $1.8M | $18.8M | 0.10 | ||
| Respiratory therapy | $1M | $1.6M | $14.6M | 0.11 | 313 |
| Impl. dev. charged to patients | $1.5M | $19.2M | 0.08 | ||
| Occupational therapy | $348,046 | $1.1M | $3.6M | 0.31 | 5,189 |
| Clinic | $954,923 | $2.6M | 0.37 | 4,223 | |
| Ct scan | $168,539 | $757,974 | $70.8M | 0.01 | 1,850 |
| Recovery room | $249,515 | $732,040 | $5.4M | 0.14 | 2,972 |
| Mri | $127,889 | $522,644 | $9M | 0.06 | 2,377 |
| Radioisotope | $15,379 | $326,243 | $3.1M | 0.11 | 744 |
| Renal dialysis | $152,151 | $286,876 | $1.7M | 0.17 | |
| Speech pathology | $159,414 | $243,240 | $773,308 | 0.31 | |
| Blood storing processing & trans. | $49,656 | $176,421 | $1.3M | 0.13 | |
| Anesthesiology | $40,007 | $11.3M | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $9.4M | $23.6M | $65.9M | 0.36 | 59,181 |
| Intensive care unit | $1.3M | $2.8M | $7.6M | 0.37 | 4,750 |
| Subprovider - irf | $890,614 | $1.7M | $5.1M | 0.34 | |
| Nursery | $234,133 | $3.3M | 0.07 | 1,831 | |
| Subprovider - ipf | $71 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.1M | $17.4M | 126,750 | $39.11 | 18,747 |
| Cap rel costs-bldg & fixt | $11.3M | 311,309 | |||
| Operation of plant | $558,039 | $3.6M | 21,392 | $26.09 | 80,010 |
| Housekeeping | $3.1M | 2,175 | |||
| Employee benefits department | $348,261 | $1.7M | 7,552 | $46.12 | 529 |
| Cap rel costs-mvble equip | $1.5M | ||||
| Pharmacy | $948,886 | $1.4M | 22,816 | $41.59 | 2,436 |
| Nursing administration | $576,775 | $860,946 | 11,137 | $66.21 | 410 |
| Medical records & library | $201,561 | $515,947 | 9,179 | $21.96 | 7,457 |
| Laundry & linen service | $165,723 | 2,800 | |||
| Dietary | $159,861 | 9,088 | |||
| Cafeteria | $42,113 | 2,808 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839337, 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 Palestine Regional Medical Center for an inpatient stay.
1.35
Case mix index
Higher than 14% 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).
20.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
536
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 | 1.30 | 1.29 | 1.60 | 1.58 | 1.45 | 1.38 | 1.35 |
| Wage index | 0.837 | 0.835 | 0.838 | 0.876 | 0.914 | 0.972 | 0.991 |
| Readmissions adjustment | -0.13% | -0.24% | -0.35% | -0.54% | -0.20% | -0.19% | -0.41% |
| Value-based purchasing adjustment | +0.14% | +0.87% | +0.87% | -0.42% | -0.58% | +0.36% | +0.13% |
| Medicare inpatient stays | 964 | 964 | 844 | 587 | 575 | 523 | 536 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Palestine Regional Medical Center reports to Medicare as owners or with operational control.
Knight Health Holdings LLC
5% or greater indirect ownership interest, 100%, since 2021
Knight Health II, LLC
5% or greater indirect ownership interest, 100%, since 2021
Kindred Healthcare Operating LLC
Operational/managerial control, since 2021
Knight Healthcare New-b, LLC
5% or greater direct ownership interest, since 2021
Palestine-principal G P Inc
General partnership interest, since 2005
Sources: CMS Hospital All Owners.
The officers and board members on Palestine Regional Medical Center'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.
Palestine regional rehabilitation
CCN 45T747, certified 2011, Medicare prospective payment
Source: Worksheet S-2 Part I of Palestine Regional Medical Center's latest Medicare cost report (HCRIS).
About Palestine Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Palestine Regional Medical Center range from $792 to $7,081 across 4 insurers. Blue Cross Blue Shield's rate is $4,078. The median at nearby comparable hospitals is $898. 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 Palestine Regional Medical Center range from $1,262 to $5,819 across 4 insurers. Aetna's rate is $4,764. The median at nearby comparable hospitals is $481. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Palestine Regional Medical Center range from $885 to $9,344 across 4 insurers. Cigna's rate is $9,344. The median at nearby comparable hospitals is $2,015. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Palestine Regional Medical Center range from $2,958 to $36,534 across 4 insurers. UnitedHealthcare's rate is $6,899. 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 Palestine Regional Medical Center range from $12,571 to $17,673 across 2 insurers. UnitedHealthcare's rate is $17,673. The median at nearby comparable hospitals is $21,665. What a patient pays depends on their plan's deductible, coinsurance and network status.
Palestine Regional Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at Palestine Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Palestine Regional Medical Center's base inpatient payments by an estimated 0.41% 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 (42 discharges), simple pneumonia and pleurisy with mcc (40 discharges), heart failure and shock with mcc (28 discharges).
Palestine Regional Medical Center's Medicare case mix index is 1.35 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.
Palestine Regional Medical Center reported 3,140 inpatient discharges and 26,766 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Palestine Regional Medical Center reported 506 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Palestine Regional Medical Center reported $114.2M in net patient revenue on $633M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 7.9%, and net income of $9.8M.
Palestine Regional Medical Center reported $6.5M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.5M of charity care at cost.
Palestine Regional Medical Center's Medicare enrollment lists Russell Pigg as President since 2025.
120 clinicians who bill Medicare list Palestine Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (17), family medicine physician (15), certified registered nurse anesthetist (10).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Palestine Regional Medical Center, effective 2023.
In its Medicare enrollment, Palestine Regional Medical Center reports Knight Health Holdings LLC as 5% or greater indirect ownership interest (100%).
CMS lists 39 services at Palestine Regional Medical Center, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Palestine Regional Medical Center came from ZIP codes 75801 (370), 75803 (341), 75839 (173).
Palestine Regional Medical Center has 86 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 71 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Palestine Regional Medical Center is located at 2900 S Loop 256, Palestine, TX 75801. Its main phone number is 9037315000.
Palestine Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450747.
The National Provider Identifier (NPI) on file for Palestine Regional Medical Center is 1326113762.
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