Mineral Wells, TX
3 of 5
CMS star rating
48
Beds
1,289
Inpatient discharges a year
$33.4M
Net patient revenue a year
35
In-network payers
Palo Pinto General Hospital is a 48-bed government - hospital district or authority hospital in Mineral Wells, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 403 disclosed rate categories.
The 24 services Palo Pinto General 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
$2,719 - $3,049
from 2 insurers · median $2,884
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
$3,739 - $3,939
from 2 insurers · median $3,839
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
Medicine & Surgery · Inpatient
MS-DRG 470
$8,229 - $21,708
from 2 insurers · median $14,968
14 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$43,076 - $89,725
from 2 insurers · median $66,401
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$235 - $974
from 2 insurers · median $605
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$74 - $286
from 3 insurers · median $281
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$17,095 - $26,956
from 3 insurers · median $20,800
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$766 - $1,854
from 3 insurers · median $1,143
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,719 - $3,049
from 2 insurers · median $2,884
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
Digestive procedures
CPT 45380
$1,004 - $1,391
from 3 insurers · median $1,143
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,970 - $2,897
from 3 insurers · median $2,737
26 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$549 - $1,143
from 3 insurers · median $954
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$132 - $594
from 2 insurers · median $363
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$10,760 - $26,145
from 3 insurers · median $12,480
Hospital reports orthopedic surgery services to CMS
Orthopedics and pain
CPT 20610
$381 - $3,178
from 2 insurers · median $1,780
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,418 - $8,413
from 2 insurers · median $5,916
Typical for a hospital with this service line
MRI imaging
CPT 70553
$240 - $974
from 3 insurers · median $792
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$124 - $468
from 3 insurers · median $465
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$67 - $78
from 2 insurers · median $72
Common here, based on CMS Medicare volume
Urology
CPT 52000
$557 - $1,140
from 3 insurers · median $826
43 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$2,414 - $4,592
from 3 insurers · median $3,418
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$1,970 - $2,897
from 3 insurers · median $2,737
26 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 64721
$1,525 - $1,854
from 3 insurers · median $1,676
25 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$169 - $187
from 2 insurers · median $178
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* | 19 | 105% | 3 | 12 |
| Insurer B* | 23 | 82% | 0 | 20 |
| Insurer C* | 17 | 69% | 1 | 16 |
| Insurer D* | 2 | - | 0 | 1 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 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 Palo Pinto General Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$33.4M net patient revenue
Ownership and leadership
Owned by Palo Pinto County Hospital District
The employer identification numbers (EINs) health plans and networks list for Palo Pinto General Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 75-1256948Palo Pinto County Hospital District | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more | 1972590602 Palo Pinto County Hospital District1114326436 Palo Pinto County Hospital District1184609265 Palo Pinto County Hospital Districtand 31 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.
400 Sw 25th Avenue, Mineral Wells, TX 76067
(940) 325-7891
How Palo Pinto General Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 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 3 measures
0 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
67%
Lower than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
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 74% 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
92 min
Lower than 94% 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
54%
Lower than 74% 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 | 3 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 3 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 | 67% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | 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 | 92 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 54% | 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 Palo Pinto General Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.30% 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 Palo Pinto General 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 | Palo Pinto General 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 · 310 cases | 4.5 | 3.9 | 3.887 | Worse than 76% 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 · 39 cases | 9.4 | 8.5 | 8.703 | Worse than 73% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 33 cases | 9.7 | 11 | 10.52 | Better than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 43 cases | 13.6 | 15.2 | 14.69 | Better than 74% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 483 cases | 0.52 | 0.51 | 0.52 | No Different Than the National Rate | Worse than 51% 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 · 633 cases | 0.27 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 88% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 599 cases | 0.27 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 118 cases | 2.62 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 54 cases | 1.65 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 54 cases | 11.51 | 8.88 | 10.06 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 119 cases | 3.35 | 3.4 | 3.337 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 37 cases | 5.97 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 25 cases | 1.74 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 90 cases | 1.31 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 89% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Palo Pinto General 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 · 37 cases | -14.3 | 1.25 | -1.323 | Better than 71% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 41 cases | -4.2 | 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 · 186 cases | 12.3 | 12.9 | 13.1 | No Different Than the National Rate | Better than 83% 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 · 60 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 · 68 cases | 19.2 | 19.8 | 19.85 | Better than 77% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 33 cases | 21.3 | 21.3 | 21.26 | Better than 49% 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 · 38 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 | Palo Pinto General 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 | 262 | 1,370 | 5,045 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.168 | 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 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 661 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.341 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 10 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.282 | 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 | 15 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.142 | 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 | 4,081 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.116 | 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 | 0.048 | 0.127 | 0.1195 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.724 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 3,983 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.044 | 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 | 0.958 | 0.279 | 0.2623 | No Different than National Benchmark | Worse than 94% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Palo Pinto General Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 127 cases | 83 | 73 | 75.97 | Better than 84% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 127 cases | 3 | 8 | 7.771 | Better than 87% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 127 cases | 14 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 94 | 87 | 87.82 | Better than 95% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 127 cases | 5 | 4 | 3.712 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 127 cases | 80 | 80 | 79.96 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 92 | 91 | 90.97 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 127 cases | 5 | 4 | 4.535 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 127 cases | 4 | 3 | 3.275 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 127 cases | 15 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 127 cases | 75 | 79 | 79.72 | Worse than 77% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 90 | 91 | 90.24 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 127 cases | 5 | 5 | 5.687 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 2.956 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 127 cases | 20 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 127 cases | 59 | 61 | 62.66 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 79 | 77 | 76.88 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 127 cases | 18 | 19 | 19.26 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 2.672 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 127 cases | 23 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 85 | 86 | 84.56 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 127 cases | 15 | 13 | 13.98 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 127 cases | 85 | 87 | 86.02 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 127 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 · 127 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 · 127 cases | 70 | 74 | 74.6 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 25 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 71 | 77 | 77.72 | Worse than 86% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 6 | 6 | 6.395 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 23 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 85 | 85 | 85.15 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 12 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 127 cases | 6 | 8 | 8.293 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 127 cases | 26 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 127 cases | 68 | 72 | 73.52 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 87 | 88 | 88.12 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 127 cases | 73 | 74 | 74.97 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 127 cases | 4 | 9 | 9.68 | Better than 90% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 127 cases | 23 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 127 cases | 74 | 75 | 75.27 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 21 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 79 | 77 | 76.85 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 4 | 4 | 5 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 17 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 87 | 86 | 85.92 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 5 | 3 | 3.094 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 8 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 127 cases | 62 | 59 | 65.6 | Better than 58% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 127 cases | 7 | 9 | 7.774 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 127 cases | 31 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 84 | 82 | 84.26 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 6 | 5 | 6.017 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 127 cases | 67 | 71 | 72.87 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 86 | 87 | 87.21 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 127 cases | 27 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 4 | 3.694 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 127 cases | 45 | 47 | 49.46 | Worse than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 127 cases | 32 | 30 | 29.64 | Worse than 57% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 127 cases | 23 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 12 | 12 | 12.55 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 127 cases | 88 | 88 | 87.45 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Palo Pinto General Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 978 cases | 0 | 8 | 6.38 | The best result, shared by 7% of US hospitals | |
| 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 · 824 cases | 93 | 79 | 72.24 | Better than 80% 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 · 427 cases | 96 | 154 | 151 | Better than 94% 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 · 392 cases | 92 | 148 | 146 | Better than 94% 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 · 29 cases | 209 | 293 | 279 | Better than 86% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 17,994 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 cases | 92 | 74 | 69.2 | Better than 90% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 37 cases | 65 | 97 | 90.54 | Worse than 96% 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 · 396 cases | 11 | 15 | 13.94 | Better than 77% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 52 cases | 54 | 65 | 66.54 | Worse than 74% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 17 cases | 65 | 73 | 71.35 | Worse than 67% 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 · 52 cases | 69 | 82 | 82.14 | Worse than 87% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 28 cases | 100 | 94 | 92.38 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 444 cases | 93 | 90 | 78.56 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 260 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 | Palo Pinto General Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.5 | 5 | 7.719 | Worse than 55% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.5 | 6.6 | 6.859 | Worse than 61% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Palo Pinto General 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 | 0.96 | 0.99 | 1.034 | Better than 63% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Palo Pinto General Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 26.67 | 20 | 25.32 | Better than 63% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 6.667 | 5 | 6.413 | Better than 62% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 6.145 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 12.5 | 2.5 | 1.611 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 57 | 34 | 39.47 | Better than 83% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14.25 | 8.75 | 10.13 | Better than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 0 | 40 | 48.35 | The worst result, shared by 1% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 0 | 10 | 12.26 | The worst result, shared by 1% of US hospitals | |
| VBP total performance scoreFY 2026 | 33.42 | 29.5 | 29.94 | Better than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 22.5 | 30 | 0 | 6.667 | 26.67 |
| VBP clinical outcomes weighted domain score | 7.5 | 7.5 | 0 | 2.222 | 6.667 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 20 | 20 | 50 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 5 | 6.667 | 12.5 |
| VBP person and community engagement domain score | 42 | Not Available | Not Available | 16 | 57 |
| VBP person and community engagement weighted domain score | 14 | Not Available | Not Available | 5.333 | 14.25 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 0 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 0 |
| VBP total performance score | 21.5 | Not Available | Not Available | 14.22 | 33.42 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Palo Pinto General 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 | 0.9897 | 0.9969 | 0.999 | Better than 57% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9902 | 0.9983 | 1 | Better than 56% 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 | 0.9594 | 0.9955 | 1.003 | Better than 75% 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 | 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 | 1.063 | 1.03 | 0.9942 | 0.9738 | 1.001 | 0.9897 |
| READM-30-HF-HRRP | 1.018 | 1.025 | 1.121 | 1.065 | 1.015 | 0.9902 |
| READM-30-HIP-KNEE-HRRP | 0.987 | 1.043 | 0.991 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.026 | 1.046 | 1.027 | 1.003 | 1.005 | 0.9594 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Palo Pinto General Hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.838 | 0.346 | 0.2562 | Worse than 92% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| 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 | 1.055 | 0.9628 | 0.9684 | Worse than 74% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.864 | 0.7945 | 0.7483 | Worse than 55% of US hospitals | |
| Total HAC scoreFY 2026 | 0.7567 | -0.0453 | -0.1734 | Worse than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | No | Yes |
| Total HAC score | -0.2904 | -0.7804 | 0 | 1.728 | -0.3639 | 0.7567 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2022)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
99
Medicare-certified beds
69
Registered nurses (full-time equivalent)
1968
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Palo Pinto General Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
1,289
Inpatient discharges
Medicare 21%, Medicaid 5%
4,421
Inpatient days
25% of available bed days used
289
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830485). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Palo Pinto General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,168 | 225 | 3,028 | 4,421 |
| Discharges | 273 | 67 | 949 | 1,289 |
| Average length of stay | 4.3 days | 3.4 days | 3.2 days | 3.4 days |
| Average daily census | 3.2 | 0.6 | 8.3 | 12.1 |
863
Medicare Advantage days
239 discharges
992
Medicaid managed care days
393 discharges
1,454
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 40 | 2,194 | 672 | 15% |
| Intensive care unit | 8 | 1,103 | 221 | 38% |
| Nursery | 399 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830485, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Palo Pinto General Hospital treats Medicare patients for most often, in 2024. 102 Medicare discharges in 7 published DRGs; 0% surgical; 73% 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 | 17 | $30,344 | $15,458 | $17,084 | 1.98 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $16,209 | $9,695 | $9,126 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $15,338 | $7,508 | $8,635 | 0.81 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $29,336 | $9,697 | $16,516 | 1.10 |
| Heart failure and shock with MCCMS-DRG 291, medical | 14 | $21,732 | $10,896 | $12,235 | 1.28 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $25,484 | $7,769 | $14,348 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $20,381 | $7,460 | $11,474 | 0.79 |
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) Palo Pinto General Hospital billed Medicare for most in 2024: 364 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 160 | 144 | $9,348 | $1,879 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 43 | 35 | $893 | $472 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 30 | 23 | $6,796 | $1,561 | $1,752 |
| Level 3 Urology and Related ServicesAPC 5373 | 29 | 27 | $4,737 | $1,402 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 26 | $15,994 | $2,238 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 25 | 18 | $6,401 | $1,335 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 15 | 15 | $10,683 | $2,059 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 14 | 14 | $67,309 | $9,774 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 11 | 11 | $14,740 | $1,121 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | $7,823 | $1,201 | $1,445 |
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 Palo Pinto General 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 574 in 2020 to 422 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 76067 | 355 | 84% | 1,209 | $10.1M | 30% | 38% |
| 76449 | 26 | 6% | 82 | $705,228 | 24% | 31% |
| 76068 | 15 | 4% | 41 | $363,000 | 23% | 30% |
| 76484 | 14 | 3% | 64 | $631,534 | 29% | 100% |
| 76472 | 12 | 3% | 34 | $275,798 | 16% | 16% |
Source: CMS Hospital Service Area file. Shares are of the 422 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 Palo Pinto General Hospital reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.
6
Operating rooms
1
Endoscopy rooms
5
Off-site locations
69
Registered nurses
29
Licensed practical nurses
4
Nurse practitioners
2
Pharmacists
7
Respiratory therapists
5
Physical therapists
11
Radiology technicians
2
Laboratory technicians
6
Medical technologists
1
Dietitians
1
Social workers
157
Other personnel
Source: CMS Provider of Services file.
156 clinicians who bill Medicare list Palo Pinto General 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.
Talha Riaz, M.D.
Hematology & Oncology Physician
NPI 1760898647
See commercial rates for Talha Riaz, M.D.David Dspain, D.O.
Medical Oncology Physician
NPI 1093918617
See commercial rates for David Dspain, D.O.Ray Page, D.O.
Hematology & Oncology Physician
NPI 1669422143
See commercial rates for Ray Page, D.O.Esther Gillen, MSN, APRN, FNP-C
Family Nurse Practitioner
NPI 1134792179
See commercial rates for Esther Gillen, MSN, APRN, FNP-CJohn Lucas, MD
Family Medicine Physician
NPI 1205803301
See commercial rates for John Lucas, MDLeila Bostan Shirin, M.D.
Neurology Physician
NPI 1770933434
See commercial rates for Leila Bostan Shirin, M.D.Olusegun Oseni, MD, FCCP
Pulmonary Disease Physician
NPI 1982699005
See commercial rates for Olusegun Oseni, MD, FCCPDaniel Dubose, M.D.
Anesthesiology Physician
NPI 1548649296
See commercial rates for Daniel Dubose, M.D.Bishnu Sapkota, M.D
Neurology Physician
NPI 1679702872
See commercial rates for Bishnu Sapkota, M.DLorren Mott, M.D.
Cardiovascular Disease Physician
NPI 1306897186
See commercial rates for Lorren Mott, M.D.William Warren, DPM
Foot & Ankle Surgery Podiatrist
NPI 1861578965
See commercial rates for William Warren, DPMMuhammad Choudhry, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1710197363
See commercial rates for Muhammad Choudhry, MDRachael Scharchburg, PA
Surgical Physician Assistant
NPI 1336559749
See commercial rates for Rachael Scharchburg, PAAaron Laine, M.D., PH.D
Radiation Oncology Physician
NPI 1003058900
See commercial rates for Aaron Laine, M.D., PH.DCharles Myers, D.O.
Body Imaging Physician
NPI 1801850193
See commercial rates for Charles Myers, D.O.Kevin Kerr, M.D.
Ophthalmology Physician
NPI 1407052780
See commercial rates for Kevin Kerr, M.D.Kandace Farmer, D.O.
Diagnostic Radiology Physician
NPI 1457322513
See commercial rates for Kandace Farmer, D.O.George Lebus, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1780975045
See commercial rates for George Lebus, M.D.Alice Ramsey, M.D.
Family Medicine Physician
NPI 1235137662
See commercial rates for Alice Ramsey, M.D.Ty Gore, M.D.
Family Medicine Physician
NPI 1578544698
See commercial rates for Ty Gore, M.D.Ricky Ford, M.D.
Orthopaedic Surgery Physician
NPI 1518928654
See commercial rates for Ricky Ford, M.D.Muhammad Siddique, M.D.
Family Medicine Physician
NPI 1265736367
See commercial rates for Muhammad Siddique, M.D.Adam Bruntz, PA-C
Physician Assistant
NPI 1588958946
See commercial rates for Adam Bruntz, PA-CBeth Mewis, MD
Internal Medicine Physician
NPI 1164469136
See commercial rates for Beth Mewis, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Palo Pinto General Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $139.6M | 418.0% |
| Inpatient | $32.3M | 96.8% |
| Outpatient | $107.2M | 321.1% |
| Contractual allowances and discounts | -$106.2M | -318.0% |
| Net patient revenue | $33.4M | 100.0% |
| Operating expenses | -$70.2M | -210.1% |
| Operating income from patient care | -$36.8M | -110.1% |
| Other income | $94.4M | 282.6% |
| Contributions and donations | $20 | 0.0% |
| Other | $94.4M | 282.6% |
| Other expenses | -$68M | -203.6% |
| Net income | -$10.4M | -31.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $20.8M | 15.6% |
| Medicaid (including managed care) | $15.2M | 11.4% |
| Other payers and self-pay | $97.6M | 73.1% |
| Total charges | $133.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830485, 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 Palo Pinto General Hospital's latest cost report.
-110.1%
Operating margin
Operating income from patient care / net patient revenue
-8.1%
Total margin
Net income / net patient revenue plus other income
-5.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.49
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-13.7%
Return on assets
Net income for a year / total assets
-20.3%
Return on equity
Net income for a year / fund balance
2.06
Current ratio
Current assets / current liabilities
1.69
Quick ratio
Cash, temporary investments and net receivables / current liabilities
140 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
175 days
Days in patient receivables
Net patient receivables / daily net patient revenue
134 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.69
Asset turnover
Total revenue for a year / total assets
16.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830485, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Palo Pinto General Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $75.7M in total assets and a $51.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $25.7M | 33.9% |
| Patient receivables, net | $16M | 21.1% |
| Inventory | $2.4M | 3.2% |
| Total current assets | $50.5M | 66.8% |
| Property and equipment, net of depreciation | $25.2M | 33.2% |
| Total assets | $75.7M | 100.0% |
| Current liabilities | $24.6M | 32.5% |
| Total liabilities | $24.6M | 32.5% |
| Fund balance (net assets) | $51.1M | 67.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830485, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Palo Pinto General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$5.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.3M
Bad debt
Patient bills written off as uncollectible, at charges
$1.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$187
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$6.9M
Total unreimbursed and uncompensated care
9.9% 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 830485, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Palo Pinto General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $25.4M | $37.9M | $35.8M | $32.5M | $35.6M | $33.4M |
| Operating expenses | $48.8M | $60.6M | $62.8M | $63.9M | $67.6M | $70.2M |
| Operating margin | -91.6% | -59.8% | -75.4% | -96.4% | -89.9% | -110.1% |
| Net income | $3.7M | $19.8M | $2.6M | $486,799 | -$2.8M | -$10.4M |
| Total assets | $71.5M | $87.4M | $89.3M | $84.9M | $86.3M | $75.7M |
| Discharges | 1,263 | 1,939 | 1,577 | 1,450 | 1,347 | 1,289 |
| Inpatient days | 6,266 | 9,807 | 7,671 | 5,308 | 5,091 | 4,421 |
| Medicare Advantage days | 398 | 1,180 | 1,518 | 823 | 881 | 863 |
| Beds | 48 | 48 | 48 | 48 | 48 | 48 |
| Employees (FTE) | 378 | 307 | 315 | 294 | 306 | 289 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830485, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Palo Pinto General Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $2.2M | $5.9M | $28.7M | 0.21 | 16,354 |
| Rural health clinic | $2M | $5.8M | $6.1M | 0.94 | 12,193 |
| Emergency | $2.4M | $5.3M | $22.6M | 0.24 | 9,958 |
| Medical supplies charged to patient | $188,405 | $4.4M | $2.8M | 1.58 | 4,129 |
| Observation beds (non-distinct part | $4M | $2.8M | 1.43 | ||
| Radiology-diagnostic | $1.4M | $3.8M | $6.9M | 0.55 | 6,934 |
| Respiratory therapy | $1.3M | $3.4M | $8M | 0.42 | 5,883 |
| Laboratory | $1.3M | $2.8M | $13.6M | 0.20 | 2,496 |
| Physical therapy | $1M | $2.4M | $2.5M | 0.97 | 7,963 |
| Drugs charged to patients | $345,462 | $2.1M | $6.6M | 0.32 | 1,536 |
| Delivery room & labor room | $1.8M | $2.2M | 0.80 | 3,459 | |
| Rural health clinic iv | $470,281 | $1.7M | $860,467 | 1.95 | 3,000 |
| Impl. dev. charged to patients | $806,663 | $3.1M | 0.26 | ||
| Telemedicine | $4,450 | $721,930 | $149,240 | 4.84 | |
| Rural health clinic vi | $272,793 | $605,075 | $265,215 | 2.28 | 1,374 |
| Rural health clinic v | $246,463 | $500,521 | $328,892 | 1.52 | 628 |
| Rural health clinic ii | $220,827 | $483,996 | $180,129 | 2.69 | 1,200 |
| Ct scan | $131,413 | $444,624 | $11.6M | 0.04 | |
| Urology clinic | $153,635 | $332,651 | $567,055 | 0.59 | |
| Mri | $149,194 | $322,571 | $2.4M | 0.13 | |
| Whole blood & packed red blood cell | $204,638 | $411,179 | 0.50 | ||
| Clinical dietician | $70,882 | $143,732 | 227 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.2M | $10.1M | $7.2M | 1.40 | 25,706 |
| Intensive care unit | $1.4M | $2.8M | $3.1M | 0.93 | 3,437 |
| Nursery | $624,874 | $556,265 | 1.12 | 818 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.2M | $8.8M | 128,167 | $40.45 | 15,388 |
| Employee benefits department | $6.8M | ||||
| Cap rel costs-mvble equip | $2.5M | ||||
| Operation of plant | $495,732 | $2.4M | 15,657 | $31.66 | 21,547 |
| Cap rel costs-bldg & fixt | $2.3M | 168,305 | |||
| Dietary | $1.4M | 2,443 | |||
| Nursing administration | $1.1M | $1.2M | 19,143 | $55.92 | 1,787 |
| Housekeeping | $1.2M | 1,207 | |||
| Medical records & library | $696,262 | $822,091 | 23,393 | $29.76 | 1,964 |
| Laundry & linen service | $196,978 | 343 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830485, 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 Palo Pinto General Hospital for an inpatient stay.
1.38
Case mix index
Higher than 15% 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).
28.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
272
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 | 1.19 | 1.19 | 1.61 | 1.54 | 1.45 | 1.41 | 1.38 |
| Wage index | 0.830 | 0.908 | 0.863 | 0.876 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | -0.79% | -0.90% | -0.97% | -0.32% | -0.18% | -0.14% | 0.00% |
| Value-based purchasing adjustment | -0.57% | -0.62% | -0.62% | +0.85% | -0.65% | 0.00% | +0.30% |
| Medicare inpatient stays | 540 | 540 | 558 | 414 | 354 | 300 | 272 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Palo Pinto General Hospital reports to Medicare as owners or with operational control.
Palo Pinto County Hospital District
Operational/managerial control, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Palo Pinto General Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 2 of 4 are shown.
340B drug pricing program
Participating since 2011
340B ID DSH450565, registered as a disproportionate share hospital; 7 registered outpatient sites; 15 active contract pharmacies. Authorizing official: Ross Korkmas, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Dependable Care Partners, Select
ACO A5666, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Palo Pinto General Hospital's legal name.
Helipad
Palo Pinto General Hospital
FAA location ID XA26, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Palo pinto general hospital
CCN 45U565, certified 1989, Medicare prospective payment
West town rural health clinic
CCN 458653, certified 1995, Medicare cost reimbursed
Palo pinto rural health clinic
CCN 458548, certified 1994, Medicare cost reimbursed
Bridge to health mobile clinic
CCN 458832, certified 2003, Medicare cost reimbursed
Family health clinic of santo
CCN 673416, certified 2013, Medicare cost reimbursed
Possum kingdom family health
CCN 678565, certified 2023, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Palo Pinto General Hospital's latest Medicare cost report (HCRIS).
About Palo Pinto General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Palo Pinto General Hospital range from $240 to $974 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,485. 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 Palo Pinto General Hospital range from $235 to $974 across 2 insurers. Aetna's rate is $235. The median at nearby comparable hospitals is $1,288. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Palo Pinto General Hospital range from $1,004 to $1,391 across 3 insurers. UnitedHealthcare's rate is $1,143. The median at nearby comparable hospitals is $2,459. 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 Palo Pinto General Hospital range from $2,719 to $3,049 across 2 insurers. Blue Cross Blue Shield's rate is $2,719. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Palo Pinto General Hospital range from $67 to $78 across 2 insurers. Blue Cross Blue Shield's rate is $78. The median at nearby comparable hospitals is $254. 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 Palo Pinto General Hospital range from $8,229 to $21,708 across 2 insurers. Blue Cross Blue Shield's rate is $8,229. The median at nearby comparable hospitals is $50,934. What a patient pays depends on their plan's deductible, coinsurance and network status.
Palo Pinto General Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Palo Pinto General Hospital for fiscal year 2027.
No. Palo Pinto General Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (17 discharges), kidney and urinary tract infections with mcc (16 discharges), kidney and urinary tract infections without mcc (16 discharges).
Palo Pinto General Hospital's Medicare case mix index is 1.38 for fiscal year 2027, higher than 15% of hospitals paid under the inpatient prospective payment system.
Palo Pinto General Hospital reported 1,289 inpatient discharges and 4,421 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Palo Pinto General Hospital reported 289 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Palo Pinto General Hospital reported $33.4M in net patient revenue on $139.6M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -110.1%, and net income of -$10.4M.
Palo Pinto General Hospital reported $6.9M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $5.1M of charity care at cost.
Palo Pinto General Hospital's Medicare enrollment lists Ross A Korkmas as Chief Executive Officer since 2019.
Insurers' price transparency files list Palo Pinto General Hospital under employer identification number 75-1256948 (Palo Pinto County Hospital District). 55 health plans and networks list 75-1256948 for it.
Yes. HRSA's 340B database lists Palo Pinto General Hospital (340B ID DSH450565) as a participating disproportionate share hospital since 2011, with 15 active contract pharmacies.
156 clinicians who bill Medicare list Palo Pinto General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (27), family medicine physician (19), internal medicine physician (18).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Palo Pinto General Hospital, effective 2022.
In its Medicare enrollment, Palo Pinto General Hospital reports Palo Pinto County Hospital District as Operational/managerial control.
CMS lists 27 services at Palo Pinto General Hospital, including Anesthesia, Cardiac Thoracic Surgery, Chemotherapy, Clinical Laboratory, Coronary Care Unit, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Palo Pinto General Hospital came from ZIP codes 76067 (355), 76449 (26), 76068 (15).
Palo Pinto General Hospital has 48 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 99 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Palo Pinto General Hospital is located at 400 Sw 25th Avenue, Mineral Wells, TX 76067. Its main phone number is (940) 325-7891.
Palo Pinto General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 450565.
The National Provider Identifier (NPI) on file for Palo Pinto General Hospital is 1972590602.
Palo Pinto General Hospital lists 35 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.
403 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