Prime Healthcare Services · Pampa, TX
110
Beds
945
Inpatient discharges a year
$31.7M
Net patient revenue a year
32
In-network payers
Pampa Regional Medical Center is a 110-bed voluntary non-profit - private hospital in Pampa, TX, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 299 disclosed rate categories.
The 24 services Pampa 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 807
$5,181 - $8,281
from 2 insurers · median $6,731
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
$8,179 - $8,281
from 2 insurers · median $8,230
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
$15,851 - $18,329
from 2 insurers · median $17,090
28 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,181 - $8,281
from 2 insurers · median $6,731
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$27,824 - $36,105
from 2 insurers · median $31,964
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$21,193 - $23,590
from 2 insurers · median $22,391
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$9,161 - $11,223
from 2 insurers · median $10,192
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$468 - $5,098
from 4 insurers · median $2,844
Typical for a hospital with this service line
CT imaging
CPT 74176
$290 - $3,728
from 4 insurers · median $2,325
Typical for a hospital with this service line
CT imaging
CPT 70450
$281 - $1,870
from 4 insurers · median $930
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$367 - $2,633
from 4 insurers · median $1,511
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $4,302
from 4 insurers · median $2,773
Typical for a hospital with this service line
CT imaging
CPT 71260
$468 - $2,732
from 4 insurers · median $1,540
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$75 - $351
from 4 insurers · median $336
Typical for a hospital with this service line
Mammography
CPT 77067
$120 - $400
from 4 insurers · median $220
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$790 - $2,289
from 4 insurers · median $1,678
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $3,259
from 4 insurers · median $1,842
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,280 - $4,742
from 4 insurers · median $2,440
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 70551
$212 - $3,051
from 4 insurers · median $1,539
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $775
from 4 insurers · median $594
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $4,407
from 4 insurers · median $2,452
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$775 - $2,097
from 4 insurers · median $1,162
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $1,811
from 4 insurers · median $898
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$241 - $858
from 4 insurers · median $818
Typical for a hospital with this service line
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* | 17 | 803% | 14 | 3 |
| Insurer B* | 17 | 801% | 0 | 0 |
| Insurer C* | 24 | 285% | 7 | 12 |
| Insurer D* | 24 | 129% | 0 | 11 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 23 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 Pampa 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.
Doctors and services
34 services
See doctors and servicesFinances
$31.7M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Pampa Regional Medical Center 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 |
|---|---|---|
| 45-5125687Pampa Regional Medical Center | 38Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 33 more | 1700509577 Prime Healthcare Services Pampa LLC1386902138 Prime Healthcare Services Pampa LLC1639438146 Prime Healthcare Services Pampa LLCand 5 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.
One Medical Plaza, Pampa, TX 79065
(806) 665-3721
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Pampa Regional Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2022 to Dec 31, 2022.
945
Inpatient discharges
Medicare 42%, Medicaid 1%
3,254
Inpatient days
9% of available bed days used
147
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 828163). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Pampa Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,438 | 42 | 1,774 | 3,254 |
| Discharges | 395 | 5 | 545 | 945 |
| Average length of stay | 3.6 days | 8.4 days | 3.3 days | 3.4 days |
| Average daily census | 3.9 | 0.1 | 4.9 | 8.9 |
175
Medicaid managed care days
21 discharges
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 89 | 2,400 | 1,068 | 7% |
| Intensive care unit | 8 | 854 | 370 | 29% |
| Subprovider - ipf | 13 | 797 | 292 | 17% |
Source: CMS cost report (HCRIS, Form 2552-10), report 828163, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Revenue, expenses and income Pampa Regional Medical Center reported to Medicare for Jan 1, 2022 to Dec 31, 2022. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $163.4M | 516.2% |
| Inpatient | $60.1M | 189.7% |
| Outpatient | $103.3M | 326.5% |
| Contractual allowances and discounts | -$131.7M | -416.2% |
| Net patient revenue | $31.7M | 100.0% |
| Operating expenses | -$41.6M | -131.4% |
| Operating income from patient care | -$9.9M | -31.4% |
| Other income | $588,536 | 1.9% |
| COVID-19 relief funding | $399,700 | 1.3% |
| Other | $188,836 | 0.6% |
| Other expenses | -$200 | -0.0% |
| Net income | -$9.3M | -29.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $42.2M | 25.8% |
| Medicaid (including managed care) | $10M | 6.1% |
| Other payers and self-pay | $111.2M | 68.1% |
| Total charges | $163.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 828163, settled without audit. 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 Pampa Regional Medical Center's latest cost report.
-31.4%
Operating margin
Operating income from patient care / net patient revenue
-29.0%
Total margin
Net income / net patient revenue plus other income
-18.1%
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
$38.81
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-19.8%
Return on assets
Net income for a year / total assets
-21.5%
Return on equity
Net income for a year / fund balance
7.82
Current ratio
Current assets / current liabilities
2.24
Quick ratio
Cash, temporary investments and net receivables / current liabilities
13 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
53 days
Days in patient receivables
Net patient receivables / daily net patient revenue
25 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.68
Asset turnover
Total revenue for a year / total assets
10.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 828163, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Pampa Regional Medical Center owned and owed at the end of its reporting period (Dec 2022), across all fund types: $47.2M in total assets and a $43.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.4M | 2.9% |
| Patient receivables, net | $4.6M | 9.8% |
| Inventory | $1.2M | 2.5% |
| Total current assets | $20.9M | 44.2% |
| Property and equipment, net of depreciation | $26.2M | 55.4% |
| Investments and other assets | $185,536 | 0.4% |
| Total assets | $47.2M | 100.0% |
| Current liabilities | $2.7M | 5.7% |
| Total liabilities | $3.8M | 8.0% |
| Fund balance (net assets) | $43.4M | 92.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 828163, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Pampa Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$998,681
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.3M
Bad debt
Patient bills written off as uncollectible, at charges
$21,220
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.3M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$4.2M
Total unreimbursed and uncompensated care
10.0% 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 828163, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Pampa Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 |
|---|---|---|---|---|
| Net patient revenue | $32.8M | $39.8M | $41.4M | $31.7M |
| Operating expenses | $37.2M | $39.3M | $42.7M | $41.6M |
| Operating margin | -13.2% | 1.3% | -3.4% | -31.4% |
| Net income | -$5.7M | $1.9M | $395,154 | -$9.3M |
| Total assets | $41.4M | $45.6M | $59.6M | $47.2M |
| Discharges | 1,524 | 1,395 | 1,218 | 945 |
| Inpatient days | 4,496 | 5,010 | 4,670 | 3,254 |
| Medicare Advantage days | 220 | 315 | 320 | |
| Beds | 110 | 110 | 110 | 110 |
| Employees (FTE) | 193 | 197 | 174 | 147 |
Source: CMS cost report (HCRIS, Form 2552-10), report 828163, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Pampa 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 |
|---|---|---|---|---|---|
| Rural health clinic | $1.9M | $7M | $1.7M | 4.19 | 25,450 |
| Operating room | $817,538 | $3M | $4.9M | 0.61 | 15,621 |
| Medical supplies charged to patient | $67,687 | $2.9M | $8.8M | 0.33 | |
| Emergency | $911,656 | $2.8M | $25M | 0.11 | 5,516 |
| Laboratory | $824,325 | $1.9M | $20.4M | 0.09 | 3,430 |
| Impl. dev. charged to patients | $1.8M | $13.7M | 0.13 | ||
| Drugs charged to patients | $274,771 | $1.6M | $8.5M | 0.19 | |
| Respiratory therapy | $224,292 | $1.3M | $3.4M | 0.37 | 1,810 |
| Radiology-diagnostic | $341,299 | $1M | $4.7M | 0.22 | 4,024 |
| Cardiac catheterization | $309,810 | $873,392 | $16.7M | 0.05 | 700 |
| Recovery room | $340,225 | $753,690 | $640,314 | 1.18 | 817 |
| Physical therapy | $40,130 | $510,645 | $1.7M | 0.30 | 2,943 |
| Anesthesiology | $374,248 | $2M | 0.19 | 174 | |
| Ultra sound | $189,958 | $346,494 | $6.4M | 0.05 | |
| Partial hospitalization psych | $95,646 | $284,569 | $516,681 | 0.55 | 1,800 |
| Ct scan | $70,937 | $257,432 | $16M | 0.02 | 1,114 |
| Radioisotope | $36,436 | $247,613 | $4.6M | 0.05 | 118 |
| Mri | $66,045 | $162,301 | $3.9M | 0.04 | 650 |
| Occupational therapy | $2,152 | $125,061 | $940,205 | 0.13 | |
| Blood storing processing & trans. | $98,562 | $372,801 | 0.26 | 25 | |
| Speech pathology | $438 | $54,459 | $317,342 | 0.17 | |
| Blood laboratory | $50,890 | $345,709 | 0.15 | ||
| Electrocardiology | $9,211 | $28,911 | $2.4M | 0.01 | 150 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.1M | $4.2M | $10.5M | 0.40 | 19,338 |
| Subprovider - ipf | $733,980 | $2.2M | $2.6M | 0.85 | 11,400 |
| Intensive care unit | $526,443 | $2M | $2.3M | 0.88 | 3,621 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.1M | $7.3M | 69,051 | $30.34 | 28,683 |
| Cap rel costs-bldg & fixt | $3.5M | 168,593 | |||
| Employee benefits department | $198,180 | $2.8M | 6,967 | $28.45 | 2,227 |
| Operation of plant | $248,044 | $1.9M | 11,167 | $22.21 | 17,166 |
| Nursing administration | $754,514 | $899,805 | 13,913 | $54.23 | 614 |
| Maintenance & repairs | $710,228 | ||||
| Dietary | $490,984 | 5,947 | |||
| Cap rel costs-mvble equip | $443,101 | ||||
| Medical records & library | $96,850 | $389,553 | 7,018 | $13.80 | 1,946 |
| Housekeeping | $236,377 | $354,939 | 18,463 | $12.80 | 864 |
| Pharmacy | $296,849 | 6,982 | $39.35 | 706 | |
| Laundry & linen service | $65,156 | $79,972 | 4,466 | $14.59 | 2,464 |
Source: CMS cost report (HCRIS, Form 2552-10), report 828163, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Pampa psych unit
CCN 45S099, certified 1998, Medicare prospective payment
Pampa regional swing beds
CCN 45U099, certified 1980, Medicare prospective payment
Pampa regional medical center
CCN 673492, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Pampa Regional Medical Center's latest Medicare cost report (HCRIS).
About Pampa Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pampa Regional Medical Center range from $792 to $4,302 across 4 insurers. Cigna's rate is $4,087. The median at nearby comparable hospitals is $792. 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 Pampa Regional Medical Center range from $468 to $5,098 across 4 insurers. Aetna's rate is $5,098. The median at nearby comparable hospitals is $1,521. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Pampa Regional Medical Center range from $790 to $2,289 across 4 insurers. Aetna's rate is $2,020. The median at nearby comparable hospitals is $3,238. 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 Pampa Regional Medical Center range from $5,181 to $8,281 across 2 insurers. UnitedHealthcare's rate is $5,181. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pampa Regional Medical Center range from $120 to $400 across 4 insurers. UnitedHealthcare's rate is $120. The median at nearby comparable hospitals is $220. 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 Pampa Regional Medical Center range from $15,851 to $18,329 across 2 insurers. Blue Cross Blue Shield's rate is $15,851. The median at nearby comparable hospitals is $29,236. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pampa Regional Medical Center reported 945 inpatient discharges and 3,254 inpatient days from Jan 1, 2022 to Dec 31, 2022.
Pampa Regional Medical Center reported 147 full-time-equivalent employees on payroll from Jan 1, 2022 to Dec 31, 2022.
Pampa Regional Medical Center reported $31.7M in net patient revenue on $163.4M of gross charges for Jan 1, 2022 to Dec 31, 2022, an operating margin of -31.4%, and net income of -$9.3M.
Pampa Regional Medical Center reported $4.2M of unreimbursed and uncompensated care for Jan 1, 2022 to Dec 31, 2022, including $998,681 of charity care at cost.
Insurers' price transparency files list Pampa Regional Medical Center under employer identification number 45-5125687 (Pampa Regional Medical Center). 38 health plans and networks list 45-5125687 for it.
CMS lists 34 services at Pampa Regional Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit, CT Scan.
Pampa Regional Medical Center has 110 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Pampa Regional Medical Center is located at One Medical Plaza, Pampa, TX 79065. Its main phone number is (806) 665-3721.
Pampa Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450099.
The National Provider Identifier (NPI) on file for Pampa Regional Medical Center is 1386902138.
Pampa Regional Medical Center is affiliated with Prime Healthcare Services.
Pampa Regional Medical Center lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
299 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