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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Starr County Memorial Hospital

Rio Grande City, TX

2753 Hospital Court, Rio Grande City, TX 78582(956) 487-5561

2 of 5

CMS star rating

48

Beds

888

Inpatient discharges a year

$48.3M

Net patient revenue a year

29

In-network payers

About this hospital

Starr County Memorial Hospital is a 48-bed government - hospital district or authority hospital in Rio Grande City, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 298 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
CCN
450654
NPI
1760567085
Teaching
No Medicare-funded residents
County
Starr County
Metro area
Rio Grande City-Roma, TX MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1975
Last CMS survey
2023

Prices for common services

The 24 services Starr County Memorial 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

Vaginal delivery, hospital stay

MS-DRG 807

$2,850 - $5,277

from 4 insurers · median $4,395

Aetna$5,277
Insurer A*$2,850
Insurer B*$4,135
Insurer C*$4,654

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$4,800 - $11,852

from 3 insurers · median $6,889

Aetna$11,852
Insurer A*$4,800
Insurer B*$6,889

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$2,850 - $5,277

from 4 insurers · median $4,395

Aetna$5,277
Insurer A*$2,850
Insurer B*$4,135
Insurer C*$4,654

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

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,267 - $3,160

from 3 insurers · median $2,657

Blue Cross$3,160
Insurer A*$1,267
Insurer B*$2,657
Medicare $885Nearby hospitals $2,22519% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Starr County Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
289%
164
Insurer B*23
180%
712
Insurer C*21
132%
73
Insurer D*14
129%
56

How we chose these services: 0 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 14 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 Starr County Memorial Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    2 of 5 stars

    • 188 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.40%)
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 20 services, including trauma care
    • 77 affiliated clinicians
    See doctors and services
  • Finances

    $48.3M net patient revenue

    • Operating margin on patient care -14.5%
    • $3.3M unreimbursed and uncompensated care
    • $9.4M net income
    See finances
  • Ownership and leadership

    Owned by Starr County Hospital District

    • Hospital district or authority
    • Thalia H Munoz, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Starr County Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-1794256Starr County Hospital District53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more1760567085 Starr County Hospital District1558768259 Starr County Hospital District1790749067 Starr County Hospital Districtand 14 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.

Location

2753 Hospital Court, Rio Grande City, TX 78582

(956) 487-5561

Get directions

Frequently asked questions

About Starr County Memorial Hospital's rates and hospital price transparency.

How much does a CT scan cost at Starr County Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Starr County Memorial Hospital range from $331 to $988 across 4 insurers. Cigna's rate is $483. The median at nearby comparable hospitals is $1,169. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Starr County Memorial Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Starr County Memorial Hospital range from $1,594 to $3,661 across 3 insurers. Blue Cross Blue Shield's rate is $3,661. The median at nearby comparable hospitals is $2,417. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Starr County Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Starr County Memorial Hospital range from $2,850 to $5,277 across 4 insurers. Aetna's rate is $5,277. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Starr County Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Starr County Memorial Hospital range from $107 to $413 across 3 insurers. Aetna's rate is $107. The median at nearby comparable hospitals is $360. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Starr County Memorial Hospital's CMS star rating?

Starr County Memorial Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Starr County Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Starr County Memorial Hospital for fiscal year 2027.

Does Medicare penalize Starr County Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Starr County Memorial Hospital's base inpatient payments by an estimated 0.40% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Starr County Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (22 discharges), kidney and urinary tract infections without mcc (11 discharges), septicemia or severe sepsis without mv >96 hours without mcc (11 discharges).

What is Starr County Memorial Hospital's case mix index?

Starr County Memorial Hospital's Medicare case mix index is 1.25 for fiscal year 2027, higher than 8% of hospitals paid under the inpatient prospective payment system.

How many patients does Starr County Memorial Hospital admit?

Starr County Memorial Hospital reported 888 inpatient discharges and 3,320 inpatient days from Oct 1, 2024 to Sep 30, 2025.

For hospital finance and compliance teams

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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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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