Breckenridge, TX
20
Beds
61
Inpatient discharges a year
$6.1M
Net patient revenue a year
32
In-network payers
Stephens Memorial Hospital is a 20-bed government - hospital district or authority hospital in Breckenridge, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 239 disclosed rate categories.
The 24 services Stephens 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.
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CT imaging
CPT 74177
$275 - $3,206
from 4 insurers · median $1,158
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,500 - $4,086
from 4 insurers · median $3,071
35 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$94 - $942
from 4 insurers · median $447
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$162 - $1,883
from 4 insurers · median $950
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $3,524
from 4 insurers · median $2,397
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$468 - $1,492
from 4 insurers · median $1,235
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$630 - $1,574
from 4 insurers · median $1,138
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$100 - $204
from 4 insurers · median $193
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $2,281
from 4 insurers · median $1,621
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$630 - $1,635
from 4 insurers · median $1,196
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$630 - $1,557
from 4 insurers · median $1,210
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,000 - $7,792
from 4 insurers · median $6,389
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $4,041
from 4 insurers · median $2,741
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$387 - $1,586
from 4 insurers · median $1,228
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$166 - $1,453
from 4 insurers · median $500
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$26 - $231
from 4 insurers · median $139
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,000 - $5,719
from 2 insurers · median $4,359
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$630 - $1,557
from 4 insurers · median $1,185
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,000 - $8,427
from 4 insurers · median $6,281
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$107 - $759
from 4 insurers · median $490
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$175 - $8,953
from 4 insurers · median $5,431
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$2,952 - $4,503
from 3 insurers · median $3,806
Typical for a hospital with this service line
Ultrasound
CPT 76705
$69 - $422
from 4 insurers · median $228
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$630 - $3,136
from 4 insurers · median $2,310
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* | 23 | 246% | 8 | 7 |
| Insurer B* | 24 | 208% | 12 | 11 |
| Insurer C* | 23 | 134% | 4 | 12 |
| Insurer D* | 23 | 131% | 11 | 9 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Stephens Memorial Hospital, 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
18 services
See doctors and servicesFinances
$6.1M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Stephens Memorial 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 |
|---|---|---|
| 46-2931328Stephens Memorial Hospital District | 52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more | 1285065623 Stephens Memorial Hospital District1831196005 Stephens Memorial Hospital1225022908 Stephens Memorial Hospital Districtand 22 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.
200 South Geneva Street, Breckenridge, TX 76424
(254) 559-2241
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Stephens Memorial Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Apr 7, 2025.
61
Inpatient discharges
Medicare 61%, Medicaid n/a
666
Inpatient days
18% of available bed days used
50
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824390). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Stephens Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 393 | 0 | 273 | 666 |
| Discharges | 37 | 0 | 24 | 61 |
| Average length of stay | 10.6 days | 11.4 days | 10.9 days | |
| Average daily census | 2.1 | 0.0 | 1.4 | 3.5 |
48
Medicare Advantage days
13 discharges
10
Medicaid managed care days
2 discharges
90
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 20 | 211 | 132 | 6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824390, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Stephens Memorial Hospital treats Medicare patients for most often, in 2024. 11 Medicare discharges in 1 published DRGs; 0% surgical; 0% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $11,978 | $6,614 | $11,882 | 0.81 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Stephens Memorial Hospital billed Medicare for most in 2024: 80 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 45 | 39 | $8,779 | $1,987 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 35 | 29 | $6,888 | $1,671 | $1,752 |
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 Stephens Memorial 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 133 in 2020 to 28 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 76424 | 28 | 100% | 114 | $520,940 | 6% | 34% |
Source: CMS Hospital Service Area file. Shares are of the 28 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Revenue, expenses and income Stephens Memorial Hospital reported to Medicare for Oct 1, 2024 to Apr 7, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $15.6M | 254.4% |
| Inpatient | $1.1M | 18.2% |
| Outpatient | $14.5M | 236.1% |
| Contractual allowances and discounts | -$9.5M | -154.4% |
| Net patient revenue | $6.1M | 100.0% |
| Operating expenses | -$8.4M | -136.4% |
| Operating income from patient care | -$2.2M | -36.4% |
| Other income | $31.1M | 507.2% |
| Investment income | $26,333 | 0.4% |
| Other | $31M | 506.7% |
| Other expenses | -$28.7M | -468.7% |
| Net income | $125,102 | 2.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $2.9M | 19.1% |
| Medicaid (including managed care) | $1.3M | 8.4% |
| Other payers and self-pay | $11M | 72.5% |
| Total charges | $15.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824390, 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 Stephens Memorial Hospital's latest cost report, which covers 189 days; income and expense figures are scaled to a year.
-36.4%
Operating margin
Operating income from patient care / net patient revenue
0.3%
Total margin
Net income / net patient revenue plus other income
1.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
55% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$28.85
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
0.9%
Return on assets
Net income for a year / total assets
3.0%
Return on equity
Net income for a year / fund balance
1.18
Current ratio
Current assets / current liabilities
0.30
Quick ratio
Cash, temporary investments and net receivables / current liabilities
107 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
468 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.59
Asset turnover
Total revenue for a year / total assets
4.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824390, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Stephens Memorial Hospital owned and owed at the end of its reporting period (Apr 2025), across all fund types: $27.7M in total assets and a $8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $4.5M | 16.2% |
| Patient receivables, net | $1.4M | 5.1% |
| Inventory | $160,315 | 0.6% |
| Total current assets | $23.3M | 84.2% |
| Property and equipment, net of depreciation | $4.4M | 15.8% |
| Total assets | $27.7M | 100.0% |
| Current liabilities | $19.7M | 71.1% |
| Total liabilities | $19.7M | 71.1% |
| Fund balance (net assets) | $8M | 28.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824390, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Stephens Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$551,139
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4,328
Bad debt
Patient bills written off as uncollectible, at charges
-$203,687
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$553,052
Total unreimbursed and uncompensated care
6.6% 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 824390, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Stephens Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2019 | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 |
|---|---|---|---|---|---|---|
| Net patient revenue | $11.9M | $7.5M | $8.4M | $9.4M | $7.7M | $10.5M |
| Operating expenses | $13.3M | $12.3M | $12.3M | $13.9M | $14.2M | $15.3M |
| Operating margin | -11.3% | -64.5% | -47.2% | -48.3% | -84.2% | -45.5% |
| Net income | -$51,090 | $3.2M | $3.3M | -$121,498 | -$1.3M | $1.1M |
| Total assets | $14.1M | $15.2M | $20.5M | $17.7M | $21.7M | $24M |
| Discharges | 260 | 210 | 184 | 199 | 132 | 157 |
| Inpatient days | 1,068 | 1,056 | 1,315 | 1,284 | 562 | 1,082 |
| Medicare Advantage days | 116 | 109 | 212 | 167 | 93 | 84 |
| Beds | 14 | 14 | 14 | 40 | 40 | 40 |
| Employees (FTE) | 94 | 92 | 93 | 95 | 88 | 95 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824390, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Stephens Memorial 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 |
|---|---|---|---|---|---|
| Emergency | $426,660 | $1.4M | $2.5M | 0.57 | 5,100 |
| Rural health clinic | $656,378 | $1.3M | $2M | 0.65 | 7,412 |
| Laboratory | $253,417 | $760,046 | $3.1M | 0.24 | 1,503 |
| Radiology-diagnostic | $161,865 | $499,310 | $4.5M | 0.11 | 1,989 |
| Physical therapy | $192,493 | $496,905 | $1.1M | 0.45 | 2,981 |
| Observation beds (non-distinct part | $350,172 | $91,965 | 3.81 | ||
| Respiratory therapy | $186,856 | $275,501 | $453,558 | 0.61 | 64 |
| Ambulance services | $246,733 | ||||
| Drugs charged to patients | $32,590 | $246,274 | $357,142 | 0.69 | 520 |
| Operating room | $40,083 | $214,604 | $125,802 | 1.71 | 4,319 |
| Medical supplies charged to patient | $19,862 | $59,518 | $77,452 | 0.77 | 1,642 |
| Cardiac rehab | $19,551 | $45,068 | $298,404 | 0.15 | 541 |
| Anesthesiology | $26,193 | $40 | 654.83 | ||
| Whole blood & packed red blood cell | $21,068 | $54,560 | 0.39 | 34 | |
| Electrocardiology | $16,972 | $250,235 | 0.07 | 148 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $431,895 | $1.2M | $287,066 | 4.08 | 8,782 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $806,732 | ||||
| Administrative & general | $489,459 | $428,831 | 20,282 | $22.66 | 7,576 |
| Cap rel costs-bldg & fixt | $398,924 | 50,878 | |||
| Operation of plant | $56,457 | $281,553 | 2,303 | $24.51 | 695 |
| Nursing administration | $85,319 | $145,220 | 3,136 | $27.21 | 180 |
| Dietary | $80,982 | $118,670 | 5,573 | $14.53 | 1,652 |
| Housekeeping | $93,235 | $113,837 | 6,873 | $13.57 | 545 |
| Medical records & library | $56,710 | $99,152 | 3,500 | $16.20 | 556 |
| Laundry & linen service | $12,460 | 294 | |||
| Nonphysician anesthetists | $10,880 | 65 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824390, 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.
Stephens memorial hospital
CCN 45U498, certified 1986, Medicare prospective payment
Stephens county medical clinic
CCN 458881, certified 2009, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Stephens Memorial Hospital's latest Medicare cost report (HCRIS).
About Stephens Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Stephens Memorial Hospital range from $792 to $3,524 across 4 insurers. Cigna's rate is $2,978. The median at nearby comparable hospitals is $1,001. 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 Stephens Memorial Hospital range from $275 to $3,206 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $910. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Stephens Memorial Hospital range from $630 to $1,635 across 4 insurers. UnitedHealthcare's rate is $630. The median at nearby comparable hospitals is $1,429. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Stephens Memorial Hospital range from $100 to $204 across 4 insurers. Cigna's rate is $204. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.
In 2024, the most common were kidney and urinary tract infections without mcc (11 discharges).
Stephens Memorial Hospital reported 61 inpatient discharges and 666 inpatient days from Oct 1, 2024 to Apr 7, 2025.
Stephens Memorial Hospital reported 50 full-time-equivalent employees on payroll from Oct 1, 2024 to Apr 7, 2025.
Stephens Memorial Hospital reported $6.1M in net patient revenue on $15.6M of gross charges for Oct 1, 2024 to Apr 7, 2025, an operating margin of -36.4%, and net income of $125,102.
Stephens Memorial Hospital reported $553,052 of unreimbursed and uncompensated care for Oct 1, 2024 to Apr 7, 2025, including $551,139 of charity care at cost.
Insurers' price transparency files list Stephens Memorial Hospital under employer identification number 46-2931328 (Stephens Memorial Hospital District). 52 health plans and networks list 46-2931328 for it.
CMS lists 18 services at Stephens Memorial Hospital, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Stephens Memorial Hospital came from ZIP codes 76424 (28).
Stephens Memorial Hospital has 20 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Stephens Memorial Hospital is located at 200 South Geneva Street, Breckenridge, TX 76424. Its main phone number is (254) 559-2241.
Stephens Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 450498.
The National Provider Identifier (NPI) on file for Stephens Memorial Hospital is 1285065623.
Stephens Memorial Hospital lists 32 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.
239 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.
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{
"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