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HOSPITALGovernment - Hospital District or Authority

Stephens Memorial Hospital

Breckenridge, TX

200 South Geneva Street, Breckenridge, TX 76424(254) 559-2241

Not rated by CMS

CMS star rating

20

Beds

37

Inpatient discharges a year

$2.7M

Net patient revenue a year

32

In-network payers

About this hospital

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.

  • 340B participant
  • ACO participant
CCN
671302
NPI
1285065623
Website
smhtx.com
County
Stephens County
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2025
Last CMS survey
2025

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Temporary Codes

Range: Q0035 - Q9992

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health Plan

More about this hospital

Tax IDs and NPIs insurers list

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 itOrganization NPIs
46-2931328Stephens Memorial Hospital District52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more1285065623 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.

Location

200 South Geneva Street, Breckenridge, TX 76424

(254) 559-2241

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Frequently asked questions

About Stephens Memorial Hospital's rates and hospital price transparency.

How many patients does Stephens Memorial Hospital admit?

Stephens Memorial Hospital reported 37 inpatient discharges and 526 inpatient days from Apr 8, 2025 to Sep 30, 2025.

How many employees does Stephens Memorial Hospital have?

Stephens Memorial Hospital reported 52 full-time-equivalent employees on payroll from Apr 8, 2025 to Sep 30, 2025.

How much revenue does Stephens Memorial Hospital make?

Stephens Memorial Hospital reported $2.7M in net patient revenue on $13.6M of gross charges for Apr 8, 2025 to Sep 30, 2025, an operating margin of -236.3%, and net income of -$1.7M.

How much charity and uncompensated care does Stephens Memorial Hospital provide?

Stephens Memorial Hospital reported $2M of unreimbursed and uncompensated care for Apr 8, 2025 to Sep 30, 2025, including $2M of charity care at cost.

What is Stephens Memorial Hospital's tax ID (EIN)?

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.

Does Stephens Memorial Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Stephens Memorial Hospital (340B ID CAH671302-00) as a participating critical access hospital since 2026, with 1 active contract pharmacies.

How many doctors are affiliated with Stephens Memorial Hospital?

64 clinicians who bill Medicare list Stephens Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (19), family medicine physician (9), cardiovascular disease physician (5).

Is Stephens Memorial Hospital accredited?

CMS's Provider of Services file lists no accrediting organization for Stephens Memorial Hospital; it is certified for Medicare through state survey.

Who owns Stephens Memorial Hospital?

In its Medicare enrollment, Stephens Memorial Hospital reports Stephens Memorial Hospital District as 5% or greater direct ownership interest (100%).

Where do Stephens Memorial Hospital's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Stephens Memorial Hospital came from ZIP codes 76424 (42).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Get your chargemaster right for billing and payer contracts

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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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