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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Texas Health Kaufman

Texas Health Resources · Kaufman, TX

850 Ed Hall Drive, Kaufman, TX 75142(972) 932-7200

Not rated by CMS

CMS star rating

42

Beds

1,135

Inpatient discharges a year

$67.4M

Net patient revenue a year

31

In-network payers

About this hospital

Texas Health Kaufman is a 42-bed voluntary non-profit - private hospital in Kaufman, TX, affiliated with Texas Health Resources. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 398 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
450292
NPI
1457382798
Health system
Texas Health Resources
Teaching
No Medicare-funded residents
County
Kaufman County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1977
Last CMS survey
2017

Prices for common services

The 24 services Texas Health Kaufman 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.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$78,540 - $119,792

from 3 insurers · median $94,536

Aetna$78,540
Insurer A*$94,536
Insurer B*$119,792
Medicare $27,950Nearby hospitals $37,303153% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$52,870 - $102,488

from 4 insurers · median $70,131

Aetna$52,870
Insurer A*$66,412
Insurer B*$73,849
Insurer C*$102,488
Medicare $16,162Nearby hospitals $26,372166% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,287 - $4,101

from 4 insurers · median $3,039

Blue Cross$2,558
Insurer A*$1,287
Insurer B*$3,521
Insurer C*$4,101
Medicare $326Nearby hospitals $1,74075% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$45,040 - $106,109

from 4 insurers · median $53,466

Aetna$45,040
Insurer A*$51,572
Insurer B*$55,359
Insurer C*$106,109
Medicare $12,855Nearby hospitals $24,061122% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Texas Health Kaufman

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*17
586%
133
Insurer B*24
396%
174
Insurer C*24
353%
213
Insurer D*24
267%
135

How we chose these services: 0 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 9 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 Texas Health Kaufman, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    Not rated by CMS

    • 149 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.07%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 25 services, including trauma care
    • 163 affiliated clinicians
    See doctors and services
  • Finances

    $67.4M net patient revenue

    • Operating margin on patient care 25.9%
    • $7.6M unreimbursed and uncompensated care
    • $17.6M net income
    See finances
  • Ownership and leadership

    Owned by Texas Health Resources

    • Private (not for profit)
    • Michael Guyton, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
75-2771437Texas Health Presbyterian Hospital Kaufman57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1457382798 Texas Health Presbyterian Hospital Kaufman1104976703 Texas Health Presbyterian Hospital Kaufman1316361025 Texas Health Presbyterian Hospital Kaufman

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

850 Ed Hall Drive, Kaufman, TX 75142

(972) 932-7200

Get directions

Frequently asked questions

About Texas Health Kaufman's rates and hospital price transparency.

How much does an MRI cost at Texas Health Kaufman?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Texas Health Kaufman range from $792 to $3,246 across 4 insurers. Cigna's rate is $3,246. The median at nearby comparable hospitals is $1,500. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Texas Health Kaufman?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Texas Health Kaufman range from $1,287 to $4,101 across 4 insurers. Blue Cross Blue Shield's rate is $2,558. The median at nearby comparable hospitals is $1,740. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Texas Health Kaufman?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Texas Health Kaufman range from $884 to $5,517 across 4 insurers. UnitedHealthcare's rate is $2,895. The median at nearby comparable hospitals is $3,028. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Texas Health Kaufman?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Texas Health Kaufman range from $241 to $379 across 4 insurers. UnitedHealthcare's rate is $243. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Texas Health Kaufman?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Texas Health Kaufman range from $45,040 to $106,109 across 4 insurers. Aetna's rate is $45,040. The median at nearby comparable hospitals is $24,061. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Texas Health Kaufman a teaching hospital?

CMS reports no Medicare-funded interns or residents at Texas Health Kaufman for fiscal year 2027.

Does Medicare penalize Texas Health Kaufman for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Texas Health Kaufman's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Texas Health Kaufman?

In 2024, the most common were heart failure and shock with mcc (24 discharges), simple pneumonia and pleurisy with mcc (21 discharges), simple pneumonia and pleurisy with cc (14 discharges).

What is Texas Health Kaufman's case mix index?

Texas Health Kaufman's Medicare case mix index is 1.22 for fiscal year 2027, higher than 7% of hospitals paid under the inpatient prospective payment system.

How many patients does Texas Health Kaufman admit?

Texas Health Kaufman reported 1,135 inpatient discharges and 2,677 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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.

Compliance MRF

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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Chargemaster analysis

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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

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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