PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

United Regional Health Care System

United Regional Health Care System · Wichita Falls, TX

1600 11th Street, Wichita Falls, TX 76301(940) 764-3055

3 of 5

CMS star rating

244

Beds

18,273

Inpatient discharges a year

$517.2M

Net patient revenue a year

32

In-network payers

About this hospital

United Regional Health Care System is a 244-bed voluntary non-profit - private hospital in Wichita Falls, TX, affiliated with United Regional Health Care System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 217 disclosed rate categories.

  • Sole community hospital
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
450010
NPI
1023013448
Health system
United Regional Health Care System
Teaching
No Medicare-funded residents
County
Wichita County
Metro area
Wichita Falls, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1967
Last CMS survey
2012

Prices for common services

The 24 services United Regional Health Care System 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

$10,069 - $11,250

from 4 insurers · median $11,250

Blue Crossest.$10,069
Insurer A*est.$11,250
Insurer B*est.$11,250
Insurer C*est.$11,250

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$3,553 - $4,333

from 4 insurers · median $4,333

Aetna$4,333
Insurer A*est.$3,553
Insurer B*est.$4,333
Insurer C*est.$4,333
Medicare $347Nearby hospitals $1,326227% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$17,906 - $17,936

from 4 insurers · median $17,936

Blue Crossest.$17,906
Insurer A*est.$17,936
Insurer B*est.$17,936
Insurer C*est.$17,936

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$30,030 - $33,553

from 4 insurers · median $33,553

Aetnaest.$33,553
Insurer A*est.$30,030
Insurer B*est.$33,553
Insurer C*est.$33,553
Medicare $12,444Nearby hospitals $45,51726% below nearby hospitals

103 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at United Regional Health Care System

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
467%
61
Insurer B*24
467%
182
Insurer C*24
426%
173
Insurer D*23
325%
711

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 United Regional Health Care System, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    3 of 5 stars

    • 172 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.63%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

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

    $517.2M net patient revenue

    • Operating margin on patient care 16.4%
    • $32.9M unreimbursed and uncompensated care
    • $204.3M net income
    See finances
  • Ownership and leadership

    Owned by United Regional Health Care System Inc

    • Private (not for profit)
    • Phyllis A Cowling, 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 United Regional Health Care System in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
75-1912147United Regional Health Care S51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more1023013448 United Regional Health Care System Inc1407890775 United Regional Physician Group1972748994 Stephen E Farmer Do Pa

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

1600 11th Street, Wichita Falls, TX 76301

(940) 764-3055

Get directions

Frequently asked questions

About United Regional Health Care System's rates and hospital price transparency.

How much does an MRI cost at United Regional Health Care System?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at United Regional Health Care System range from $1,441 to $2,373 across 4 insurers. Aetna's rate is $1,441. The median at nearby comparable hospitals is $981. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at United Regional Health Care System?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at United Regional Health Care System range from $3,553 to $4,333 across 4 insurers. Aetna's rate is $4,333. The median at nearby comparable hospitals is $1,326. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at United Regional Health Care System?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at United Regional Health Care System range from $3,443 to $5,901 across 4 insurers. Aetna's rate is $3,443. The median at nearby comparable hospitals is $2,895. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at United Regional Health Care System?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at United Regional Health Care System range from $10,069 to $11,250 across 4 insurers. Blue Cross Blue Shield's rate is $10,069. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at United Regional Health Care System?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at United Regional Health Care System range from $30,030 to $33,553 across 4 insurers. Aetna's rate is $33,553. The median at nearby comparable hospitals is $45,517. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is United Regional Health Care System's CMS star rating?

United Regional Health Care System has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is United Regional Health Care System a teaching hospital?

CMS reports no Medicare-funded interns or residents at United Regional Health Care System for fiscal year 2027.

Does Medicare penalize United Regional Health Care System for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts United Regional Health Care System's base inpatient payments by an estimated 0.63% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at United Regional Health Care System?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (368 discharges), heart failure and shock with mcc (253 discharges), respiratory infections and inflammations with mcc (217 discharges).

What is United Regional Health Care System's case mix index?

United Regional Health Care System's Medicare case mix index is 1.63 for fiscal year 2027, higher than 45% of hospitals paid under the inpatient prospective payment system.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

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.

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
Talk to us about your chargemaster