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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Wilbarger General Hospital

Vernon, TX

920 Hillcrest Drive, Vernon, TX 76384(940) 552-9351

Not rated by CMS

CMS star rating

27

Beds

574

Inpatient discharges a year

$21M

Net patient revenue a year

28

In-network payers

About this hospital

Wilbarger General Hospital is a 27-bed government - hospital district or authority hospital in Vernon, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 294 disclosed rate categories.

  • Sole community hospital
  • ACO participant
  • Helipad
CCN
450584
NPI
1316931835
Teaching
No Medicare-funded residents
County
Wilbarger County
Metro area
Vernon, TX MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1969
Last CMS survey
2019

Prices for common services

The 24 services Wilbarger General 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

$7,683

negotiated rate

Blue Cross$7,683

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,775

negotiated rate

Blue Cross$9,775

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 obstetrics / child birth services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$846 - $2,163

from 3 insurers · median $1,730

UnitedHealthcare$846
Insurer A*$1,730
Insurer B*$2,163
Medicare $334Nearby hospitals $94084% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,315 - $2,631

from 2 insurers · median $2,473

Blue Cross$2,315
Insurer A*$2,631
Medicare $1,144Nearby hospitals $1,87832% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Wilbarger General 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*11
607%
110
Insurer B*24
250%
165
Insurer C*11
229%
55

How we chose these services: 0 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 10 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 Wilbarger General 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

    Not rated by CMS

    • 78 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.03%)
    See quality ratings

  • Doctors and services

    No Medicare-funded residents

    • 25 services, including trauma care
    • 115 affiliated clinicians
    See doctors and services

  • Finances

    $21M net patient revenue

    • Operating margin on patient care -42.1%
    • $4M unreimbursed and uncompensated care
    • -$2.2M net income
    See finances

  • Ownership and leadership

    Owned by Wilbarger County Hospital District

    • Hospital district or authority
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Wilbarger General 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
75-6047638Wilbarger General Hospital57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1316931835 Wilbarger County Hospital District1578688834 Wilbarger County Hospital District1134631799 Wilbarger County Hospital Districtand 4 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

920 Hillcrest Drive, Vernon, TX 76384

(940) 552-9351

Get directions

Frequently asked questions

About Wilbarger General Hospital's rates and hospital price transparency.

How much does an MRI cost at Wilbarger General Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wilbarger General Hospital range from $846 to $2,503 across 3 insurers. Aetna's rate is $2,503. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Wilbarger General Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wilbarger General Hospital range from $846 to $2,163 across 3 insurers. UnitedHealthcare's rate is $846. The median at nearby comparable hospitals is $940. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Wilbarger General Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Wilbarger General Hospital range from $2,315 to $2,631 across 2 insurers. Blue Cross Blue Shield's rate is $2,315. The median at nearby comparable hospitals is $1,878. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Wilbarger General Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Wilbarger General Hospital range from $7,683 to $7,683 across 1 insurers. Blue Cross Blue Shield's rate is $7,683. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Wilbarger General Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wilbarger General Hospital range from $156 to $320 across 3 insurers. Aetna's rate is $320. The median at nearby comparable hospitals is $215. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Wilbarger General Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Wilbarger General Hospital for fiscal year 2027.

Does Medicare penalize Wilbarger General Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wilbarger General Hospital's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Wilbarger General Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (50 discharges), septicemia or severe sepsis without mv >96 hours without mcc (15 discharges).

What is Wilbarger General Hospital's case mix index?

Wilbarger General Hospital's Medicare case mix index is 1.58 for fiscal year 2027, higher than 38% of hospitals paid under the inpatient prospective payment system.

How many patients does Wilbarger General Hospital admit?

Wilbarger General Hospital reported 574 inpatient discharges and 2,908 inpatient days from Oct 1, 2024 to Sep 30, 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
      }
    ]
  }]
}
  • 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
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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.

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  • Missing, duplicate and outdated charge lines identified
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