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Short Term Acute Care HospitalPhysician

Woodlands Specialty Hospital

The Woodlands, TX

25440 Interstate 45, The Woodlands, TX 77386None

Not rated by CMS

CMS star rating

6

Beds

166

Inpatient discharges a year

$30.8M

Net patient revenue a year

29

In-network payers

About this hospital

Woodlands Specialty Hospital is a 6-bed physician hospital in The Woodlands, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 242 disclosed rate categories.

CCN
670267
NPI
1184042822
Teaching
No Medicare-funded residents
County
Montgomery County
Metro area
Houston-Pasadena-The Woodlands, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2020
Last CMS survey
2023

Prices for common services

The 24 services Woodlands Specialty 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.

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,553 - $1,850

from 3 insurers · median $1,572

Aetna$1,850
Insurer A*$1,553
Insurer B*$1,572
Medicare $897Nearby hospitals $1,25126% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$830 - $2,008

from 3 insurers · median $1,850

Aetna$1,850
Insurer A*$830
Insurer B*$2,008
Medicare $1,184Nearby hospitals $1,35636% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$7,631 - $16,826

from 2 insurers · median $12,229

Blue Cross$16,826
Insurer A*$7,631
Medicare $10,860Nearby hospitals $7,22369% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$1,989 - $9,667

from 3 insurers · median $7,631

UnitedHealthcare$7,631
Insurer A*$1,989
Insurer B*$9,667
Medicare $6,176Nearby hospitals $5,83231% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Woodlands Specialty 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*23
164%
176
Insurer B*21
124%
145
Insurer C*21
64%
317

How we chose these services: 1 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 11 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 Woodlands Specialty 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 HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Woodlands Specialty 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
46-2263738Woodlands Specialty Hospital40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 35 more1184042822 Woodlands Specialty Hospital1356694160 Raemcare LLC

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

25440 Interstate 45, The Woodlands, TX 77386

None

Get directions

Frequently asked questions

About Woodlands Specialty Hospital's rates and hospital price transparency.

How much does an MRI cost at Woodlands Specialty Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Woodlands Specialty Hospital range from $114 to $792 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $731. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Woodlands Specialty Hospital?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Woodlands Specialty Hospital range from $55 to $281 across 3 insurers. Aetna's rate is $55. The median at nearby comparable hospitals is $282. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Woodlands Specialty Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Woodlands Specialty Hospital range from $830 to $2,008 across 3 insurers. Aetna's rate is $1,850. The median at nearby comparable hospitals is $1,356. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Woodlands Specialty Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Woodlands Specialty Hospital range from $85 to $169 across 2 insurers. Aetna's rate is $85. The median at nearby comparable hospitals is $135. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Woodlands Specialty Hospital a teaching hospital?

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

Does Medicare penalize Woodlands Specialty Hospital for readmissions?

No. Woodlands Specialty Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is Woodlands Specialty Hospital's case mix index?

Woodlands Specialty Hospital's Medicare case mix index is 5.28 for fiscal year 2027, higher than 100% of hospitals paid under the inpatient prospective payment system.

How many patients does Woodlands Specialty Hospital admit?

Woodlands Specialty Hospital reported 166 inpatient discharges and 353 inpatient days from Jan 1, 2024 to Dec 31, 2024.

How many employees does Woodlands Specialty Hospital have?

Woodlands Specialty Hospital reported 112 full-time-equivalent employees on payroll from Jan 1, 2024 to Dec 31, 2024.

How much revenue does Woodlands Specialty Hospital make?

Woodlands Specialty Hospital reported $30.8M in net patient revenue on $470.7M of gross charges for Jan 1, 2024 to Dec 31, 2024, an operating margin of -20.9%, and net income of -$3.7M.

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.

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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