Outpatient Ratio of Cost to Charges Effective 8/1/2015
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
112705203
1851344162
ABILENE REGIONAL MEDICAL CENTER
6250 HWY 83 84 AT ANTILLEY
ABILENE, TX 79606-5233
TAYLOR
9/1/2014
10%
203965301
1235392192
ACUITY HOSPITAL OF SOUTH TEXAS LLC
718 LEXINGTON AVE
SAN ANTONIO, TX 78212-4768
BEXAR
5/24/2008
80%
322463601
1770768285
ADVANCE HEALTH CENTER INC-
10161 HARWIN DR STE 106
HOUSTON, TX 77036-1621
HARRIS
9/26/2011
80%
121789503
1821009242
ADVENTIST HEALTH SYSTEM SUNBELT INC-CENTRAL TEXASMEDICAL CENTER
1301 WONDER WORLD DR
SAN MARCOS, TX 78666-7533
HAYS
1/1/2015
16%
212487701
1568600195
ALLEGIANCE HEALTH CENTER OF MIDLAND LLC
207 TRADEWINDS BLVD
MIDLAND, TX 79706-2807
MIDLAND
11/25/2009
80%
198956801
1497925267
ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
1612 SOUTH HENDERSON BOULEVARD
KILGORE, TX 75662-3518
GREGG
10/1/2011
100%
282322101
1407169196
AMH CATH LABS, LLC-TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON
811 WRIGHT ST
ARLINGTON, TX 76012-4708
TARRANT
1/1/2015
13%
127298107
1174563779
ANDREWS COUNTY HOSPITAL DISTRICT
720 HOSPITAL DR
ANDREWS, TX 79714-3617
ANDREWS
9/1/2013
52%
121805903
1669567715
ANGLETON DANBURY HOSPITAL DISTRICT-ANGLETON DANBURY MEDICAL CENTER
132 E HOSPITAL DR
ANGLETON, TX 77515-4112
BRAZORIA
9/1/2014
21%
094104901
1457393571
ANSON GENERALHOSPITAL-ANSON GENERAL HOSPITAL
101 AVE J
ANSON, TX 79501-2101
JONES
4/1/2015
100%
334284201
1295173664
ARISE HEALTHCARE SYSTEM, LLC-
3003 BEE CAVES RD
AUSTIN, TX 78746-5542
TRAVIS
7/1/2013
25%
133255305
1073600136
ATLANTA HOSPITAL AUTHORITY-ATLANTA MEMORIAL HOSPITAL
1007 S WILLIAM ST
ATLANTA, TX 75551-3245
CASS
1/1/2014
26%
282268601
1386882488
ATRIUM MEDICAL CENTER LP-
11929 W AIRPORT BLVD STE 110
STAFFORD, TX 77477-2454
FORT BEND
9/1/2009
80%
094215302
1245292630
AUSTIN CENTER FOR OUTPATIENT SURGERY LP-NORTHWEST HILLS SURGICAL HOSPITAL
6818 AUSTIN CENTER BLVD STE 100
AUSTIN, TX 78731-3199
TRAVIS
1/1/2015
12%
130089906
1225038938
BALLINGER MEMORIAL HOSPITAL
608 AVENUE B
BALLINGER, TX 76821-2406
RUNNELS
10/1/2014
52%
094148602
1093744187
BAPTIST HOSPITALS OF SOUTHEAST TEXAS-MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL
3080 COLLEGE
BEAUMONT, TX 77704-4606
JEFFERSON
8/1/2014
11%
136488705
1295764330
BAPTIST HOSPITALS OF SOUTHEAST TEXAS-MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL
608 STRICKLAND
ORANGE, TX 77630-4717
ORANGE
9/1/2014
19%
214757101
1871739714
BASIN HEALTHCARE CENTER-
900 E 4TH ST
ODESSA, TX 79761-5255
ECTOR
1/1/2015
24%
208397401
1881823151
BASTROP BLACKHAWK LLC-LAKESIDE HOSPITAL AT BASTROP
3201 HIGHWAY 71 E
BASTROP, TX 78602-5126
BASTROP
1/1/2011
26%
020973601
1508810573
BAY AREA HEALTHCARE GROUP, LTD-CORPUS CHRISTI MEDICAL CENTER
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412-4913
NUECES
9/1/2014
10%
341698401
1336574904
BAY AREA REGIONAL MEDICAL CENTER LLC-
200 BLOSSOM ST
WEBSTER, TX 77598-4204
HARRIS
8/27/2014
50%
135036506
1669472387
BAYLOR ALL SAINTS MEDICAL CENTER
1400 8TH AVENUE BOX 31
FORT WORTH, TX 76104-4110
TARRANT
10/1/2014
21%
138353107
1194893263
BAYLOR COUNTY HOSPITAL DISTRICT-SEYMOUR HOSPITAL
200 STADIUM DRIVE
SEYMOUR, TX 76380-2344
BAYLOR
6/1/2015
35%
151691601
1609855139
BAYLOR HEART AND VASCULAR HOSPITAL
621 N HALL ST
DALLAS, TX 75226-1339
DALLAS
1/1/2015
21%
112721902
1003813742
BAYLOR INSTITUTE FOR REHABILITATION-BAYLOR INSTITUTE FOR REHAB
3505 GASTON AVE
DALLAS, TX 75246-2018
DALLAS
5/1/2007
29%
127262703
1073511762
BAYLOR MED CTR AT GRAPEVINE-BAYLOR MEDICAL CENTER AT GRAPEVINE
1650 W COLLEGE ST
GRAPEVINE, TX 76051-3565
TARRANT
8/1/2015
21%
135223905
1265430177
BAYLOR MED. CTR. AT WAXAHACHIE-BAYLOR MEDICAL CENTER AT WAXAHACHIE
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165-5240
ELLIS
6/1/2014
22%
344925801
1952509465
BAYLOR MEDICAL CENTER AT CARROLLTON-
4343 N JOSEY LN
CARROLLTON, TX 75010-4603
DENTON
4/1/2014
20%
121790303
1134127749
BAYLOR MEDICAL CENTER AT GARLAND
2300 MARIE CURIE DR
GARLAND, TX 75042-5706
DALLAS
1/1/2015
20%
121776204
1992700983
BAYLOR MEDICAL CENTER AT IRVING-BAYLOR SCOTT & WHITE MEDICAL CENTER IRVING
1901 N MACARTHUR BLVD
IRVING, TX 75061-2220
DALLAS
8/1/2015
19%
314161601
1124305065
BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY-BAYLOR MEDICAL CENTER AT MCKINNEY
5252 W UNIVERSITY DR
MCKINNEY, TX 75071-7822
COLLIN
8/1/2015
24%
171848801
1649273434
BAYLOR REGIONAL MEDICAL CENTER AT PLANO
4700 ALLIANCE BLVD
PLANO, TX 75093-5323
COLLIN
1/1/2015
26%
021003101
1851399406
BAYLOR SPECIALTY HOSPITAL
3504 SWISS AVE
DALLAS, TX 75204-6224
DALLAS
1/1/2011
85%
139485012
1447250253
BAYLOR UNIVERSITY MEDICAL CENTER
3500 GASTON AVENUE
DALLAS, TX 75246-2017
DALLAS
8/1/2015
21%
020993401
1174522494
BAYSIDE COMMUNITY HOSPITAL-
200 HOSPITAL DR
ANAHUAC, TX 77514-0398
CHAMBERS
10/1/2014
48%
182034201
1962486803
BEAUMONT BONE & JOINT INSTITUTE
3650 LAUREL ST
BEAUMONT, TX 77707-2216
JEFFERSON
4/1/2015
16%
203501601
1467646455
BEHAVIORAL MEDICINE OF HOUSTON PA-
7900 WESTGLEN DR
HOUSTON, TX 77063-6410
HARRIS
1/5/2009
80%
083290905
1457358103
BELLVILLE ST JOSEPH HEALTH CENTER-BELLVILLE GENERAL HOSPITAL
44 N CUMMINGS
BELLVILLE, TX 77418-1347
AUSTIN
1/1/2015
42%
136141205
1821011248
BEXAR COUNTY HOSPITAL DISTRICT-UNIVERSITY HEALTH SYSTEM
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
BEXAR
1/1/2015
33%
094224503
1356312243
BIG BEND REGIONAL MEDICAL CENTER
2600 N HIGHWAY 118
ALPINE, TX 79830-2002
BREWSTER
10/1/2014
22%
127305405
1417942608
BOWIE MEMORIAL HOSPITAL
705 E GREENWOOD AVE
BOWIE, TX 76230-3135
MONTAGUE
8/1/2015
32%
094226002
1801817135
BRAZOS VALLEY PHYSICIANS ORGANIZATION MSO LLC-THE PHYSICIANS CENTRE HOSPITAL
3131 UNIVERSITY DR EAST
BRYAN, TX 77802-3473
BRAZOS
12/1/2014
24%
207311601
1114903523
BRIM HEALTHCARE OF TEXAS LLC-WADLEY REGIONAL MEDICAL CENTER
1000 PINE ST
TEXARKANA, TX 75501-5100
BOWIE
1/1/2015
15%
020930601
1679526982
BROWNWOOD REGIONAL MEDICAL CENTER
1501 BURNET
BROWNWOOD, TX 76801-8520
BROWN
10/1/2014
14%
322879301
1407191984
BSA HOSPITAL LLC DBA BAPTIST ST ANTHONYS HOSPITAL-
1600 WALLACE BLVD
AMARILLO, TX 79106-1799
POTTER
1/1/2015
18%
112725003
1750377289
BURLESON ST JOSEPH HEALTH CENTER-BURLESON ST. JOSEPH HEALTH CENTER
1101 WOODSON DRIVE
CALDWELL, TX 77836-1052
BURLESON
1/1/2015
21%
212060201
1205164928
CAHRMC LLC-RICE MEDICAL CENTER
600 S AUSTIN RD
EAGLE LAKE, TX 77434-3202
COLORADO
1/1/2015
68%
211970301
1013142553
CBSH,LLC-
6130 PARKWAY
CORPUS CHRISTI, TX 78414-2455
NUECES
12/1/2014
14%
192622201
1376662296
CEDAR PARK REGIONAL MEDICAL CENTER
1401 MEDICAL PARKWAY
CEDAR PARK, TX 78613-7464
WILLIAMSON
12/1/2014
15%
169553801
1801826839
CENTENNIAL MEDICAL CENTER
12505 LEBANON RD
FRISCO, TX 75035-8298
COLLIN
1/1/2015
17%
121819002
1063450534
CENTRAL TEXAS HOSPITAL
806 NORTH CROCKETT
CAMERON, TX 76520-2599
MILAM
12/1/2012
70%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
020817501
1174576698
CHCA BAYSHORE LP-BAYSHORE MEDICAL CENTER
4000 SPENCER HWY
PASADENA, TX 77504-1202
HARRIS
12/1/2014
9%
121807504
1063466035
CHCA CLEAR LAKE LP-CLEAR LAKE REGIONAL MEDICAL CENTER
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598-4220
HARRIS
12/1/2013
10%
020841501
1962455816
CHCA CONROE LP-CONROE REGIONAL MEDICAL CENTER
504 MEDICAL CENTER BLVD
CONROE, TX 77304-2808
MONTGOMERY
12/1/2014
10%
094187402
1275580938
CHCA WEST HOUSTON LP-WEST HOUSTON MEDICAL CENTER
12141 RICHMOND AVE
HOUSTON, TX 77082-2408
HARRIS
12/1/2014
5%
112712802
1023065794
CHCA WOMANS HOSPITAL LP-THE WOMANS HOSPITAL OF TEXAS
7600 FANNIN ST
HOUSTON, TX 77054-1906
HARRIS
3/1/2015
14%
182073001
1508810722
CHG CORNERSTONE HOSPITAL OF AUSTIN, L.P.-CORNERSTONE HOSPITAL OF AUSTIN
4207 BURNET ROAD
AUSTIN, TX 78756-3316
TRAVIS
7/15/2005
80%
021013001
1083668685
CHG CORNERSTONE HOSPITAL OF HOUSTON LP-CORNERSTONE HOSPITAL OF HOUSTON CLEARLAKE
709 W MEDICAL CENTER BLVD
WEBSTER, TX 77598-4005
HARRIS
9/1/2003
53%
325532501
1235416801
CHG CORNERSTONE HOSPITAL OF SOUTH HOUSTON LP-
2001 HERMANN DR
HOUSTON, TX 77004-7643
HARRIS
1/12/2012
50%
109196903
1164426896
CHILDRENS HOSPITAL OF PITTSBURGH
4401 PENN AVE
PITTSBURGH, PA 15224-1334
OUTOFSTATE
2/1/2011
67%
138910807
1194743013
CHILDRENS MEDICAL CENTER OF DALLAS-CHILDRENS MEDICAL CENTER
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
DALLAS
10/1/2014
33%
133250406
1326079534
CHILDRESS COUNTY HOSPITAL DISTRICT-CHILDRESS REGIONAL MEDICAL CENTER
901 US HIGHWAY 83 N
CHILDRESS, TX 79201-2320
CHILDRESS
9/1/2014
41%
154632701
1548269590
CHILLICOTHE HOSPITAL DISTRICT
303 AVENUE I
CHILLICOTHE, TX 79225-0370
HARDEMAN
7/1/2015
100%
127300503
1184622847
CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MED
6720 BERTNER AVE
HOUSTON, TX 77030-2604
HARRIS
7/1/2015
19%
211468801
1932334125
CHRISTUS CONTINUING CARE-CHRISTUS DUBUIS HOSPITAL OF BEAUMONT
2830 CALDER ST FL 4
BEAUMONT, TX 77702-1809
JEFFERSON
7/1/2009
100%
211487801
1669607859
CHRISTUS CONTINUING CARE-CHRISTUS DUBUIS HOSPITAL OF HOUSTON
1919 LA BRANCH ST FL 7 GWS
HOUSTON, TX 77002-8321
HARRIS
7/1/2009
80%
211454801
1548495740
CHRISTUS CONTINUING CARE-DUBUIS HOSPITAL OF PARIS
865 DESHONG DR 5TH FL
PARIS, TX 75460-9313
LAMAR
7/1/2009
80%
020976901
1295736734
CHRISTUS HEALTH ARK LATEX-CHRISTUS ST MICHAEL HEALTH SYSTEMS
2600 ST MICHAEL DR
TEXARKANA, TX 75503-2372
BOWIE
8/1/2015
11%
094353202
1467453902
CHRISTUS HEALTH ARK LA TEX-CHRISTUS ST MICHAEL REHABILITATION HOSPITAL
2400 ST MICHAEL DR
TEXARKANA, TX 75503-2374
BOWIE
8/1/2015
30%
138296208
1679557888
CHRISTUS HEALTH SE TX-CHRISTUS HOSPITAL
2830 CALDER ST
BEAUMONT, TX 77702-1809
JEFFERSON
7/1/2015
13%
112706003
1598749707
CHRISTUS JASPER MEMORIAL HOSPITAL-
1275 MARVIN HANCOCK DR
JASPER, TX 75951-4935
JASPER
7/1/2015
17%
020844903
1821004151
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHILDRENS HOSPITAL OF SAN ANTONIO
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207-3108
BEXAR
8/1/2015
28%
020844901
1194787218
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHRISTUS SANTA ROSA
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207-3108
BEXAR
7/1/2014
25%
094222902
1003885641
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL ALICE
2500 E MAIN ST
ALICE, TX 78332-4169
JIM WELLS
7/1/2015
12%
198451001
1518935758
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL ALICE LAVIANA PLAZA
700 FLOURNOY RD
ALICE, TX 78332-4003
JIM WELLS
7/1/2005
80%
020811801
1447228747
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL BEEVILLE
1500 E HOUSTON ST
BEEVILLE, TX 78102-5312
BEE
7/1/2015
15%
121775403
1689641680
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI
2606 HOSPITAL BLVD
CORPUS CHRISTI, TX 78405-1818
NUECES
7/1/2015
18%
200141401
1255300836
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI
2606 HOSPITAL BLVD
CORPUS CHRISTI, TX 78404-0000
NUECES
7/1/1999
80%
136436606
1093783391
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL KLEBERG
1311 E GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363-7197
KLEBERG
7/1/2015
13%
137907508
1124052162
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA-CITIZENS MEDICAL CENTER
2701 HOSPITAL DRIVE
VICTORIA, TX 77901-5748
VICTORIA
7/1/2015
19%
094138703
1437156361
CLAY COUNTY MEMORIAL HOSPITAL
310 W SOUTH STREET
HENRIETTA, TX 76365-3346
CLAY
1/1/2015
51%
179322601
1972540417
CLEAR LAKE REHABILITATION HOSPITAL LLC-KINDRED REHABILIT HOSPITAL CLEAR LAKE
655 E MEDICAL CENTER BOULEVARD
WEBSTER, TX 77598-4221
HARRIS
8/1/2013
45%
184632101
1972540532
CLEVELAND IMAGING & SURGICAL HOSPITAL LLC-DOCTORS DIAGNOSTIC HOSPITAL
1017 SOUTH TRAVIS
CLEVELAND, TX 77327-5151
LIBERTY
1/1/2013
26%
137279905
1043281330
CLEVELAND REGIONAL MEDICAL CENTER LP-CLEVELAND REGIONAL MEDICAL CENTER
300 E CROCKETT ST
CLEVELAND, TX 77327-4029
LIBERTY
3/1/2014
13%
094152803
1942314448
COCHRAN MEMORIAL HOSPITAL
201 E GRANT AVE
MORTON, TX 79346-3444
COCHRAN
10/1/2014
100%
020860501
1467403477
COLLEGE STATION MEDICAL CENTER
1604 ROCK PRAIRIE RD
COLLEGE STATION, TX 77845-8345
BRAZOS
11/1/2014
9%
126840107
1477594299
COLLINGSWORTH GENERAL HOSPITAL
1013 15TH STREET
WELLINGTON, TX 79095-1112
COLLINGSWORTH
9/1/2014
56%
020943901
1689628984
COLUMBIA HOSPITAL MEDICAL CITY DALLAS, SUBSIDIARY-MEDICAL CITY DALLAS HOSPITAL
7777 FOREST LANE
DALLAS, TX 75230-2505
DALLAS
7/1/2015
12%
020950401
1134172406
COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP-MEDICAL CENTER OF ARLINGTON
3301 MATLOCK RD
ARLINGTON, TX 76015-2908
TARRANT
5/1/2015
10%
111905902
1306897277
COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP-DENTON REGIONAL MEDICAL CENTER
3535 S INTERSTATE 35 E
DENTON, TX 76210-6850
DENTON
12/1/2014
9%
112698903
1437102639
COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP-MEDICAL CENTER OF MCKINNEY
4500 MEDICAL CENTER DR
MCKINNEY, TX 75069-1650
COLLIN
9/1/2014
10%
127311205
1699726406
COLUMBIA MEDICAL CENTER OF PLANO LP-MEDICAL CENTER OF PLANO
3901 W 15TH ST
PLANO, TX 75075-7738
COLLIN
4/1/2015
8%
094105602
1518911833
COLUMBIA NORTH HILLS HOSPITAL-COLUMBIA NORTH HILLS HOSPITA
4401 BOOTH CALLOWAY ROAD
N RICHLAND HILLS, TX 76180-7371
TARRANT
6/1/2015
12%
094193202
1659323772
COLUMBIA PLAZA MED CTR OF FT WORTH SUBSIDIARY LP-PLAZA MEDICAL CENTER OF FORT WORTH
900 8TH AVE
FORT WORTH, TX 76104-3902
TARRANT
1/1/2015
8%
112716902
1619924719
COLUMBIA RIO GRANDE HEALTHCARE LP-RIO GRANDE REGIONAL HOSPITAL
101 E RIDGE RD
MCALLEN, TX 78503-1847
HIDALGO
9/1/2014
10%
020947001
1043267701
COLUMBIA VALLEY HEALTHCARE SYSTEMS LP-VALLEY REGIONAL MEDICAL CENTER
100A E ALTON GLOOR BLVD
BROWNSVILLE, TX 78526-3346
CAMERON
4/1/2015
9%
135033204
1740238641
COLUMBUS COMMUNITY HOSPITAL-
110 SHULT DRIVE
COLUMBUS, TX 78934-3016
COLORADO
5/1/2015
49%
281406304
1346544616
COMANCHE COUNTY MEDICAL CENTER COMPANY-COMANCHE COUNTY MEDICAL CENTER
10201 HIGHWAY 16
COMANCHE, TX 76442-4462
COMANCHE
10/1/2014
66%
112671602
1972581940
COMMUNITY HOSPITAL OF BRAZOSPORT-BRAZOSPORT REGIONAL HEALTH SYSTEM
100 MEDICAL DRIVE
LAKE JACKSON, TX 77566-5674
BRAZORIA
12/1/2014
22%
091770005
1326025701
CONCHO COUNTY HOSPITAL
614 EAKER ST
EDEN, TX 76837-0987
CONCHO
9/1/2014
63%
021184901
1891765178
COOK CHILDREN'S MEDICAL CENTER-
801 7TH AVE
FORT WORTH, TX 76104-2733
TARRANT
10/1/2014
46%
196882804
1235299132
COOK CHILDRENS NORTHEAST HOSPITAL, LLC-
6316 PRECINCT LINE RD
HURST, TX 76054-2766
TARRANT
12/1/2014
37%
130826407
1639176456
COON MEMORIAL HOSPITAL
1411 DENVER AVE
DALHART, TX 79022-2014
DALLAM
8/1/2014
49%
313347201
1235374612
CORINTH INVESTOR HOLDINGS, LLC DBA ATRIUM MEDICAL-
3305 CORINTH PKWY
CORINTH, TX 76208-5380
DENTON
12/1/2008
50%
094221102
1386652527
CORNERSTONE REGIONAL HOSPITAL
2302 CORNERSTONE BLVD
EDINBURG, TX 78539-8471
HIDALGO
1/1/2014
22%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
134772611
1780823021
CORYELL MEMORIAL HOSPITAL-
1507 WEST MAIN STREET
GATESVILLE, TX 76528-1024
CORYELL
8/1/2014
52%
137227806
1790702371
COUNTY OF YOAKUM-YOAKUM COUNTY HOSPITAL
412 MUSTANG AVE
DENVER CITY, TX 79323-2750
YOAKUM
5/1/2015
66%
139461107
1972517365
COVENANT HEALTH SYSTEM-COVENANT MEDICAL CENTER
3615 19TH ST
LUBBOCK, TX 79410-1225
LUBBOCK
8/1/2015
10%
319209801
1013941780
COVENANT LONG TERM CARE LP-COVENANT SPECIALTY HOSPITAL
3815 20TH ST
LUBBOCK, TX 79410-1235
LUBBOCK
3/28/2007
50%
199602701
1407010622
CRANE COUNTY HOSPITAL DISTRICT-CRANE MEMORIAL HOSPITAL
1310 SOUTH ALFORD STREET
CRANE, TX 79731-3809
CRANE
9/1/2014
92%
303478701
1316197767
CR EMERGENCY ROOM LLC-BAYLOR EMERGENCY MEDICAL CENTER
26791 HIGHWAY 380
AUBREY, TX 76227-7654
DENTON
12/1/2014
27%
094141105
1063500270
CROSBYTON CLINIC HOSPITAL
710 W MAIN ST
CROSBYTON, TX 79322-2143
CROSBY
12/1/2014
69%
138911609
1437148020
CUERO COMMUNITY HOSPITAL
2550 N ESPLANADE
CUERO, TX 77954-4736
DEWITT
9/1/2014
34%
112718503
1477583334
CYPRESS FAIRBANKS MED CTR
10655 STEEPLETOP DR
HOUSTON, TX 77065-4222
HARRIS
1/1/2015
14%
320384601
1356559991
DALLAS LTACH-
8050 MEADOW RD
DALLAS, TX 75231-3406
DALLAS
9/1/2013
50%
320384603
1356559991
DALLAS LTACH-DALLAS LTACH LLC
8050 MEADOW RD
DALLAS, TX 75231-3406
DALLAS
9/1/2013
50%
219336901
1861690364
DALLAS MEDICAL CENTER LLC-
7 MEDICAL PKWY
DALLAS, TX 75234-7823
DALLAS
12/1/2014
11%
189947801
1134108053
DAWSON COUNTY HOSPITAL DISTRICT-MEDICAL ARTS HOSPITAL
2200 N BRYAN AVE
LAMESA, TX 79331-2451
DAWSON
4/1/2015
51%
341779201
1649504853
DAY STARS INC-
4611 S MAIN ST
STAFFORD, TX 77477-4731
FORT BEND
9/9/2013
50%
133544006
1568454403
DEAF SMITH COUNTY HOSPITAL DISTRICT-HEREFORD REGIONAL MEDICAL CENTER
540 W 15TH ST
HEREFORD, TX 79045-2820
DEAF SMITH
9/1/2014
48%
343108201
1033204342
DENTON TRANSITIONAL LTCH LP-INTEGRITY TRANSITIONAL HOSPITAL
2813 S MAYHILL RD
DENTON, TX 76208
DENTON
6/1/2008
50%
094118902
1851343909
DETAR HOSPITAL-DETAR HOSPITAL NAVARRO
506 E SAN ANTONIO ST
VICTORIA, TX 77901-6060
VICTORIA
10/1/2014
9%
094227802
1003939232
DICKERSON MEMORIAL HOSPITAL
1001 DICKERSON DR
JASPER, TX 75951-5110
JASPER
5/1/2010
33%
217884001
1326134255
DIMMIT REGIONAL HOSPITAL
704 HOSPITAL DR
CARRIZO SPRINGS, TX 78834-3836
DIMMIT
9/1/2014
31%
094194002
1699705426
DOCTORS HOSPITAL
9440 POPPY DRIVE
DALLAS, TX 75218-3652
DALLAS
6/1/2015
11%
112727604
1891741468
DOCTORS HOSPITAL 1997 LP-DOCTORS HOSPITAL PARKWAY TIDWELL
510 W TIDWELL RD
HOUSTON, TX 77091-4339
HARRIS
1/1/2015
18%
195746601
1225132863
DOCTORS HOSPITAL AT RENAISSANCE
5403 DOCTORS DRIVE
EDINBURG, TX 78539-1410
HIDALGO
1/1/2006
80%
160709501
1053317362
DOCTORS HOSPITAL AT RENAISSANCE LTD
5501 S MCCOLL RD
EDINBURG, TX 78539-9152
HIDALGO
1/1/2014
20%
132812205
1548286172
DRISCOLL CHILDRENS HOSPITAL
3533 SOUTH ALAMEDA
CORPUS CHRISTI, TX 78411-1785
NUECES
5/1/2015
48%
193783101
1629166129
DUBUIS HEALTH SYSTEM INC-
2400 ST MICHAEL DRIVE 2ND FLOOR
TEXARKANA, TX 75503-2374
BOWIE
9/1/2004
80%
194187401
1982792552
DUBUIS HEALTH SYSTEM INC-DUBUIS HOSPITAL OF CORPUS CHRISTI
600 ELIZABETH STREET 3RD FLOOR
CORPUS CHRISTI, TX 78404-2235
NUECES
9/1/2004
80%
072521002
1992703540
DUKE UNIVERSITY HEALTH SYSTEM INC-DUKE UNIVERSITY HOSPITAL
2301 ERWIN RD
DURHAM, NC 27710-0001
OUTOFSTATE
1/1/2008
60%
199210901
1669655601
EAST EL PASO PHYSICIANS MEDICAL CENTER LLC-FOUNDATION SURGICAL HOSPITAL OF EL PASO
1416 GEORGE DIETER DR
EL PASO, TX 79936-7601
EL PASO
12/1/2014
12%
137074409
1689650921
EASTLAND MEMORIAL HOSPITAL DISTRICT-EASTLAND MEMORIAL HOSPITAL
304 S DAUGHERTY AVE
EASTLAND, TX 76448-2609
EASTLAND
7/1/2015
41%
020812601
1235256884
EAST TEXAS MEDICAL CENTER
1000 S BECKHAM STREET
TYLER, TX 75701-1908
SMITH
11/1/2014
12%
139173209
1356320873
EAST TEXAS MEDICAL CENTER ATHENS
2000 S PALESTINE ST
ATHENS, TX 75751-5610
HENDERSON
5/1/2015
12%
094127002
1801975107
EAST TEXAS MEDICAL CENTER CARTHAGE
409 COTTAGE RD
CARTHAGE, TX 75633-1466
PANOLA
8/1/2015
18%
130862905
1679506174
EAST TEXAS MEDICAL CENTER CLARKSVILLE
3000 WEST MAIN
CLARKSVILLE, TX 75426-1270
RED RIVER
4/1/2015
16%
137319306
1073500799
EAST TEXAS MEDICAL CENTER CROCKETT
1100 E LOOP 304
CROCKETT, TX 75835-1810
HOUSTON
3/1/2015
15%
094190802
1578542098
EAST TEXAS MEDICAL CENTER FAIRFIELD
125 NEWMAN ST
FAIRFIELD, TX 75840-1419
FREESTONE
9/1/2014
18%
168447401
1295719227
EAST TEXAS MEDICAL CENTER GILMER
712 N WOOD ST
GILMER, TX 75644-1751
UPSHUR
7/1/2015
20%
130612806
1285689133
EAST TEXAS MEDICAL CENTER JACKSONVILLE
501 S RAGSDALE ST
JACKSONVILLE, TX 75766-2434
CHEROKEE
11/1/2014
14%
136140407
1205821113
EAST TEXAS MEDICAL CENTER MOUNT VERNON-EAST TEXAS MEDICAL CENTER MT VERNON
500 SO STATE HWY 37
MOUNT VERNON, TX 75457-6550
FRANKLIN
12/1/2014
20%
138374715
1720037559
EAST TEXAS MEDICAL CENTER PITTSBURG-
2701 US HWY 271 N
PITTSBURG, TX 75686-4289
CAMP
12/1/2014
21%
017624007
1396748430
EAST TEXAS MEDICAL CENTER QUITMAN-
117 N WINNSBORO ST
QUITMAN, TX 75783-2144
WOOD
7/1/2015
19%
021177301
1700901873
EAST TEXAS MEDICAL CENTER RE
701 OLYMPIC PLAZA CIR
TYLER, TX 75701-1950
SMITH
8/1/2015
14%
121817401
1821063553
EAST TEXAS MEDICAL CENTER TRINITY
317 PROSPECT DRIVE
TRINITY, TX 75862-0317
TRINITY
3/1/2015
15%
343799801
1952732653
EBD BEMC ROCKWALL, LLC-BAYLOR EMERGENCY MEDICAL CENTER
1975 ALPHA DR STE 100
ROCKWALL, TX 75087
ROCKWALL
10/1/2014
50%
135235306
1740273994
ECTOR COUNTY HOSPITAL DISTRICT-MEDICAL CENTER HOSPITAL
500 W 4TH ST
ODESSA, TX 79761-5001
ECTOR
10/1/2014
21%
169893802
1780677971
ECTOR COUNTY HOSPITAL DISTRICT-MEDICAL CENTER HOSPITAL
500 W 4TH
ODESSA, TX 79760-5001
ECTOR
6/1/2011
21%
311054601
1003192311
EL CAMPO MEMORIAL HOSPITAL-
303 SANDY CORNER RD
EL CAMPO, TX 77437-9535
WHARTON
4/1/2015
31%
135034006
1811091903
ELECTRA HOSPITAL DISTRICT-ELECTRA MEMORIAL HOSPITAL
1207 S BAILEY ST
ELECTRA, TX 76360-1112
WICHITA
11/1/2006
35%
135034009
1871583153
ELECTRA HOSPITAL DISTRICT-ELECTRA MEMORIAL HOSPITAL
1207 S BAILEY ST
ELECTRA, TX 76360-3221
WICHITA
9/1/2014
61%
291854201
1558659714
EL PASO CHILDRENS HOSPITAL-
4845 ALAMEDA AVE
EL PASO, TX 79905-2705
EL PASO
8/1/2014
20%
138951211
1316936990
EL PASO COUNTY HOSPITAL DISTRICT-UNIVERSITY MEDICAL CENTER OF EL PASO
4815 ALAMEDA
EL PASO, TX 79905-2705
EL PASO
10/1/2014
23%
190248801
1194890103
EL PASO LTAC HOSPITAL
1221 N COTTON ST 3RD FLOOR
EL PASO, TX 79902-3015
EL PASO
2/4/2007
80%
148322401
1366427130
EL PASO SPECIALTY HOSPITAL-SURGICAL INSTITUTE OF EL PASO
1755 CURIE STE A
EL PASO, TX 79902-2920
EL PASO
1/1/2015
19%
309798201
1669752234
EMERUS BHS SA THOUSAND OAKS LLC-BAPTIST EMERGENCY HOSPITAL HAUSMAN
16088 SAN PEDRO AVE
SAN ANTONIO, TX 78232-2249
BEXAR
12/1/2014
13%
282960802
1609008838
ENLIGHTENED BEHAVIORAL HEALTH SYSTEMS LLC-
4242 MEDICAL DR STE 1100
SAN ANTONIO, TX 78229-5329
BEXAR
9/28/2011
80%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
343621401
1467588319
ER AMERICAN HEALTHCARE SERVICES, LLC-
2815 W T C JESTER BLVD STE 101
HOUSTON, TX 77080
HARRIS
11/10/2009
50%
325449201
1144566316
ESWCT CEDAR PARK, LLC-BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CTR AT CEDA
900 E WHITESTONE BLVD
CEDAR PARK, TX 78613-9093
WILLIAMSON
12/1/2014
25%
208843701
1770717167
ETMC HENDERSON-
300 WILSON ST
HENDERSON, TX 75652-5956
RUSK
10/1/2014
16%
133367602
1841294246
FALLS COMMUNITY HOSPITAL AND CLINIC
322 COLEMAN ST
MARLIN, TX 76661-2358
FALLS
4/1/2015
23%
330811601
1760417646
FANNIN COUNTY HOSPITAL AUTHORITY-RED RIVER REGIONAL HOSPITAL
504 LIPSCOMB ST
BONHAM, TX 75418-4028
FANNIN
1/1/2015
36%
112692202
1598746703
FISHER COUNTY HOSPITAL
774 STATE HWY 70 NORTH
ROTAN, TX 79546-6918
FISHER
12/1/2014
100%
217744601
1902047376
FLOWER MOUND HOSPITAL PARTNERS LLC-TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND
4400 LONG PRAIRIE RD
FLOWER MOUND, TX 75028-1892
DENTON
5/1/2015
27%
110803703
1770579591
FORT DUNCAN REGIONAL MEDICAL CENTER
3333 N FOSTER MALDONADO BLVD
EAGLE PASS, TX 78852-5148
MAVERICK
12/1/2014
14%
112688002
1952308132
FRIO HOSPITAL
200 S I H 35
PEARSALL, TX 78061-6601
FRIO
1/1/2015
33%
157144001
1922002674
FRISCO MEDICAL CENTER-FRISCO MEDICAL CENTER LLP
5601 WARREN PARKWAY
FRISCO, TX 75034-4069
DENTON
12/1/2014
40%
167364201
1871599183
FT WORTH SURGICARE PARTNERS, LTD
1800 PARK PLACE AVE
FORT WORTH, TX 76110-1302
TARRANT
12/1/2014
15%
121777003
1922009331
GAINESVILLE HOSPITAL DISTRICT-NORTH TEXAS MEDICAL CENTER
1900 HOSPITAL BLVD
GAINESVILLE, TX 76240-2002
COOKE
9/1/2014
23%
309910301
1013910868
GCMC OF WHARTON COUNTY TEXAS LLC-GULF COAST MEDICAL CENTER
10141 US 59 HWY
WHARTON, TX 77488-7224
WHARTON
1/1/2015
22%
121785303
1932108214
GONZALES HEALTHCARE SYSTEMS-MEMORIAL HOSPITAL
1110 SARAH DEWITT DR
GONZALES, TX 78629-0587
GONZALES
6/1/2015
79%
143026602
1912923988
GONZALES WARM SPRINGS REHABI-WARM SPRINGS REHABILITATION HOSPITAL
200 MEMORIAL DRIVE
LULING, TX 78648-3213
CALDWELL
5/1/2009
21%
137075109
1962455832
GOODALL WITCHER HOSPITAL FOUNDATION-GOODALL WITCHER HEALTHCARE
101 POSEY AVE
CLIFTON, TX 76634-1832
BOSQUE
7/1/2015
32%
131035105
1780649509
GOOD SHEPHERD MEDICAL CENTER LINDEN INC
404 N KAUFMAN ST
LINDEN, TX 75563-5234
CASS
6/1/2015
29%
094095902
1689663007
GOOD SHEPHERD MEDICAL CTR-GOOD SHEPHERD MEDICAL CENTER
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
GREGG
10/1/2014
11%
197063401
1841497153
GPCH LLC-GOLDEN PLAINS COMMUNITY HOSPITAL
100 MEDICAL DR
BORGER, TX 79007-7579
HUTCHINSON
1/1/2015
41%
130613604
1881691061
GRAHAM GENERAL HOSPITAL
1301 MONTGOMERY RD
GRAHAM, TX 76450-4240
YOUNG
9/1/2014
100%
218647001
1114236304
GRAYSON COUNTY PHYSICIANS PROPERTY LLC-GRAYSON COUNTY PHYSICIANS PROPERTY, LLC
3601 N CALAIS ST
SHERMAN, TX 75090-1785
GRAYSON
2/1/2014
25%
147918003
1154317774
GRIMES ST JOSEPH HEALTH CENTER
210 S. JUDSON
NAVASOTA, TX 77868-1390
GRIMES
1/1/2015
28%
138411709
1720088123
GUADALUPE REGIONAL MEDICAL CENTER
1215 EAST COURT
SEGUIN, TX 78155-5129
GUADALUPE
9/1/2014
27%
121792903
1326037607
HAMILTON GENERAL HOSPITAL
400 N BROWN
HAMILTON, TX 76531-1518
HAMILTON
9/1/2014
38%
110856504
1134137466
HAMILTON HOSPITAL
901 W HAMILTON
OLNEY, TX 76374-1725
YOUNG
3/1/2015
45%
094131202
1396739710
HAMLIN MEMORIAL HOSPITAL
632 NW SECOND
HAMLIN, TX 79520-3808
JONES
8/1/2014
51%
094117105
1992707780
HANSFORD COUNTY HOSPITAL DISTRICT-HANSFORD COUNTY HOSPITAL
707 SOUTH ROLAND ST
SPEARMAN, TX 79081-3441
HANSFORD
10/1/2014
48%
215330601
1649262528
HARBOR HOSPITAL OF SOUTHEAST TEXAS-
860 S 8TH ST
BEAUMONT, TX 77701-4626
JEFFERSON
9/1/2009
80%
121692107
1861510521
HARDEMAN COUNTY MEMORIAL HOSPITAL
402 MERCER ST
QUANAH, TX 79252-4026
HARDEMAN
8/1/2015
65%
154504801
1881688976
HARLINGEN MEDICAL CENTER LP-
5501 S EXPRESSWAY 77
HARLINGEN, TX 78550-3213
CAMERON
12/1/2014
11%
190422901
1063503399
HARMONY MENTAL HEALTH SERVICES INC-TEXAS HARMONY HOUSE
3734 GULF ST
HOUSTON, TX 77017-3004
HARRIS
10/11/2005
80%
133355104
1205900370
HARRIS COUNTY HOSPITAL DISTRICT
1504 TAUB LOOP
HOUSTON, TX 77030-1608
HARRIS
3/1/2015
39%
112667403
1124092036
HARRISON COUNTY HOSPITAL ASSOCIATION-GOOD SHEPHERD MEDICAL CENTER MARSHALL
811 S WASHINGTON AVE
MARSHALL, TX 75670-5336
HARRISON
10/1/2014
15%
112702904
1184607897
HASKELL MEMORIAL HOSPITAL
1 AVENUE N
HASKELL, TX 79521-5415
HASKELL
9/1/2014
54%
021185601
1699749341
HEALTHBRIDGE CHILDRENS HOSPITAL
2929 WOODLAND PARK DRIVE
HOUSTON, TX 77082-2929
HARRIS
1/1/2015
31%
199329701
1013968726
HEALTH SOUTH CITY VIEW REHABILITATION HOSPITAL
6701 OAKMONT BLVD
FORT WORTH, TX 76132-2957
TARRANT
9/1/2006
80%
094347402
1144294893
HEALTHSOUTH PLANO REHABILITAION HOSPITAL-HEALTHSOUTH PLANO REHABILITA
2800 W 15TH ST
PLANO, TX 75075-7526
COLLIN
8/1/2011
45%
021173201
1821062050
HEALTHSOUTH REHABILIATION HOSPITAL OF ARLINGTON-HEALTHSOUTH REHABILIATION HO
3200 MATLOCK RD
ARLINGTON, TX 76015-2911
TARRANT
7/1/2014
45%
094351601
1821061532
HEALTHSOUTH REHABILITATION-HEALTHSOUTH REHABILITATION HOSPITAL OF MIDLAND/ODE
1800 HERITAGE BLVD
MIDLAND, TX 79707-9750
MIDLAND
12/1/2010
29%
094345801
1568435279
HEALTHSOUTH REHABILITATION HOSPITAL OF AUSTIN
1215 RED RIVER ST
AUSTIN, TX 78701-1921
TRAVIS
6/1/2015
41%
094343302
1851364558
HEALTHSOUTH REHABILITATION HOSPITAL OF FORT WORTH-HEALTHSOUTH REHABILITATION HOPSITAL OF FORT WORTH
1212 W LANCASTER
FORT WORTH, TX 76102-4510
TARRANT
6/1/2013
82%
021175701
1649243353
HEALTHSOUTH REHABILITATION OF TEXARKANA INC
515 W 12TH ST
TEXARKANA, TX 75501-4416
BOWIE
5/1/2014
42%
021168201
1548233265
HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO (RIOSA-HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO
9119 CINNAMON HL
SAN ANTONIO, TX 78240-5401
BEXAR
4/1/2015
34%
322916301
1558349399
HEART OF TEXAS HEALTHCARE SYSTEM-
2008 NINE RD
BRADY, TX 76825-7210
MCCULLOCH
4/1/2015
50%
109588703
1558354241
HEMPHILL COUNTY HOSPITAL
1020 S FOURTH ST
CANADIAN, TX 79014-3315
HEMPHILL
10/1/2014
53%
021012201
1992709661
HENDRICK CENTER FOR EXTENDED CARE-CONTINUECARE HOSPITAL HENDRICK MEDICAL CENTER
1900 PINE
ABILENE, TX 79601-2432
TAYLOR
9/11/1992
80%
138644310
1528064649
HENDRICK MEDICAL CENTER
1900 PINE
ABILENE, TX 79601-2432
TAYLOR
9/1/2014
21%
312239201
1841562709
HH KILLEEN HEALTH SYSTEM LLC-
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548-1890
BELL
5/1/2015
20%
021182301
1710976402
HIGHLANDS REGIONAL REHABILITATION HOSPITAL-HIGHLANDS REGIONAL REHABILIT
1395 GEORGE DIETER DRIVE
EL PASO, TX 79936-7410
EL PASO
6/1/2015
34%
136430906
1497726343
HILL COUNTRY MEMORIAL-HILL COUNTRY MEMORIAL HOSP
1020 SOUTH STATE HWY 16
FREDERICKSBURG, TX 78624-0835
GILLESPIE
1/1/2015
31%
138962907
1891882833
HILLCREST BAPTIST MEDICAL CENTER
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
MCLENNAN
9/1/2014
15%
342612401
1780022319
HOPEBRIDGE, LLC-HOPEBRIDGE HOSPITAL
5556 GASMER DR
HOUSTON, TX 77035-4563
HARRIS
6/1/2013
100%
131037707
1184618548
HOPKINS COUNTY HOSPITAL DISTRICT-
115 AIRPORT RD
SULPHUR SPRINGS, TX 75482-2105
HOPKINS
9/1/2012
41%
131037704
1184618548
HOPKINS COUNTY HOSPITAL DISTRICT-HOPKINS COUNTY MEMORIAL HOSPITAL
115 AIRPORT ROAD
SULPHUR SPRINGS, TX 75482-2105
HOPKINS
9/1/2014
41%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
342897101
1306268321
HOUSTON METHODIST ST CATHERINE HOSPITAL-
701 S FRY RD
KATY, TX 77450
HARRIS
7/1/2014
15%
336478801
1952723967
HOUSTON METHODIST ST JOHN HOSPITAL-
18300 SAINT JOHN DR
HOUSTON, TX 77058-6302
HARRIS
2/1/2014
17%
193867201
1740450121
HOUSTON NORTHWEST OPERATING COMPANY LLC-HOUSTON NORTHWEST MEDICAL CENTER
710 CYPRESS CREEK PKWY
HOUSTON, TX 77090-3402
HARRIS
6/1/2015
10%
020927202
1154316347
HUNT MEMORIAL HOSPITAL DISTRICT-HUNT REGIONAL COMMUNITY HOSPITAL
2900 STERLING HART DR
COMMERCE, TX 75428-3912
HUNT
10/1/2014
70%
131038504
1598750721
HUNT MEMORIAL HOSPITAL DISTRICT-HUNT REGIONAL MEDICAL CENTER
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75401-7852
HUNT
10/1/2014
22%
212167501
1548406788
ICON HOSPITAL, LLP-
19211 MCKAY BLVD
HUMBLE, TX 77338-5502
HARRIS
2/1/2009
80%
094232802
1215937966
IHS HOSPITAL AT EL PASO
2311 N OREGON
EL PASO, TX 79902-3216
EL PASO
8/1/2014
32%
112730002
1811985526
IHS HOSPITAL OF AMARILLO
5601 PLUM CREEK DR
AMARILLO, TX 79124-1801
POTTER
1/1/1999
100%
112728403
1083619712
IRAAN GENERAL HOSPITAL DISTRICT
600 HWY 349 NORTH
IRAAN, TX 79744-0665
PECOS
4/1/2015
100%
163936101
1669569984
IRVING COPPELL SURGICAL HOSPITAL LLP-IRVING-COPPELL SURGICAL HOSPITAL LLP
400 W INTERSTATE 635 STE 101
IRVING, TX 75063-1158
DALLAS
12/1/2014
68%
119874904
1790777696
JACK COUNTY HOSPITAL DISTRICT-FAITH COMMUNITY HOSPITAL
717 MAGNOLIA ST
JACKSBORO, TX 76458-1111
JACK
6/1/2015
100%
121808305
1124061882
JACKSON COUNTY HOSPITAL DISTRICT-JACKSON HEALTHCARE CENTER
1013 S WELLS ST
EDNA, TX 77957-4096
JACKSON
11/1/2014
63%
126675104
1992753222
JOHN PETER SMITH HOSPITAL-JPS HEALTH NETWORK
1500 S MAIN ST
FORT WORTH, TX 76104-4917
TARRANT
11/1/2014
26%
136412710
1699772541
KARNES COUNTY HOSPITAL DISTRICT-OTTO KAISER MEMORIAL HOSPITAL
3349 S HWY 181
KENEDY, TX 78119-5240
KARNES
7/1/2015
39%
168648701
1669480323
KELL WEST REGIONAL HOSPITAL LLC-KELL WEST REGIONAL HOSPITAL
5420 KELL WEST BOULEVARD
WICHITA FALLS, TX 76310-2542
WICHITA
12/1/2014
46%
021001501
1699844654
KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL- DALLAS
9525 GREENVILLE AVE
DALLAS, TX 75243-4116
DALLAS
9/1/2000
72%
021004901
1922177997
KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL- FORT WORTH
1802 HWY 157 NORTH
MANSFIELD, TX 76063-3923
TARRANT
7/1/2009
44%
021008001
1942379912
KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL- HOUSTON
6441 MAIN STREET
HOUSTON, TX 77030-1502
HARRIS
1/1/1997
66%
149633301
1821167818
KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-WHITE ROCK
9440 POPPY DR -5TH FLOOR SOUTH
DALLAS, TX 75218-3652
DALLAS
9/1/2004
80%
135035706
1861488579
KNAPP MEDICAL CENTER
1401 E 8TH ST
WESLACO, TX 78596-6640
HIDALGO
8/1/2015
18%
121053602
1487639175
KNOX COUNTY HOSPITAL
701 S. FIFTH
KNOX CITY, TX 79529-2107
KNOX
11/1/2014
58%
112724302
1811942238
KPH- CONSOLIDATION, INC.-KINGWOOD MEDICAL CENTER
22999 HIGHWAY 59 NORTH
KINGWOOD, TX 77339-4438
HARRIS
10/1/2014
9%
094178302
1114998911
LAKE GRANBURY MEDICAL CENTER
1310 PALUXY ROAD
GRANBURY, TX 76048-5655
HOOD
12/1/2014
8%
020966001
1205018439
LAKE POINTE MEDICAL CENTER
6800 SCENIC DR
ROWLETT, TX 75088-4552
DALLAS
7/1/2015
11%
181544101
1881823151
LAKESIDE HOSPITAL AT BASTROP LTD
3201 HIGHWAY 71 EAST
BASTROP, TX 78602-9100
BASTROP
6/1/2010
34%
310443201
1831471291
LAKEWAY REGIONAL MEDICAL CENTER LLC-
100 MEDICAL PKWY
LAKEWAY, TX 78738-5621
TRAVIS
5/1/2015
35%
094136102
1003988114
LAKE WHITNEY MEMORIAL HOSP-LAKE WHITNEY MEDICAL CTR
200 N SAN JACINTO
WHITNEY, TX 76692-2388
HILL
4/1/2013
80%
127313803
1700854288
LAMB HEALTHCARE CENTER
1500 S SUNSET
LITTLEFIELD, TX 79339-4899
LAMB
10/1/2014
58%
331242301
1851632616
LANCASTER REGIONAL HOSPITAL LP-
2600 W PLEASANT RUN RD
LANCASTER, TX 75146-1114
DALLAS
12/18/2013
50%
315109401
1063728855
LA PAZ BEHAVIORAL HEALTH RGV INC-
900 E REDBUD AVE STE F/G
MCALLEN, TX 78504-2638
HIDALGO
9/26/2012
80%
021375301
1932186863
LAPAZ COMMUNITY HEALTH CENTER
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212-5006
BEXAR
9/1/2004
80%
162033801
1548232044
LAREDO MEDICAL CENTER
1700 E SAUNDERS ST
LAREDO, TX 78041-5474
WEBB
10/1/2014
9%
094186602
1396731105
LAREDO REGIONAL MEDICAL CENTER LP-DOCTORS HOSPITAL OF LAREDO
10700 MCPHERSON RD
LAREDO, TX 78045-6268
WEBB
3/1/2015
14%
185051301
1316992878
LAREDO SPECIALTY HOSPITAL
2005 BUSTAMANIE
LAREDO, TX 78041-5470
WEBB
7/7/2006
80%
020979301
1902857766
LAS COLINAS MEDICAL CENTER
6800 N MACARTHUR BLVD
IRVING, TX 75039-2422
DALLAS
12/1/2014
10%
094109802
1770536120
LAS PALMAS MEDICAL CENTER
1801 N OREGON
EL PASO, TX 79902-3524
EL PASO
8/1/2014
6%
135233809
1992767511
LAVACA MEDICAL CENTER HBP-LAVACA MEDICAL CENTER
1400 N TEXANA
HALLETTSVILLE, TX 77964-2021
LAVACA
12/1/2014
100%
284333601
1154324952
LIBERTY DAYTON REGIONAL MEDICAL CENTER DBA LDRMC P-LIBERTY DAYTON REGIONAL MEDICAL CENTER
1353 N TRAVIS ST
LIBERTY, TX 77575-3549
LIBERTY
9/1/2014
25%
121781205
1831140979
LILLIAN M HUDSPETH MEMORIAL ER PHYS-LILLIAN M HUDSPETH MEMORIAL HOSPITAL
308 HUDSPETH AVE
SONORA, TX 76950-8003
SUTTON
12/1/2014
38%
140714001
1861487779
LIMESTONE MEDICAL CENTER
701 MCCLINTIC
GROESBECK, TX 76642-2128
LIMESTONE
9/1/2014
59%
342027501
1619303641
LITTLE RIVER HEALTHCARE CAMERON HOSPITAL-
806 N CROCKETT AVE
CAMERON, TX 76520-2553
MILAM
7/19/2014
50%
020951201
1295777324
LONE STAR HMA LP-DALLAS REGIONAL MEDICAL CENTER
1011 N GALLOWAY AVE
MESQUITE, TX 75149-2433
DALLAS
12/1/2014
10%
110839103
1528026267
LONGVIEW MEDICAL CENTER LP-LONGVIEW REGIONAL MEDICAL CENTER
2901 N 4TH ST
LONGVIEW, TX 75605-5128
GREGG
1/1/2015
11%
213659001
1750523593
LTHM HOUSTON OPERATIONS LLC-ST ANTHONYS HOSPITAL
2807 LITTLE YORK RD
HOUSTON, TX 77093-3405
HARRIS
1/1/2015
6%
163219201
1922001775
LUBBOCK HEART HOSPITAL LP-LUBBOCK HEART HOSPITAL
4810 N LOOP 289
LUBBOCK, TX 79416-3025
LUBBOCK
1/1/2015
10%
281514401
1225289499
LUBBOCK HERITAGE HOSPITAL LLC-GRACE MEDICAL CENTER
2412 50TH STREET
LUBBOCK, TX 79412-2504
LUBBOCK
12/1/2014
16%
071672202
1467442749
LUCILE PACKARD CHILDRENS HOSPITAL-
725 WELCH RD
PALO ALTO, CA 94304-1601
OUTOFSTATE
3/10/2015
50%
094180903
1821066820
LYNN COUNTY HOSPITAL-LYNN COUNTY HOSPITAL DISTRICT
2600 LOCKWOOD ST
TAHOKA, TX 79373-1310
LYNN
1/1/2015
41%
020990001
1780731737
MADISON ST JOSEPH HEALTH CENTER
100 W CROSS ST
MADISONVILLE, TX 77864-2432
MADISON
1/1/2015
17%
136145310
1679560866
MARTIN COUNTY HOSPITAL DISTRICT
600 EAST I 20
STANTON, TX 79782-0640
MARTIN
5/1/2015
69%
130959304
1679678767
MATAGORDA COUNTY HOSPITAL DISTRICT-MATAGORDA REGIONAL MEDICAL CENTER
104 7TH ST
BAY CITY, TX 77414-4853
MATAGORDA
10/1/2014
36%
283280001
1871898478
MAYHILL BEHAVIORAL HEALTH LLC-
2809 S MAYHILL RD
DENTON, TX 76208-5910
DENTON
1/13/2011
80%
094172602
1023013935
MCCAMEY HOSPITAL
2500 S HWY 305
MCCAMEY, TX 79752-1200
UPTON
9/1/2014
100%
112672402
1174582050
M.D. ANDERSON HOSP.-MD ANDERSON HOSPITAL
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
HARRIS
9/1/2014
64%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
094192402
1255384533
MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP-MEDICAL CENTER OF LEWISVILLE
500 WEST MAIN
LEWISVILLE, TX 75057-3629
DENTON
6/1/2015
13%
212140201
1427048453
MEDINA COUNTY HOSPITAL DISTRICT-
3100 AVENUE E
HONDO, TX 78861-3534
MEDINA
9/1/2014
33%
337433201
1710985098
MEMORIAL HERMANN HEALTH SYSTEM-TIRR MEMORIAL HERMANN
1333 MOURSUND ST
HOUSTON, TX 77030-3405
HARRIS
1/1/2015
32%
137805107
1982666111
MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS HERMANN HOSPITAL
909 FROSTWOOD #3 506
HOUSTON, TX 77024-2315
HARRIS
1/1/2015
18%
146509801
1932152337
MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS KATY HOSPITAL
909 FROSTWOOD #3 506
HOUSTON, TX 77024-2315
HARRIS
1/1/2015
14%
020934801
1740233782
MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS MEMORIAL CITY HOSPITAL
909 FROSTWOOD #3 506
HOUSTON, TX 77024-2315
HARRIS
8/1/2015
21%
192751901
1295843787
MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS NORTHEAST HOSPITAL
909 FROSTWOOD #3 506
HOUSTON, TX 77024-2315
HARRIS
1/1/2015
15%
146021401
1295788735
MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS SUGAR LAND HOSPITAL
909 FROSTWOOD #3 506
HOUSTON, TX 77024-2315
HARRIS
1/1/2015
17%
020834001
1730132234
MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS THE WOODLANDS HOSPITAL
909 FROSTWOOD #3 506
HOUSTON, TX 77024-2315
HARRIS
3/1/2015
18%
220238402
1043457583
MEMORIAL HERMANN REHABILITATION HOSPITAL KATY-
21720 KINGSLAND BLVD STE 102
KATY, TX 77450-2551
HARRIS
10/1/2012
33%
202351701
1366532228
MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD LLC
300 KINGWOOD MEDICAL DR
KINGWOOD, TX 77339-6400
HARRIS
12/1/2014
14%
094121303
1821025990
MEMORIAL HOSPITAL
209 NW 8TH STREET
SEMINOLE, TX 79360-3447
GAINES
10/1/2014
67%
131030203
1801831748
MEMORIAL HOSPITAL
1204 MOUND
NACOGDOCHES, TX 75961-4027
NACOGDOCHES
7/1/2015
20%
131030209
1780612754
MEMORIAL HOSPITAL-
1204 N MOUND ST
NACOGDOCHES, TX 75961-4027
NACOGDOCHES
4/1/2012
26%
112697102
1689650616
MEMORIAL HOSP OF POLK COUNTY-MEMORIAL MEDICAL CENTER LIVINGSTON
1717 HIGHWAY 59 BYPASS
LIVINGSTON, TX 77351-5703
POLK
12/1/2014
10%
137909111
1689630865
MEMORIAL MEDICAL CENTER
815 N VIRGINIA
PORT LAVACA, TX 77979-0025
CALHOUN
5/1/2015
34%
139172412
1396746129
MEMORIAL MEDICAL CENTER OF EAST TEXAS-MEMORIAL MED CTR OF EAST TX
1201 W FRANK AVE
LUFKIN, TX 75904-3357
ANGELINA
12/1/2014
9%
130734007
1578547345
MEMORIAL MEDICAL CENTER SAN AUGUSTINE
511 E HOSPITAL ST
SAN AUGUSTINE, TX 75972-0658
SAN AUGUSTINE
12/1/2014
20%
121821603
1497731426
MEMORIAL SPECIALTY HOSPITAL
1201 FRANK AVE STE D5
LUFKIN, TX 75902-1447
ANGELINA
1/1/1994
80%
218319601
1831146331
MESQUITE SPECIALTY HOSPITAL LP
1024 N GALLOWAY AVE
MESQUITE, TX 75149-2434
DALLAS
9/1/2009
80%
121820803
1871560003
METHODIST AMBULATORY SURGERY
9150 HUEBNER RD #100
SAN ANTONIO, TX 78240-1558
BEXAR
1/1/2015
34%
204254101
1659525236
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP-METHODIST STONE OAK HOSPITAL
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258-3999
BEXAR
3/1/2015
12%
281028501
1083937593
METHODIST HEALTH CENTERS-METHODIST WEST HOUSTON HOSPITAL
18500 KATY FWY
HOUSTON, TX 77094-1110
HARRIS
1/1/2015
19%
094154402
1124074273
METHODIST HOSPITAL
7700 FLOYD CURL DR
SAN ANTONIO, TX 78229-3902
BEXAR
8/1/2015
11%
133258705
1225146400
METHODIST HOSPITAL LEVELLAND INC-COVENANT HOSPITAL LEVELLAND
1900 COLLEGE AVE
LEVELLAND, TX 79336-6508
HOCKLEY
8/1/2015
34%
126679303
1275592131
METHODIST HOSPITAL OF DALLAS-METHODIST CHARLTON MEDICAL CENTER
3500 W WHEATLAND RD
DALLAS, TX 75237-3460
DALLAS
10/1/2014
17%
186221101
1689629941
METHODIST HOSPITAL OF DALLAS-METHODIST MANSFIELD MEDICAL CENTER
2700 E BROAD ST
MANSFIELD, TX 76063-5899
TARRANT
10/1/2014
12%
127263503
1073580726
METHODIST HOSPITAL PLAINVIEW-COVENANT HOSPITAL PLAINVIEW
2601 DIMMITT RD
PLAINVIEW, TX 79072-1833
HALE
8/1/2015
17%
135032405
1528027786
METHODIST HOSPITALS OF DALLA-METHODIST DALLAS MEDICAL CENTER
1441 N BECKLEY AVE
DALLAS, TX 75203-1201
DALLAS
10/1/2014
17%
328934001
1952538431
METHODIST MCKINNEY HOSPITAL LLC-
8000 ELDORADO PKWY
MCKINNEY, TX 75070-5940
COLLIN
9/1/2013
50%
209345201
1033165501
METHODIST RICHARDSON MEDICAL CENTER-
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082-3561
DALLAS
10/1/2014
22%
127319504
1497871628
METHODISTS CHILDRENS HOSPITAL-COVENANT CHILDRENS HOSPITAL
4015 22ND PL
LUBBOCK, TX 79410-1119
LUBBOCK
1/1/2015
14%
094219502
1871619254
METHODIST SUGAR LAND HOSPITAL-HOUSTON METHODIST SUGAR LAND HOSPITAL
16655 SOUTHWEST FWY
SUGAR LAND, TX 77479-2329
FORT BEND
1/1/2015
16%
140713201
1437171568
METHODIST WILLOWBROOK-HOUSTON METHODIST WILLOWBROOK HOSPITAL
18220 TOMBALL PKY
HOUSTON, TX 77070-4347
HARRIS
1/1/2015
15%
094119702
1629089966
METROPLEX ADVENTIST HOSPITAL INC-METROPLEX HOSPITAL
2201 SOUTH CLEAR CREEK RD
KILLEEN, TX 76549-4110
BELL
10/1/2014
18%
149073203
1750392916
METROPLEX ADVENTIST HOSPITAL INC-ROLLINS BROOK COMMUNITY HOSPITAL
608 N KEY AVE
LAMPASAS, TX 76550-1106
LAMPASAS
9/1/2014
29%
294295501
1831158328
MID JEFFERSON EXTEND CARE HOSPITAL LLC-
2600 HIGHWAY 365
NEDERLAND, TX 77627-6237
JEFFERSON
9/1/2011
80%
136143806
1255325817
MIDLAND MEMORIAL HOSPITAL
400 ROSALIND REDFERN GROVER PARKWAY MIDLAND, TX 79701-9980
MIDLAND
10/1/2014
21%
112679902
1205833985
MISSION HOSPITAL INC-MISSION REGIONAL MEDICAL CENTER
900 SOUTH BRYAN ROAD
MISSION, TX 78572-6613
HIDALGO
10/1/2014
19%
136325111
1184631673
MITCHELL COUNTY HOSPITAL DISTRICT-MITCHELL COUNTY HOSPITAL
997 WEST I-20
COLORADO CITY, TX 79512-5125
MITCHELL
10/1/2014
56%
094129602
1700991700
MOORE COUNTY HOSPITAL-MEMORIAL HOSPITAL
224 E 2ND ST
DUMAS, TX 79029-3808
MOORE
7/1/2015
42%
141858401
1952306672
MOTHER FRANCES HOSPITAL JACKSONVILLE
2026 S JACKSON ST
JACKSONVILLE, TX 75766-5822
CHEROKEE
8/1/2015
16%
094108002
1679578439
MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER-MOTHER FRANCES HOSPITAL
800 E DAWSON ST
TYLER, TX 75701-2036
SMITH
7/1/2015
10%
127301306
1659308948
MOTHER FRANCES HOSPITAL WINNSBORO
719 W COKE RD
WINNSBORO, TX 75494-3011
WOOD
8/1/2015
51%
094159302
1386647717
MSH PARTNERS LLC-BAYLOR MEDICAL CENTER AT UPTOWN
2727 E LEMMON AVE
DALLAS, TX 75204-2833
DALLAS
12/1/2014
47%
120745806
1699770149
MUENSTER HOSPITAL DISTRICT-MUENSTER MEMORIAL HOSPITAL
605 N MAPLE ST
MUENSTER, TX 76252-2425
COOKE
7/1/2015
65%
130877708
1275525214
MULESHOE AREA HOSPITAL-MULESHOE AREA MEDICAL CENTER
708 SOUTH FIRST STREET
MULESHOE, TX 79347-3627
BAILEY
9/1/2014
50%
130605205
1700885076
NACOGDOCHES MEDICAL CENTER
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965-1254
NACOGDOCHES
1/1/2015
10%
112701102
1144274226
NAVARRO REGIONAL HOSPITAL
3201 WEST HIGHWAY 22
CORSICANA, TX 75110-2450
NAVARRO
1/1/2015
13%
331172201
1023451077
NEW LIFECARE HOSPITALS OF NORTH TEXAS LLC-
1950 RECORD CROSSING RD
DALLAS, TX 75235-6223
DALLAS
5/31/2013
13%
330847001
1679916530
NEW LIFECARE HOSPITALS OF SOUTH TEXAS LLC-
2001 S M ST
MCALLEN, TX 78503-1551
HIDALGO
5/31/2013
80%
329623801
1942643804
NEW SAN ANTONIO SPECIALTY HOSPITAL LLC-LIFE CARE HOSPITALS OF SAN ANTONIO
8902 FLOYD CURL DR
SAN ANTONIO, TX 78240-1681
BEXAR
5/31/2013
80%
133252005
1093786204
NHCI OF HILLSBORO INC-HILL REGIONAL HOSPITAL
101 CIRCLE DRIVE
HILLSBORO, TX 76645-0000
HILL
4/1/2015
24%
331941001
1427390574
NIX COMMUNITY GENERAL HOSPITAL LLC-NIX GENERAL HOSPITAL
230 W MILLER ST
DILLEY, TX 78017-3818
FRIO
8/8/2013
50%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
297342201
1255603544
NIX HOSPITALS SYSTEM LLC-
414 NAVARRO ST STE 600
SAN ANTONIO, TX 78205-2541
BEXAR
1/1/2015
19%
332471701
1265435887
NIX HOSPITAL SYSTEM LLC-
414 NAVARRO ST
SAN ANTONIO, TX 78205-2516
BEXAR
2/1/2012
70%
127310404
1689655912
NOCONA GENERAL HOSPITAL
100 PARK RD
NOCONA, TX 76255-3616
MONTAGUE
6/1/2014
33%
121845505
1245315647
NORTH BAY GENERAL HOSPITAL INC
1711 W WHEELER AVE
ARANSAS PASS, TX 78336-4536
SAN PATRICIO
1/1/2015
14%
185964702
1548236524
NORTH CENTRAL SURGICAL CENTER LLP
9301 N CENTRAL EXPY STE 100
DALLAS, TX 75231-0802
DALLAS
1/1/2015
21%
189049301
1285681064
NORTH CYPRESS MEDICAL CENTER OPERATION COMPANY LTD-NORTH CYPRESS MEDICAL CENTER
21214 NORTHWEST FREEWAY
CYPRESS, TX 77429-3373
HARRIS
11/1/2014
12%
198369401
1235301854
NORTH QUAKER HOSPITAL LP-TRUST POINT HOSPITAL
4302 PRINCETON ST
LUBBOCK, TX 79415-1304
LUBBOCK
7/18/2008
80%
198369403
1245402866
NORTH QUAKER HOSPITAL LP-TRUSTPOINT HOSPITAL
4302 PRINCETON ST
LUBBOCK, TX 79415-1304
LUBBOCK
1/1/2013
37%
020989201
1205837770
NORTH RUNNELS COUNTY HOSPITAL DISTRICT-
7821 STATE HIGHWAY 153
WINTERS, TX 79567-7345
RUNNELS
4/1/2015
61%
137245009
1467442418
NORTHWEST HEALTH CARE SYSTEM-NORTHWEST TEXAS HOSPITAL
1501 S COULTER ST
AMARILLO, TX 79106-1770
POTTER
12/1/2014
30%
094211203
1003842212
NORTHWEST TEXAS SURGICAL CNT
3501 SONCY RD STE 118
AMARILLO, TX 79119-6407
RANDALL
12/1/2014
10%
127303903
1700883196
OAK BEND MEDICAL CENTER-OAKBEND MEDICAL CENTER
1705 JACKSON ST
RICHMOND, TX 77469-3246
FORT BEND
12/1/2014
29%
333366801
1750620456
OCEANS BEHAVIORAL HOSPITAL OF ABILENE LLC-
6401 DIRECTORS PKWY
ABILENE, TX 79606-5869
TAYLOR
11/7/2013
80%
112704504
1245237593
OCHILTREE GENERAL HOSPITAL
3101 GARRETT DR
PERRYTON, TX 79070-5323
OCHILTREE
10/1/2014
51%
112711003
1801852736
ODESSA REGIONAL MEDICAL CENTER
520 E 6TH ST
ODESSA, TX 79760-4527
ECTOR
9/1/2014
16%
158914501
1295890093
ORTHOPEDIC AND SPINE SURGICAL HOSPITAL OF S TX LP-SOUTH TEXAS SPINE AND SURGICAL HOSPITAL LP
18600 N HARDY OAK BLVD
SAN ANTONIO, TX 78258-4206
BEXAR
1/1/2014
100%
020977701
1134166192
ORTHOPEDIC HOSPITAL LTD-TEXAS ORTHOPEDIC HOSPITAL
7401 S MAIN ST
HOUSTON, TX 77030-4509
HARRIS
12/1/2014
12%
094357302
1053319798
OUR CHILDREN'S HOUSE AT BAYLOR-OUR CHILDRENS HOUSE AT BAYLOR
3301 SWISS AVE
DALLAS, TX 75204-6224
DALLAS
12/1/2014
56%
152686501
1780786699
PALACIOS COMMUNITY MEDICAL CENTER
311 GREEN AVE
PALACIOS, TX 77465-3213
MATAGORDA
12/1/2014
30%
188654101
1750307377
PALADIN CMHC LLC
7901 CAMERON RD BLDG 2 STE 100
AUSTIN, TX 78754-3802
TRAVIS
8/6/2007
80%
121816602
1164510673
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP-PALESTINE REGIONAL MEDICAL CENTER
2900 S LOOP 256
PALESTINE, TX 75801-6958
ANDERSON
1/1/2015
15%
094111402
1326113762
PALESTINE PRINCIPAL-MEMORIAL MOTHER FRANCES HOSP
4000 S LOOP 256
PALESTINE, TX 75801-8467
ANDERSON
12/1/2004
85%
159165301
1326113762
PALESTINE REGIONAL REHABILITATION HOSPITAL
2900 S LOOP 256
PALESTINE, TX 75801-6958
ANDERSON
11/1/2006
38%
138950412
1972590602
PALO PINTO GENERAL HOSPITAL
400 SW 25TH AVE
MINERAL WELLS, TX 76067-8246
PALO PINTO
9/1/2014
26%
308032701
1386902138
PAMPA REGIONAL MEDICAL CENTER-
1 MEDICAL PLAZA
PAMPA, TX 79065-2819
GRAY
12/1/2014
25%
163111101
1063411767
PARIS REGIONAL MEDICAL CENTER
820 CLARKSVILLE STREET
PARIS, TX 75460-6027
LAMAR
12/1/2014
21%
165552401
1710986385
PARIS REGIONAL MEDICAL CENTER REHAB UNIT
820 CLARKSVILLE ST
PARIS, TX 75461-6027
LAMAR
9/1/2004
80%
127295703
1780615880
PARKLAND MEMORIAL HOSPITAL
5201 HARRY HINES BLVD
DALLAS, TX 75235-7708
DALLAS
10/1/2014
23%
121811703
1932123247
PARK PLAZA HOSPITAL
1313 HERMANN DRIVE
HOUSTON, TX 77004-7005
HARRIS
1/1/2015
12%
121787905
1396748471
PARKVIEW HOSPITAL
901 SWEETWATER
WHEELER, TX 79096-1030
WHEELER
5/1/2015
100%
111915801
1497708929
PARKVIEW REGIONAL HOSPITAL
600 SOUTH BONHAM STREET
MEXIA, TX 76667-3603
LIMESTONE
4/1/2015
17%
137343308
1861475626
PARMER COUNTY COMMUNITY HOSPITAL
1307 CLEVELAND AVE
FRIONA, TX 79035-1121
PARMER
10/1/2014
79%
130616905
1760598692
PECOS COUNTY MEMORIAL HOSP
387 WEST I-10
FORT STOCKTON, TX 79735-2700
PECOS
12/1/2014
33%
174662001
1316933609
PHYSICIANS MEDICAL CENTER LLC-TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY PL
6020 WEST PARKER ROAD
PLANO, TX 75093-8171
COLLIN
12/1/2014
22%
165305701
1912948845
PHYSICIANS SURGICAL HOSPITALS LLC-QUAIL CREEK SURGICAL HOSPITAL
6819 PLUM CREEK DR
AMARILLO, TX 79124-1602
POTTER
1/1/2015
7%
343467201
1659374585
PINE CREEK MEDICAL CENTER, LLC-
9032 HARRY HINES BLVD
DALLAS, TX 75235-1720
DALLAS
9/1/2012
50%
136142011
1033118716
PLAINS MEMORIAL HOSPITAL
310 WEST HALSELL
DIMMITT, TX 79027-1846
CASTRO
4/1/2015
65%
021024701
1265431308
PLANO SPECIALTY HOSPITAL
1621 COIT RD
PLANO, TX 75075-6141
COLLIN
9/1/2002
80%
199191101
1366874620
POST ACUTE MEDICAL AT LULING LLC-WARM SPRINGS SPECIALTY HOSPITAL OF LULING LLC
200 MEMORIAL DR
LULING, TX 78648-3213
CALDWELL
12/1/2014
32%
199478201
1376588228
POST ACUTE MEDICAL AT SAN ANTONIO LLC-WARM SPRINGS REHABILITATION HOSPITAL OF SAN ANTONI
5101 MEDICAL DR
SAN ANTONIO, TX 78229-4801
BEXAR
6/1/2015
31%
199183803
1659316115
POST ACUTE MEDICAL AT VICTORIA LLC-WARM SPRINGS SPECIALITY HOSPITAL OF VICTORIA LLC
102 MEDICAL DR
VICTORIA, TX 77904-3101
VICTORIA
9/1/2012
42%
199183801
1659316115
POST ACUTE MEDICAL AT VICTORIA LLC-WARM SPRINGS SPECIALTY HOSPITAL OF VICTORIA LLC
102 MEDICAL DR
VICTORIA, TX 77904-3101
VICTORIA
12/1/2014
24%
317151401
1689795098
POST ACUTE MEDICAL OF NEW BRAUNFELS LLC-WARM SPRINGS SPECIALTY HOSPITAL OF NEW BRAUNFELS
1445 HANZ DR
NEW BRAUNFELS, TX 78130-2567
COMAL
9/1/2012
50%
329971101
1366874620
POST ACUTE SPECIALTY HOSPITAL OF CORPUS CHRISTI LL-
6226 SARATOGA BLVD
CORPUS CHRISTI, TX 78414-3421
NUECES
9/1/2013
80%
331384301
1417389784
POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC DBA-POST ACUTE SPECIALTY HOSPITAL OF VICTORIA
506 E SAN ANTONIO ST FL 3
VICTORIA, TX 77901-6060
VICTORIA
9/25/2013
50%
316360201
1407121189
PREFERRED HOSPITAL LEASING COLEMAN INC-
310 S PECOS ST
COLEMAN, TX 76834-4159
COLEMAN
9/1/2014
45%
179272301
1295764553
PREFERRED HOSPITAL LEASING ELDORADO INC-SCHLEICHER COUNTY MEDICAL CENTER
102 N US HIGHWAY 277
ELDORADO, TX 76936-4010
SCHLEICHER
12/1/2014
100%
200683501
1932379856
PREFERRED HOSPITAL LEASING HEMPHILL INC-SABINE COUNTY HOSPITAL
2301 HIGHWAY 83 WEST
HEMPHILL, TX 75948
SABINE
12/1/2014
49%
206083201
1164688495
PREFERRED HOSPITAL LEASING JUNCTION INC-KIMBLE HOSPITAL
349 REID RD
JUNCTION, TX 76849-3049
KIMBLE
9/1/2014
53%
176354201
1013970862
PREFERRED HOSPITAL LEASING VAN HORN INC-CULBERSON HOSPITAL
EISENHOWER AND FM 2185
VAN HORN, TX 79855-0609
CULBERSON
4/1/2014
79%
121822403
1700805678
PRHC ENNIS LP-ENNIS REGIONAL MEDICAL CENTER
2201 WEST LAMPASAS STREET
ENNIS, TX 75119-0000
ELLIS
5/1/2015
13%
315452801
1356615595
PRISTINE HEALTHCARE, LLC-PRISTINE HOSPITAL OF PASADENA
1004 SEYMOUR ST
PASADENA, TX 77506-2637
HARRIS
12/11/2012
50%
340716501
1902237431
PROMISE HOSPITAL OF DALLAS INC-
7955 HARRY HINES BLVD BLD
DALLAS, TX 75235-3305
DALLAS
3/18/2014
48%
338789601
1720419260
PROMISE HOSPITAL OF HOUSTON INC-
6160 SOUTH LOOP E
HOUSTON, TX 77087-1010
HARRIS
3/18/2014
47%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
339884401
1346671849
PROMISE HOSPITAL OF WICHITA FALLS INC-
1103 GRACE ST
WICHITA FALLS, TX 76301-4414
WICHITA
3/17/2014
80%
111829102
1093708679
PROVIDENCE HEALTH SERVICES OF WACO-PROVIDENCE HEALTHCARE NETWORK
6901 MEDICAL PKWY
WACO, TX 76712-7910
MCLENNAN
8/1/2015
17%
130601104
1700801909
PROVIDENCE MEMORIAL HOSPITAL
2001 NORTH OREGON
EL PASO, TX 79902-3320
EL PASO
6/1/2015
13%
121799406
1295739258
RANKIN COUNTY HOSPITAL DISTRICT
1105 ELIZABETH ST
RANKIN, TX 79778-0000
UPTON
10/1/2014
100%
121806703
1881697316
REAGAN MEMORIAL HOSPITAL
805 NORTH MAIN
BIG LAKE, TX 76932-3938
REAGAN
10/1/2014
73%
203656801
1578685277
RECOVERY BEHAVIORAL HEALTH OF SAN ANTONIO LLC
10515 GULFDALE ST STE 111
SAN ANTONIO, TX 78216-3668
BEXAR
8/19/2008
80%
112684904
1831170273
REEVES COUNTY HOSPITAL DISTRICT
2323 TEXAS ST
PECOS, TX 79772-7338
REEVES
1/1/2015
62%
020991801
1942240189
REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT
107 SWIFT STREET
REFUGIO, TX 78377-2425
REFUGIO
1/1/2015
55%
191816101
1205884491
REGENCY HOSPITAL OF FORT WORTH LLLP
6801 OAKMONT BLVD
FORT WORTH, TX 76132-3918
TARRANT
7/23/2007
80%
190146401
1659373470
REGENCY HOSPITAL OF ODESSA LLLP-REGENCY HOSPITAL OF ODESSA
500 WEST 4TH STREET 6TH FLOOR WEST
ODESSA, TX 79761-5001
ECTOR
9/1/2004
80%
188186401
1023062957
REHABCARE GROUP OF AMARILLO-KINDRED REHABILITATION HOSPITAL AMARILLO
7200 SW 9TH AVE
AMARILLO, TX 79106-1703
POTTER
12/13/2006
80%
199238001
1720279342
RELIANT REHABILITATION HOSPITAL NORTH TEXAS LP
3351 WATERVIEW PKWY
RICHARDSON, TX 77080-1449
HARRIS
4/2/2008
80%
343723801
1427472463
RESOLUTE HOSPITAL COMPANY LLC-
555 CREEKSIDE XING
NEW BRAUNFELS, TX 78130-2594
COMAL
8/29/2014
50%
021170801
1891727475
RHSC EL PASO INC RIO VISTA
1740 CURIE DRIVE
EL PASO, TX 79902-2901
EL PASO
9/1/1995
37%
201439101
201439101
RH TERRELL MANAGEMENT LLC-RENAISSANCE HOSPITAL TERRELL
1551 STATE HIGHWAY 34 S
TERRELL, TX 75160-4833
KAUFMAN
12/1/2012
20%
183086102
1306933692
ROCKDALE BLACKHAWK LLC-LITTLE RIVER HEALTHCARE
1700 BRAZOS STREET
ROCKDALE, TX 76567-2517
MILAM
1/1/2015
33%
193399601
193399601
ROCKWALL REGIONAL HOSPITAL LLC-TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL
3150 HORIZON RD
ROCKWALL, TX 75032-7805
ROCKWALL
1/1/2015
19%
133244705
1275581852
ROLLING PLAINS MEMORIAL HOSPITAL
200 E ARIZONA
SWEETWATER, TX 79556-7120
NOLAN
10/1/2014
42%
020957901
1649223645
ROUND ROCK HOSPITAL-ROUND ROCK MEDICAL CENTER
2400 ROUND ROCK AVE
ROUND ROCK, TX 78681-4004
WILLIAMSON
3/1/2015
10%
127267603
1942294939
SAINT JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE
BRYAN, TX 77802-3867
BRAZOS
1/1/2015
13%
112693002
1194776104
SAN ANGELO COMMUNITY MEDICAL CENTER
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904-7610
TOM GREEN
9/1/2014
13%
137962006
1891789772
SAN JACINTO METHODIST HOSPITAL-SAN JACINTO METHODIST HOSP
4401 GARTH RD
BAYTOWN, TX 77521-2122
HARRIS
1/1/2015
14%
094212002
1538117452
SCA HOUSTON HOSPITAL FOR SPECIALIZED SURGERY LP-HOUSTON HOSPITAL FOR SPECIALIZED SURGERY
5445 LA BRANCH ST
HOUSTON, TX 77004-6835
HARRIS
1/1/2015
16%
021010602
1942286414
SCCI HOSPITAL HOUSTON-TRIUMPH HOSPITAL CENTRAL HOUSTON
105 DREW ST
HOUSTON, TX 77006-1527
HARRIS
9/1/2002
80%
144752601
1881670339
SCCI HOSPITAL SAN ANGELO-TRIUMPH HOSPITAL SAN ANGELO
206 E. HARRIS
SAN ANGELO, TX 76903-5904
TOM GREEN
4/11/1998
80%
131043506
1831160423
SCENIC MOUNTAIN MEDICAL CENTER
1601 WEST 11TH PLACE
BIG SPRING, TX 79720-4114
HOWARD
1/1/2015
13%
135226205
1154315307
SCOTT AND WHITE HOSPITAL BRENHAM-
700 MEDICAL PARKWAY
BRENHAM, TX 77833-5413
WASHINGTON
12/1/2014
20%
326725404
1265772362
SCOTT AND WHITE HOSPITAL COLLEGE STATION
700 SCOTT AND WHITE BLVD
COLLEGE STATION, TX 77840-5600
BRAZOS
6/1/2015
37%
220798701
1326349986
SCOTT AND WHITE HOSPITAL - LLANO-
200 W OLLIE ST
LLANO, TX 78643-2628
LLANO
9/1/2014
43%
190123303
1265568638
SCOTT AND WHITE HOSPITAL ROUND ROCK-
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665-1032
WILLIAMSON
10/4/2007
23%
136327710
1962497800
SCOTT AND WHITE HOSPITAL TAYLOR-
305 MALLARD LN
TAYLOR, TX 76574-1208
WILLIAMSON
12/1/2014
34%
137249208
1477516466
SCOTT AND WHITE MEMORIAL HOSPITAL
2401 SOUTH 31ST STREET
TEMPLE, TX 76508-0001
BELL
9/1/2014
26%
136330107
1578588463
SCURRY COUNTY HOSPITAL DISTRICT-D M COGDELL MEMORIAL HOSPITAL
1700 COGDELL BLVD
SNYDER, TX 79549-6162
SCURRY
12/1/2014
46%
021021301
1982603874
SELECT MEDICAL CORPORATION-SELECT SPECIALTY HOSPITAL HOUSTON
2130 W HOLCOMBE BLVD
HOUSTON, TX 77030-3306
HARRIS
8/1/2013
22%
194036301
1063411239
SELECT SPECIALTY HOSPITAL DALLAS INC-DALLAS SPECIALTY HOSPITAL DALLAS INC
2329 PARKER RD
CARROLLTON, TX 75010-4713
DENTON
9/1/2004
80%
197824901
1861492670
SELECT SPECIALTY HOSPITAL LONGVIEW INC-SELECT SPECIALTY HOSPITAL LONGVIEW
700 E MARSHALL AVE 1ST AND GROUND FLOOR
WEST LONGVIEW, TX 75601-5580
GREGG
1/1/2004
80%
201782401
1902806540
SELECT SPECIALTY HOSPITAL MIDLAND INC
4214 ANDREWS HIGHWAY 3RD FLOOR STE 32
MIDLAND, TX 79703-4811
MIDLAND
9/1/2007
80%
196690501
196690501
SELECT SPECIALTY HOSPITAL - SAN ANTONIO-SELECT SPECIALTY HOSPITAL SAN ANTONIO INC
111 DALLAS ST FL 4
SAN ANTONIO, TX 78205-1201
BEXAR
9/1/2004
80%
200157001
1518967074
SELECT SPECIALTY HOSPITAL- SOUTH DALLAS-
800 KIRNWOOD DR
DESOTO, TX 75115-2000
DALLAS
9/1/2006
80%
094153604
1356446686
SETON FAMILY OF HOSPITALS-SETON EDGAR B DAVIS HOSPITAL
130 HAYS STREET
LULING, TX 78648-2707
CALDWELL
7/1/2015
18%
158980601
1124137054
SETON FAMILY OF HOSPITALS-SETON NORTHWEST HOSPITAL
11113 RESEARCH BLVD
AUSTIN, TX 78759-5236
TRAVIS
7/1/2015
11%
286326801
1154612638
SETON FAMILY OF HOSPITALS-SETON SMITHVILLE REGIONAL HOSPITAL
800 HIGHWAY 71 E
SMITHVILLE, TX 78957-1730
BASTROP
7/1/2015
31%
186599001
1447355771
SETON HEALTHCARE-DELL CHILDRENS MEDICAL CENTER OF CENTRAL TEXAS
4900 MUELLER BLVD
AUSTIN, TX 78723-3079
TRAVIS
7/1/2015
20%
094151004
1003833013
SETON HEALTHCARE-SETON HIGHLAND LAKES
3201 S WATER ST
BURNET, TX 78611-4510
BURNET
7/1/2015
10%
135225404
1164526786
SETON HEALTHCARE-SETON MEDICAL CENTER AUSTIN
1201 W 38TH ST
AUSTIN, TX 78705-1006
TRAVIS
7/1/2015
10%
208013701
1619115383
SETON HEALTHCARE-SETON MEDICAL CENTER HAYS
6001 KYLE PKWY
KYLE, TX 78640-6112
HAYS
7/1/2015
9%
194106401
1578780870
SETON HEALTHCARE-SETON MEDICAL CENTER WILLIAMSON
201 SETON PKWY
ROUND ROCK, TX 78665-8000
WILLIAMSON
7/1/2015
16%
158977201
1750499273
SETON HEALTHCARE-SETON SOUTHWEST HOSPITAL
7900 FM 1826
AUSTIN, TX 78737-1407
HAYS
7/1/2015
12%
137265806
1093810327
SETON HEALTHCARE-UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE
601 E 15TH ST
AUSTIN, TX 78701-1930
TRAVIS
7/1/2015
14%
121193005
1538150370
SHAMROCK GENERAL HOSPITAL
1000 S MAIN ST
SHAMROCK, TX 79079-2820
WHEELER
10/1/2014
100%
137226005
1992707228
SHANNON MEDICAL CENTER
120 E HARRIS AVE
SAN ANGELO, TX 76903-5904
TOM GREEN
2/1/2015
14%
190132401
1063600724
SHELBY HOSPITAL LLC-SHELBY REGIONAL MEDICAL CENTER
602 HURST ST
CENTER, TX 75935-3414
SHELBY
6/1/2013
29%
220351501
1013957836
SHERMAN GRAYSON HOSPITAL LLC-WILSON N JONES REGIONAL MEMORIAL CENTER
500 N HIGHLAND AVE
SHERMAN, TX 75092-7354
GRAYSON
1/1/2015
22%
298213401
1518000306
SHRINERS HOSPITAL FOR CHILDREN-
6977 MAIN ST
HOUSTON, TX 77030-3701
HARRIS
1/1/2015
66%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
293388901
1669513941
SHRINERS HOSPITALS FOR CHILDREN-
815 MARKET ST
GALVESTON, TX 77550-2725
GALVESTON
1/1/2015
33%
127294003
1790782704
SID PETERSON MEMORIAL HOSPITAL-PETERSON REGIONAL MEDICAL CENTER
551 HILL COUNTRY DR
KERRVILLE, TX 78028-6085
KERR
7/1/2015
36%
133245406
1215969787
SIERRA MEDICAL CENTER
1625 MEDICAL CENTER DR
EL PASO, TX 79902-5005
EL PASO
6/1/2015
8%
181706601
1154361475
SJ MEDICAL CENTER LLC-ST JOSEPH MEDICAL CENTER
1401 ST JOSEPH PKWY
HOUSTON, TX 77002-8301
HARRIS
11/1/2014
15%
182967301
1124073150
SOLARA BEHAVORIAL HEALTH SAN ANTONIO LLP-
1975 BABCOCK RD
SAN ANTONIO, TX 78229-4511
BEXAR
9/29/2006
80%
209075501
1821044850
SOLARA HOSPITAL CONROE LP-CHG CORNERSTONE-CONROE
1500 GRAND LAKE DR
CONROE, TX 77304-2891
MONTGOMERY
6/1/2008
80%
190895601
1598710592
SOLARA HOSPITAL HARLINGEN
508 VICTORIA LN
HARLINGEN, TX 78550-3225
CAMERON
1/4/2007
80%
179881101
1568417392
SOLARA HOSPITAL MCALLEN-
301 W EXPRESSWAY 8TH FLOOR
MCALLEN, TX 78503-3045
HIDALGO
10/1/2005
80%
216719901
1700826575
SOMERVELL COUNTY HOSPITAL DISTRICT-GLEN ROSE MEDICAL CENTER
1021 HOLDEN ST
GLEN ROSE, TX 76043-4937
SOMERVELL
11/1/2014
34%
171461001
1629064928
SOUTHLAKE SPECIALTY HOSPITAL LLC-TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE
1545 SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6422
TARRANT
1/1/2015
29%
094113001
1770573586
SOUTH TEXAS HEALTH SYSTEM
1102 WEST TRENTON RD
EDINBURG, TX 78539-9105
HIDALGO
3/1/2015
12%
121780403
1184695785
SOUTH TEXAS REGIONAL MEDICAL CENTER
1905 HIGHWAY 97 EAST
JOURDANTON, TX 78026-1504
ATASCOSA
8/1/2015
17%
173995501
1093712697
SOUTH TEXAS REHABILITATION HOSPITAL LP-
425 EAST ALTON GLOOR
BROWNSVILLE, TX 78526-3361
CAMERON
7/1/2015
47%
209759401
1184853020
SOUTHWEST CLINIC PA- SOUTHWEST CLINIC PA
2626 S LOOP W STE 118
HOUSTON, TX 77054-2679
HARRIS
8/1/2009
80%
136491104
1912906298
SOUTHWEST GENERAL HOSPITAL LP-SOUTHWEST GENERAL HOSPITAL
7400 BARLITE
SAN ANTONIO, TX 78224-1308
BEXAR
9/1/2014
9%
199027701
1780635425
SPECTRUM CARE PA-
6100 RICHMOND AVE STE 120
HOUSTON, TX 77057-6219
HARRIS
12/8/2005
80%
126842708
1649224825
STAMFORD MEMORIAL HOSPITAL-
1601 COLUMBIA ST
STAMFORD, TX 79553-6863
JONES
12/1/2014
41%
136332705
1760567085
STARR COUNTY MEMORIAL HOSPITAL
128 N FM 3167
RIO GRANDE CITY, TX 78582-6211
STARR
10/1/2014
95%
094160102
1720033947
ST DAVIDS COMMUNITY HOSPITAL-ST DAVIDS HOSPITAL
919 EAST 32ND ST
AUSTIN, TX 78741-2703
TRAVIS
1/1/2015
13%
094216102
1629021845
ST DAVID'S HEALTHCARE PARTNERSHIP LP, LLP-NORTH AUSTIN MEDICAL CENTER
12221 N MO PAC EXPY
AUSTIN, TX 78758-2401
TRAVIS
7/1/2015
11%
112717702
1679528889
ST DAVIDS HEALTHCARE PARTNERSHIP-SOUTH AUSTIN HOSPITAL
901 W. BEN WHITE BLVD
AUSTIN, TX 78704-6903
TRAVIS
11/1/2014
10%
337991901
1285065623
STEPHENS MEMORIAL HOSPITAL-
200 S GENEVA ST
BRECKENRIDGE, TX 76424-4702
STEPHENS
10/1/2013
35%
108895703
1992727663
ST LOUIS CHILDRENS HOSPITAL
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
OUTOFSTATE
9/1/2010
61%
298019501
1659559573
ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION-SUGAR-ST. LUKE'S SUGAR LAND HOSPITAL
1317 LAKE POINTE PKWY
SUGAR LAND, TX 77478-3997
FORT BEND
7/1/2015
21%
160630301
1942208616
ST LUKES COMMUNITY HEALTH SERVICES-ST LUKES THE WOODLANDS HOSPITAL
17200 ST LUKE'S WAY
THE WOODLANDS, TX 77384-8007
MONTGOMERY
7/1/2015
15%
339153401
1710314141
ST LUKES HOSPITAL AT THE VINTAGE-
20171 CHASEWOOD PARK DR
HOUSTON, TX 77070-1437
HARRIS
1/1/2014
24%
210274101
1184868879
ST LUKES LAKESIDE HOSPITAL LLC-ST LUKES LAKESIDE HOSPITAL
17400 ST LUKES WAY
THE WOODLANDS, TX 77384-8036
MONTGOMERY
7/1/2015
20%
281219001
1407990088
ST LUKES PATIENTS MEDICAL CENTER-
4600 E SAM HOUSTON PKWY S
PASADENA, TX 77505-3948
HARRIS
7/1/2015
11%
176692501
1659362630
ST MARKS MEDICAL CENTER
ONE ST MARK'S PLACE
LA GRANGE, TX 78945-0000
FAYETTE
7/1/2015
42%
020992601
1083612121
STONEWALL MEMORIAL HOSPITAL DISTRICT-STONEWALL MEMORIAL HOSPITAL
821 N BROADWAY
ASPERMONT, TX 79502-9023
STONEWALL
10/1/2014
95%
335255101
1164665899
SUGAR LAND 24 HOUR HOSPITAL, LLC-EMERUS EMERGENCY HOSPITAL SUGAR LAND
16000 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479-2674
FORT BEND
10/22/2009
50%
201645301
1033114608
SUGAR LAND SURGICAL HOSPITAL
1211 HIGHWAY 6 STE 70
SUGAR LAND, TX 77478-4940
FORT BEND
12/1/2014
18%
020988401
1023011657
SWEENY COMMUNITY HOSPITAL
305 N MCKINNEY
SWEENY, TX 77480-2801
BRAZORIA
10/1/2014
45%
316076401
1518253194
SWISHER MEMORIAL HEALTHCARE SYSTEM-SWISHER MEMORIAL HOSPITAL
539 SE 2ND ST
TULIA, TX 79088-2400
SWISHER
12/1/2014
67%
196829901
1972709970
TENET HOSPITALS LIMITED-SIERRA PROVIDENCE EAST MEDICAL CENTER
3280 JOE BATTLE BLVD
EL PASO, TX 79938-2622
EL PASO
1/1/2015
8%
130618504
1811916901
TERRY MEMORIAL HOSPITAL DISTRICT-BROWNFIELD REGIONAL MEDICAL CENTER
705 E FELT
BROWNFIELD, TX 79316-3439
TERRY
10/1/2014
52%
133257904
1841354677
TEXAS CENTER FOR INFECTIOUS
2303 SE MILITARY DR
SAN ANTONIO, TX 78223-3542
BEXAR
4/1/2010
100%
139135109
1477643690
TEXAS CHILDRENS HOSPITAL
6621 FANNIN ST
HOUSTON, TX 77030-2303
HARRIS
7/1/2015
35%
318137201
1245523372
TEXAS GENERAL HOSPITAL-
2709 HOSPITAL BLVD
GRAND PRAIRIE, TX 75051-1017
DALLAS
4/1/2015
6%
130614405
1174533343
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL-
800 WEST RANDOL MILL ROAD
ARLINGTON, TX 76012-2504
TARRANT
1/1/2015
16%
316296801
1215296884
TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE-
10864 TEXAS HEALTH TRL
FORT WORTH, TX 76244-4897
TARRANT
7/1/2015
34%
127304703
1508899204
TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE-
108 DENVER TRAIL
AZLE, TX 76020-3614
TARRANT
10/1/2014
20%
131036903
1396778064
TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE-
201 WALLS DRIVE
CLEBURNE, TX 76031-4007
JOHNSON
10/1/2014
16%
112677302
1336172105
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH-
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
TARRANT
10/1/2014
23%
136326908
1104845015
TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST EULES-
1600 HOSPITAL PARKWAY
BEDFORD, TX 76022-6913
TARRANT
10/1/2014
18%
120726804
1417980202
TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F-
6100 HARRIS PKWY
FORT WORTH, TX 76132-4101
TARRANT
10/1/2014
15%
121794503
1922031541
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL-
411 N BELKNAP
STEPHENVILLE, TX 76401-3415
ERATH
10/1/2014
22%
314080801
1033120423
TEXAS HEALTH HUGULEY HOSPITAL-TEXAS HEALTH HUGLEY FORT WORTH SOUTH
11801 SOUTH FWY
BURLESON, TX 76028-7021
JOHNSON
1/1/2015
13%
020982701
1548291883
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN-
1105 CENTRAL EXPY N STE 140
ALLEN, TX 75013-6102
COLLIN
1/1/2015
20%
020967801
1003883158
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON-
3000 I 35 NORTH
DENTON, TX 76201-5119
DENTON
4/1/2015
13%
094140302
1457382798
TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN-
850 ED HALL DR
KAUFMAN, TX 75142-1861
KAUFMAN
1/1/2015
17%
094207002
1770514077
TEXAS HEALTH PRESBYTERIAN HOSPTAL PLANO-
6200 W PARKER RD
PLANO, TX 75093-8185
COLLIN
1/1/2015
22%
094205401
1730278417
TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH-
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
TARRANT
3/1/1992
31%
185556101
1962504340
TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP-THE HEART HOSPITAL BAYLOR PLANO
1100 ALLIED DRIVE
PLANO, TX 75093-5348
COLLIN
12/1/2014
30%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
173574801
1245201656
TEXAS INSTITUTE FOR SURGERY LLP-TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBY
7115 GREENVILLE AVENUE STE 100
DALLAS, TX 75231-3623
DALLAS
6/1/2015
73%
020908201
1396779948
TEXAS PRESBYTERIAN HOSPITAL OF DALLAS
8200 WALNUT HILL LN
DALLAS, TX 75231-4426
DALLAS
1/1/2015
20%
209719801
1255579389
TEXAS REGIONAL MEDICAL CENTER LTD-TEXAS REGIONAL MEDICAL CENTER AT SUNNYVALE
231 S COLLINS RD
SUNNYVALE, TX 75182-4624
DALLAS
11/1/2014
17%
315440301
1760628184
TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN-
2222 WELBORN ST
DALLAS, TX 75219-3924
DALLAS
10/1/2014
45%
164932901
1477640662
TEXAS SPECIALTY HOSPITAL AT WICHITA FALLS
1103 GRACE STREET
WICHITA FALLS, TX 76301-4414
WICHITA
9/1/2003
80%
165656301
1578650768
TEXAS SPECIALTY HOSPITAL OF LUBBOCK-LLANO SPECIALTY HOSPITAL
1409 9TH STREET
LUBBOCK, TX 79401-2601
LUBBOCK
9/1/2003
80%
162459501
1942292255
TEXAS SPINE AND JOINT HOSPITAL LTD
1814 ROSELAND BLVD
TYLER, TX 75701-4262
SMITH
1/1/2015
8%
021017101
1043389034
THC HOUSTON INC-KINDRED HOSPITAL
11297 FALLBROOK DR
HOUSTON, TX 77065
HARRIS
12/1/1998
14%
178795401
1043328198
THE HOSPITAL AT WESTLAKE MEDICAL CENTER
5656 BEE CAVES RD STE M302
WEST LAKE HILLS, TX 78746-5814
TRAVIS
12/1/2014
27%
127296503
1851347835
THE MEDICAL CENTER OF MESQUITE
1011 N GALLOWAY AVE
MESQUITE, TX 75149-2433
DALLAS
11/1/2010
14%
163925401
1861467573
THE MEDICAL CENTER OF SOUTHEAST TEXAS LP-
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77640-2007
JEFFERSON
12/1/2014
12%
137949705
1548387418
THE METHODIST HOSPITAL
6565 FANNIN
HOUSTON, TX 77030-2703
HARRIS
1/1/2015
16%
072362902
1356307581
THE NEBRASKA HEALTH SYSTEM-NEBRASKA MEDICAL CENTER
600 S 42ND ST
OMAHA, NE 68198-7250
OUTOFSTATE
2/1/2011
62%
330388501
1194753590
THHBP MANAGEMENT COMPANY LLC-THE HEART HOSPITAL BAYLOR DENTON
2801 S MAYHILL RD
DENTON, TX 76208-5910
DENTON
5/31/2013
23%
088189803
1356418974
THROCKMORTON COUNTY MEMORIAL HOSPITAL-
802 N MINTER AVE
THROCKMORTON, TX 76483-5357
THROCKMORTON
1/1/2015
100%
138913209
1174526529
TITUS COUNTY MEM HOSP DIST-TITUS REGIONAL MEDICAL CENTER
2001 N JEFFERSON
MT PLEASANT, TX 75455-2341
TITUS
10/1/2014
37%
138913215
1942373782
TITUS COUNTY MEM HOSP DIST-TITUS REGIONAL MEDICAL CENTER REHABILITATION UNIT
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455-2371
TITUS
6/1/2009
36%
288051001
1407097231
TM VAN ZANDT HOSPITAL LLC-COZBY GERMANY HOSPITAL
707 N WALDRIP ST
GRAND SALINE, TX 75140-1555
VAN ZANDT
11/1/2013
32%
340639901
1144651514
TOMBALL EXPRESS MEDICAL CENTER, LLC-EMERUS COMMUNITY HOSPITAL
24429 STATE HIGHWAY 249
TOMBALL, TX 77375-7877
HARRIS
7/18/2014
50%
288523801
1306126974
TOMBALL REGIONAL MEDICAL CENTER-
605 HOLDERRIETH BLVD
TOMBALL, TX 77375-6445
HARRIS
6/1/2014
14%
094208802
1144203662
TOPS SURGICAL SPECIALTY HOSP-TOPS SURGICAL SPECIALTY
17080 RED OAK DR
HOUSTON, TX 77090-2602
HARRIS
1/1/2015
18%
021011401
1659440634
TRANSITIONAL HOSPITALS CORP-KINDRED HOSPITAL- TARRANT COUNTY
7800 OAKMONT BLVD
FORT WORTH, TX 76132-4203
TARRANT
7/1/1993
80%
149047601
1609876309
TRIUMPH HOSPITAL OF EAST HOUSTON LP-KINDRED HOSPITAL BAYTOWN
15101 EAST FREEWAY
CHANNELVIEW, TX 77530-4104
HARRIS
3/1/2015
32%
094354003
1285626028
TRIUMPH HOSPITAL OF NORTH HOUSTON LP-KINDRED HOSPITAL THE HEIGHTS
7407 NORTH FWY
HOUSTON, TX 77076-1314
HARRIS
3/1/2015
29%
157708201
1689861593
TRIUMPH NORTHWEST LP-TRIUMPH HOSPITAL NORTHWEST
7407 NORTH FWY
HOUSTON, TX 77076-1314
HARRIS
12/1/2010
32%
157203401
1720088412
TRIUMPH SOUTHWEST LP-KINDRED HOSPITAL TOWN & COUNTRY
1120 BUSINESS CENTER DR
HOUSTON, TX 77043-2735
HARRIS
9/1/2011
39%
172620001
1982609558
TROPHY CLUB MEDICAL CENTER LP
2850 E STATE HWY 114
TROPHY CLUB, TX 76262-1168
DENTON
12/1/2014
40%
178396101
1174524466
TYLER CONTINUE CARE HOSPITAL AT MOTHER FRANCES-TYLER CONTINUE CARE HOSPITAL AT MOTHER FRANCES HOS
800 EAST DAWSON 4TH FLOOR
TYLER, TX 75701-2036
SMITH
3/31/2005
80%
136381405
1447259627
TYLER COUNTY HOSPITAL
1100 W BLUFF ST
WOODVILLE, TX 75979-4738
TYLER
7/1/2015
24%
194997601
1851390967
UHS OF TEXOMA INC-TEXOMA MEDICAL CENTER
5016 S US HIGHWAY 75
DENISON, TX 75020-4584
GRAYSON
12/1/2014
14%
135237906
1023013448
UNITED REGIONAL HEALTHCARE
1600 11TH STREET
WICHITA FALLS, TX 76301-4388
WICHITA
12/1/2014
15%
192673501
1821045592
UNIVERSITY GENERAL HOSPITAL
7501 FANNIN
HOUSTON, TX 77054-1938
HARRIS
3/1/2014
15%
137999206
1821087164
UNIVERSITY MEDICAL CENTER
602 INDIANA AVE
LUBBOCK, TX 79415-3364
LUBBOCK
12/1/2014
19%
127278304
1417941295
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-UT HEALTH CENTER-TYLER
11937 US HIGHWAY 271
TYLER, TX 75708-3154
SMITH
9/1/2014
55%
094092602
1548226988
UNIVERSITY OF TEXAS MEDICAL BRANCH
301 UNIVERSITY BLVD
GALVESTON, TX 77550-1076
GALVESTON
8/1/2015
33%
175287501
1285798918
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT-UNIVERSITY OF TEXAS SOUTHWESTERN UNIVERSITY HOSPTI 6201 HARRY HINES
DALLAS, TX 75390-0001
DALLAS
9/1/2014
20%
175289101
1417010653
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT-UTSOUTHWESTERN UNIVERSITY HOSPITAL ZALE LIPSHY
5151 HARRY HINES BLVD
DALLAS, TX 75235-9000
DALLAS
9/1/2014
19%
162965101
1659352987
USMD HOSPITAL AT ARLINGTON LP
801 WEST I-20
ARLINGTON, TX 76017-5851
TARRANT
1/1/2015
27%
198248001
1568656502
USMD HOSPITAL AT FORT WORTH LP
5900 DIRKS RD
FORT WORTH, TX 76132-5473
TARRANT
1/1/2015
47%
121782003
1740288505
UVALDE COUNTY HOSPITAL AUTHORITY-UVALDE COUNTY HOSPITAL AUTHORITY DBA
1025 GARNER FIELD RD
UVALDE, TX 78801-4809
UVALDE
4/1/2015
38%
119877204
1104830900
VAL VERDE REGIONAL MEDICAL CENTER
801 N BEDELL AVE
DEL RIO, TX 78840-4112
VAL VERDE
8/1/2015
21%
294543801
1184911877
VHS BROWNSVILLE HOSPITAL COMPANY LLC-VALLEY BAPTIST MEDICAL CENTER BROWNSVILLE
1040 W JEFFERSON ST
BROWNSVILLE, TX 78520-6338
CAMERON
5/1/2015
10%
292096901
1154618742
VHS HARLINGEN HOSPITAL COMPANY LLC-
2101 PEASE ST
HARLINGEN, TX 78550-8307
CAMERON
9/1/2014
14%
292096904
1568759991
VHS HARLINGEN HOSPITAL COMPANY LLC-VALLEY BAPTIST MEDICAL CENTER HARLINGEN
2101 PEASE ST
HARLINGEN, TX 78550-8307
CAMERON
9/1/2013
15%
159156201
1598744856
VHS SAN ANTONIO PARTNERS LLC-BAPTIST HEALTH SYSTEM
111 DALLAS ST
SAN ANTONIO, TX 78205-1201
BEXAR
7/1/2015
9%
159156204
1598744856
VHS SAN ANTONIO PARTNERS LLC-VHS SAN ANTONIO PARTNERS LP
111 DALLAS STREET
SAN ANTONIO, TX 78205-1201
BEXAR
2/1/2011
10%
334801301
1063844306
VIBRA HOSPITAL OF AMARILLO LLC DBA VIBRA HOSPITAL-VIBRA HOSPITAL OF AMARILLO
7501 WALLACE BLVD
AMARILLO, TX 79124-2150
POTTER
9/1/2013
80%
197976701
1477507432
VIBRA SPECIALTY HOSPITAL OF DALLAS LLC-
2700 WALKER WAY
DESOTO, TX 75115-2088
DALLAS
8/1/2007
80%
020981901
1144225699
VISTA COMMUNITY MEDICAL CENTER HOSPITAL LLP-SURGERY SPECIALTY HOSPITAL OF AMERICA SE HOUSTON
4301 VISTA RD
PASADENA, TX 77504-2117
HARRIS
7/1/2015
100%
189791001
1144225699
WALKER COUNTY HOSPITAL CORPORATION-HUNTSVILLE MEMORIAL HOSPITAL
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77342-4001
WALKER
7/1/2015
19%
341048201
1083056790
WALNUT HILL PHYSICIANS HOSPITAL LLC-WALNUT HILL MEDICAL CENTER
7502 GREENVILLE AVE
DALLAS, TX 75231-3802
DALLAS
5/22/2014
50%
136331910
1720096019
WARD MEMORIAL HOSPITAL
406 S GARY
MONAHANS, TX 79756-4799
WARD
12/1/2014
60%
326690001
1629037163
WARM SPRINGS SPECIALTY HOSPITAL OF SAN ANTONIO
7400 BARLITE BLVD FL 2ND
SAN ANTONIO, TX 78224-1308
BEXAR
9/1/2013
50%
184409401
1982781852
WEATHERFORD REGIONAL MEDICAL CENTER
713 E ANDERSON STREET
WEATHERFORD, TX 76086-5705
PARKER
11/1/2014
19%
Provider Combined Name
Physical Street Address
Physical City, State, Zip
County
Rate Effective Outpatient Rate
Date
(August)
TPI
NPI
169611402
1497840466
WESLACO PHYSICIANS REHAB-WESLACO REHAB HOSPITAL
906 SOUTH JAMES STREET
WESLACO, TX 78596-9840
HIDALGO
10/7/2004
80%
218857501
1689869216
WESTBURY COMMUNITY HOSPITAL LLC
5556 GASMER DR
HOUSTON, TX 77035-4502
HARRIS
11/1/2012
100%
112707803
1316931835
WILBARGER GENERAL HOSPITAL
920 HILLCREST DRIVE
VERNON, TX 76384-3132
WILBARGER
10/1/2014
45%
135151206
1871599829
WILSON COUNTY MEMORIAL HOSPITAL DISTRICT-CONNALLY MEMORIAL MEDICAL CENTER
499 10TH STREET
FLORESVILLE, TX 78114-3175
WILSON
9/1/2014
28%
094204701
1730183658
WINKLER COUNTY MEMORIAL HOSP
821 JEFFEE DR
KERMIT, TX 79745-4610
WINKLER
12/1/2014
79%
148698701
1295781227
WINNIE COMMUNITY HOSPITAL LLC
538 BROADWAY
WINNIE, TX 77665-7600
CHAMBERS
11/1/2014
41%
130606006
1124076401
WISE REGIONAL HEALTH SYSTEM
2000 S. FM 51
DECATUR, TX 76234-3702
WISE
12/1/2014
22%
126667806
1124076401
W J MANGOLD MEMORIAL HOSPITAL
320 N MAIN
LOCKNEY, TX 79241-0037
FLOYD
9/1/2014
44%
094164302
1487607792
WOODLAND HEIGHTS MEDICAL CENTER
505 S JOHN REDDITT DR
LUFKIN, TX 75904-3120
ANGELINA
1/1/2015
12%
112673204
1881697878
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMBERT DR
YOAKUM, TX 77995-4868
LAVACA
7/1/2015
47%