Inpatient Ratio of Cost to Charges Effective 01/1/2018

Rate Effective Inpatient Rate

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
112705203 1851344162 ABILENE REGIONAL MEDICAL CENTER 6250 US HIGHWAY 83 # 84 ABILENE, TX 79606-5215 TAYLOR 08/01/2017 28%
203965301 1235392192 ACUITY HOSPITAL OF SOUTH TEXAS LLC 718 LEXINGTON AVE SAN ANTONIO, TX 78212-4768BEXAR 05/24/2008 63%
365048301 1669732178 AD HOSPITAL EAST LLC- 12950 EAST FWY HOUSTON, TX 77015-5710 HARRIS 01/21/2016 50%
121789503 1821009242 ADVENTIST HEALTH SYSTEM SUNBELT INC-CENTRAL TEXASMEDICAL
1301 WONDER CENTER
WORLD DR SAN MARCOS, TX 78666-7533HAYS 01/01/2018 41%
282322101 1407169196 AMH CATH LABS, LLC-TEXAS HEALTH HEART & VASCULAR811
HOSPITAL
WRIGHTARLINGTON
ST ARLINGTON, TX 76012-4708 TARRANT 01/01/2018 25%
127298107 1174563779 ANDREWS COUNTY HOSPITAL DISTRICT 720 HOSPITAL DR ANDREWS, TX 79714-3617 ANDREWS 10/01/2017 100%
364187001 1457393571 ANSON HOSPITAL DISTRICT- 101 AVENUE J ANSON, TX 79501 JONES 04/01/2017 69%
334284201 1295173664 ARISE HEALTHCARE SYSTEM, LLC- 3003 BEE CAVES RD AUSTIN, TX 78746-5542 TRAVIS 03/01/2016 24%
365612601 1114340080 ASPIRE HOSPITAL LLC 2006 S LOOP 336 W STE 500 CONROE, TX 77304-3315 MONTGOMERY 03/31/2015 50%
282268601 1386882488 ATRIUM MEDICAL CENTER LP- 11929 W AIRPORT BLVD STE 110 STAFFORD, TX 77477-2454 FORT BEND 07/01/2016 45%
348183001 1144625153 AUSTIN BEHAVIORAL HOSPITAL, LLC-CROSS CREEK HOSPITAL
8402 CROSS PARK DR AUSTIN, TX 78754-4595 TRAVIS 04/22/2015 50%
094215302 1245292630 AUSTIN CENTER FOR OUTPATIENT SURGERY LP-NORTHWEST6818 AUSTIN
HILLS SURGICAL
CTR BLVD HOSPITAL
#100 AUSTIN, TX 78731-3199 TRAVIS 01/01/2018 47%
130089906 1225038938 BALLINGER MEMORIAL HOSPITAL 608 AVENUE B BALLINGER, TX 76821-2406 RUNNELS 10/01/2016 96%
094148602 1093744187 BAPTIST HOSPITALS OF SOUTHEAST TEXAS-MEMORIAL HERMANN
3080 COLLEGE
BAPTIST BEAUMONT HOSPITAL
BEAUMONT, TX 77704-4606 JEFFERSON 01/01/2018 24%
020973601 1508810573 BAY AREA HEALTHCARE GROUP, LTD-CORPUS CHRISTI MEDICAL
7101 S PADRE
CENTERISLAND DR CORPUS CHRISTI, TX 78412-4913
NUECES 08/01/2017 15%
341698401 1336574904 BAY AREA REGIONAL MEDICAL CENTER LLC- 200 BLOSSOM ST WEBSTER, TX 77598-4204 HARRIS 06/01/2017 45%
135036506 1669472387 BAYLOR ALL SAINTS MEDICAL CENTER-BAYLOR SCOTT & 1400
WHITE8THALL
AVE
SAINTS MEDICAL CENTER
FORT WORTH,
FOR TX 76104-4110TARRANT 10/01/2017 44%
138353107 1194893263 BAYLOR COUNTY HOSPITAL DISTRICT-SEYMOUR HOSPITAL 200 STADIUM DRIVE SEYMOUR, TX 76380-2344 BAYLOR 06/01/2017 100%
151691601 1609855139 BAYLOR HEART AND VASCULAR HOSPITAL 621 N HALL STREET DALLAS, TX 75226-2017 DALLAS 06/01/2017 32%
288563403 1285930891 BAYLOR INSTITUTE FOR REHABILITATION AT FRISCO- 500 BROAD ST WICHITA FALLS, TX 76301-3109WICHITA 04/01/2011 50%
127262703 1073511762 BAYLOR MED CTR AT GRAPEVINE-BAYLOR SCOTT AND WHITE
1650 WMEDICAL
COLLEGECENTER-GRAPEVINE
ST GRAPEVINE, TX 76051-3565 TARRANT 07/01/2017 35%
344925801 1952509465 BAYLOR MEDICAL CENTER AT CARROLLTON-BAYLOR SCOTT 4343&NWHITE
JOSEYMEDICAL
LN CENTERCARROLLTON,
-CARROLLTONTX 75010-4603DENTON 08/01/2017 55%
121776205 1992700983 BAYLOR MEDICAL CENTER AT IRVING- 1901 N MACARTHUR BLVD IRVING, TX 75061 DALLAS 06/01/2017 38%
135223905 1265430177 BAYLOR MEDICAL CENTER AT WAXAHACHIE 2400 N INTERSTATE HIGHWAY WAXAHACHIE,
35 E TX 75165-5240ELLIS 07/01/2017 46%
314161601 1124305065 BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY-BAYLOR
5252 W UNIVERSITY
SCOTT AND DRWHITE MEDICAL
MCKINNEY,
CENTER
TX 75071-7822
- MCKINNEYCOLLIN 07/01/2017 43%
171848805 1649273434 BAYLOR REGIONAL MEDICAL CENTER AT PLANO- 4700 ALLIANCE BLVD PLANO, TX 75093-5323 COLLIN 01/01/2018 31%
139485012 1447250253 BAYLOR UNIVERSITY MEDICAL CENTER 3600 GASTON AVE DALLAS, TX 75246-1800 DALLAS 12/01/2017 35%
020993401 1174522494 BAYSIDE COMMUNITY HOSPITAL- 200 HOSPITAL DRIVE ANAHUAC, TX 77514-0398 CHAMBERS 11/01/2015 100%
336658501 1396184180 BEHAVIORAL HEALTH CENTER OF THE PERMIAN BASIN LLC-OCEANS
3300 S FM 1788
BEHAVIORAL HOSPITAL
MIDLAND,
OF THE
TX PERMIAN
79706-2601BASINMIDLAND 12/20/2012 50%
217547301 1093021719 BEHAVIORAL HEALTH MANAGEMENT, LLC- 5314 DASHWOOD DR STE 200 HOUSTON, TX 77081-4603 HARRIS 08/18/2010 80%
083290905 1477857332 BELLVILLE ST JOSEPH HEALTH CENTER-BELLVILLE GENERAL
44 N HOSPITAL
CUMMINGS ST BELLVILLE, TX 77418-1347 AUSTIN 07/01/2017 100%
136141205 1821011248 BEXAR COUNTY HOSPITAL DISTRICT-UNIVERSITY HEALTH4502
SYSTEM
MEDICAL DR SAN ANTONIO, TX 78229-4493BEXAR 01/01/2018 35%
094224503 1356312243 BIG BEND REGIONAL MEDICAL CENTER 2600 N HIGHWAY 118 ALPINE, TX 79830-2002 BREWSTER 09/01/2017 34%
112721903 1538465901 BIR JV LLP-BAYLOR INSTITUTE FOR REHABILITATION 909 N WASHINGTON AVE DALLAS, TX 75246-1520 DALLAS 07/01/2014 78%
094226002 1801817135 BRAZOS VALLEY PHYSICIANS ORGANIZATION MSO LLC-THE3131
PHYSICIANS
UNIVERSITY CENTRE
DRIVE HOSPITAL
EAST BRYAN, TX 77802-3473 BRAZOS 12/01/2014 56%
207311601 1114903523 BRIM HEALTHCARE OF TEXAS LLC-WADLEY REGIONAL MEDICAL
1000 PINE
CENTER
ST TEXARKANA, TX 75501-5100 BOWIE 01/01/2018 28%
020930601 1679526982 BROWNWOOD REGIONAL MEDICAL CENTER 1501 BURNET RD BROWNWOOD, TX 76801-8520 BROWN 09/01/2017 24%
322879301 1407191984 BSA HOSPITAL LLC DBA BAPTIST ST ANTHONYS HOSPITAL-
1600 WALLACE BLVD AMARILLO, TX 79106-1799 POTTER 01/01/2018 29%
364710901 1598138919 BT EAST DALLAS JV LLP-BAYLOR SCOTT & WHITE MEDICAL
9440
CENTER
POPPY- WHITE
DRIVE ROCK DALLAS, TX 75218-3652 DALLAS 08/01/2017 18%
362293801 1134127749 BT GARLAND JV LLP-BAYLOR SCOTT & WHITE MEDICAL CENTER
2300 MARIE
- GARLAND
CURIE DR GARLAND, TX 75042-5706 DALLAS 01/01/2018 29%
112725003 1750377289 BURLESON ST JOSEPH HEALTH CENTER-BURLESON ST. JOSEPH
1101 WOODSON
HEALTH DRIVE
CENTER CALDWELL, TX 77836-1052 BURLESON 01/01/2015 41%
212060201 1205164928 CAHRMC LLC-RICE MEDICAL CENTER 600 S AUSTIN RD EAGLE LAKE, TX 77434-3202 COLORADO 01/01/2018 100%
312666601 1295097624 CAMBRIDGE HOSPITAL, LLC- 7601 FANNIN ST HOUSTON, TX 77054-1905 HARRIS 11/26/2012 50%
314300001 1134401466 CARROLLTON SPRINGS LLC 2225 PARKER RD CARROLLTON, TX 75010-4711DENTON 04/24/2012 50%
211970301 1013142553 CBSH,LLC- 6130 PARKWAY CORPUS CHRISTI, TX 78414-2455
NUECES 01/01/2018 40%
192622201 1376662296 CEDAR PARK REGIONAL MEDICAL CENTER 1401 MEDICAL PARKWAY CEDAR PARK, TX 78613-7464WILLIAMSON 01/01/2018 21%
190809701 1609091693 CENTRAL TEXAS REHABILITATION HOSPITAL LLC-CENTRAL700
TEXAS
W 45THREHABILITATION
ST HOSPITAL
AUSTIN, TX 78751-2800 TRAVIS 01/01/2016 100%
020817501 1174576698 CHCA BAYSHORE LP-BAYSHORE MEDICAL CENTER 4000 SPENCER HWY PASADENA, TX 77504-1202 HARRIS 01/01/2018 16%

Prepared by HHSC Hospital Rate Analysis Department 1 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
121807504 1063466035 CHCA CLEAR LAKE LP-CLEAR LAKE REGIONAL MEDICAL CENTER
500 W MEDICAL CENTER BLVD WEBSTER, TX 77598-4220 HARRIS 01/01/2018 11%
020841501 1962455816 CHCA CONROE LP-CONROE REGIONAL MEDICAL CENTER504 MEDICAL CENTER BLVD CONROE, TX 77305-2808 MONTGOMERY 01/01/2018 16%
349366001 1609275585 CHCA PEARLAND, LP-PEARLAND MEDICAL CENTER 11100 SHADOW CREEK PKWY PEARLAND, TX 77584-7285 BRAZORIA 02/01/2017 41%
094187402 1275580938 CHCA WEST HOUSTON LP-WEST HOUSTON MEDICAL CENTER 12141 RICHMOND AVE HOUSTON, TX 77082-2408 HARRIS 01/01/2018 21%
112712802 1023065794 CHCA WOMANS HOSPITAL LP-THE WOMANS HOSPITAL OF7600 TEXAS
FANNIN ST HOUSTON, TX 77054-1906 HARRIS 03/01/2017 10%
356438701 1912395203 CHG HOSPITAL AUSTIN LLC-CORNERSTONE HOSPITAL AUSTIN
4207 BURNET RD AUSTIN, TX 78756-3316 TRAVIS 07/15/2005 50%
357216601 1073901476 CHG HOSPITAL CONROE LLC-CHG HOSPITAL CONROE, LLC 1500 GRAND LAKE DR CONROE, TX 77304-2891 MONTGOMERY 09/01/2010 35%
358588701 1457730426 CHG HOSPITAL HOUSTON LLC-CORNERSTONE HOSPITAL 5314HOUSTON-BELLAIRE
DASHWOOD DR HOUSTON, TX 77081-0000 HARRIS 07/01/2017 21%
355796901 1760870166 CHG HOSPITAL MCALLEN LLC-SOLARA HOSPITAL MCALLEN 301 W EXPRESSWAY 83 FL 8 MCALLEN, TX 78503 HIDALGO 05/01/2011 23%
357053301 1659761815 CHG HOSPITAL MEDICAL CENTER LLC- 2001 HERMANN DR HOUSTON, TX 77004-7643 HARRIS 01/12/2012 50%
127300503 1184622847 CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MED6720 BERTNER AVE HOUSTON, TX 77030-2604 HARRIS 07/01/2017 19%
138910807 1194743013 CHILDRENS MEDICAL CENTER OF DALLAS-CHILDRENS MEDICAL
1935 MEDICAL
CENTERDISTRICT DR DALLAS, TX 75235-7701 DALLAS 10/01/2017 27%
354178101 1720480627 CHILDRENS MEDICAL CENTER OF DALLAS-CHILDREN'S MEDICAL
7601 PRESTON
CENTERRD PLANO PLANO, TX 75024-3214 COLLIN 01/01/2018 35%
133250406 1326079534 CHILDRESS COUNTY HOSPITAL DISTRICT-CHILDRESS REGIONAL
901 US HIGHWAY
MEDICAL CENTER
83 N CHILDRESS, TX 79201-2320 CHILDRESS 09/01/2017 62%
154632701 1548269590 CHILLICOTHE HOSPITAL DISTRICT 303 AVENUE I CHILLICOTHE, TX 79225-0370HARDEMAN 10/01/2011 100%
211454803 1548495740 CHRISTUS CONTINUING CARE- 820 CLARKSVILLE ST PARIS, TX 75460-6027 LAMAR 01/01/2015 50%
211468803 1932334125 CHRISTUS CONTINUING CARE- 2830 CALDER ST BEAUMONT, TX 77702-1809 JEFFERSON 07/01/2009 56%
094353202 1467453902 CHRISTUS HEALTH ARK LA TEX-CHRISTUS ST MICHAEL REHABILITATION
2400 ST MICHAEL HOSPITAL
DR TEXARKANA, TX 75503-2374 BOWIE 08/01/2015 31%
020976902 1295736734 CHRISTUS HEALTH ARK LATEX- 2600 SAINT MICHAEL DR TEXARKANA, TX 75503-5220 BOWIE 06/01/2017 29%
138296208 1679557888 CHRISTUS HEALTH SOUTHEAST TEXAS-CHRISTUS HOSPITAL 2830 CALDER ST BEAUMONT, TX 77702-1809 JEFFERSON 07/01/2017 18%
366812101 1033568621 CHRISTUS HOPKINS HEALTH ALLIANCE-CHRISTUS MOTHER 115FRANCES
AIRPORTHOSPITAL
RD - SULPHUR
SULPHUR
SPRINGS
SPRINGS, TX 75482-2105
HOPKINS 11/01/2017 100%
112706003 1598749707 CHRISTUS JASPER MEMORIAL HOSPITAL- 1275 MARVIN HANCOCK DR JASPER, TX 75951-4935 JASPER 07/01/2017 59%
020844903 1821004151 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHILDRENS
333 N SANTAHOSPITAL
ROSA ST OF SAN ANTONIO
SAN ANTONIO, TX 78207-3108BEXAR 06/01/2017 34%
020844901 1194787218 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHRISTUS
2827 BABCOCK
SANTARD ROSA HOSPITAL SAN ANTONIO, TX 78229 BEXAR 07/01/2017 38%
094222903 1003885641 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION- 2500 E MAIN ST ALICE, TX 78332-4261 JIM WELLS 06/01/2017 25%
020811801 1447228747 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS 1500 ESPOHN
HOUSTONHOSPITAL
ST BEEVILLE
BEEVILLE, TX 78102-5312 BEE 07/01/2017 38%
121775403 1689641680 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS 600 ELIZABETH
SPOHN HOSPITAL
ST CORPUS CORPUS
CHRISTI
CHRISTI, TX 78404-2235
NUECES 07/01/2017 21%
136436606 1093783391 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS 1311 GENERAL
SPOHN HOSPITAL
CAVAZOS KLEBERG
BLVDKINGSVILLE, TX 78363-7150 KLEBERG 07/01/2017 33%
363070901 1992172019 CISH OPERATIONS LLC- 1017 S TRAVIS AVE CLEVELAND, TX 77327 LIBERTY 06/16/2016 50%
137907508 1124052162 CITIZENS MEDICAL CENTER COUNTY OF VICTORIA-CITIZENS
2701MEDICAL
HOSPITAL CENTER
DRIVE VICTORIA, TX 77901-5748 VICTORIA 06/01/2017 36%
112742503 1326015595 CLARITY CHILD GUIDANCE CENTER-SOUTHWEST MENTAL8535 HEALTH
TOM SLICK SAN ANTONIO, TX 78229-3367BEXAR 09/01/2017 60%
094138703 1437156361 CLAY COUNTY MEMORIAL HOSPITAL 310 W SOUTH ST HENRIETTA, TX 76365 CLAY 09/01/2016 100%
354076701 1861882532 CLEAR LAKE INSTITUTE FOR REHABILITATION, LLC-PAM REHABILITATION
110 E MEDICAL CENTER
HOSPITAL BLVD
OF CLEAR
WEBSTER,
LAKETX 77598-4301 HARRIS 08/20/2015 50%
179322602 1972540417 CLEAR LAKE REHABILITATION HOSPITAL LLC-KINDRED REHABILIT
655 E MEDICAL
HOSPITALCENTER
CLEARBLVD
LAKEWEBSTER, TX 77598-4328 HARRIS 08/01/2005 80%
094349003 1689648339 CMS REHAB OF WF LP-HEALTHSOUTH REHABILITATION HOSPITAL
3901 ARMORY
OF WICHITA
RD FAL WICHITA FALLS, TX 76302-2204
WICHITA 07/01/2015 50%
094152803 1942314448 COCHRAN MEMORIAL HOSPITAL 201 E GRANT AVE MORTON, TX 79346-3444 COCHRAN 09/01/2008 90%
020860501 1467403477 COLLEGE STATION MEDICAL CENTER 1604 ROCK PRAIRIE RD COLLEGE STATION, TX 77845-8395
BRAZOS 09/01/2017 21%
020943901 1689628984 COLUMBIA HOSPITAL MEDICAL CITY DALLAS, SUBSIDIARY-MEDICAL
7777 FORESTCITYLNDALLAS HOSPITAL DALLAS, TX 75230-2505 DALLAS 07/01/2016 12%
020950401 1134172406 COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY3301LP-MEDICAL
MATLOCK CENTER
RD OF ARLINGTON
ARLINGTON, TX 76015-2998 TARRANT 05/01/2017 15%
111905902 1306897277 COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP-DENTON
3535 S I-35REGIONAL
E MEDICAL CENTER
DENTON, TX 76210-6850 DENTON 01/01/2018 12%
020979302 1902857766 COLUMBIA MEDICAL CENTER OF LAS COLINAS, INC-LAS COLINAS
6800 N MACARTHUR
MEDICAL CENTER
BLVD IRVING, TX 75039-2422 DALLAS 01/01/2018 18%
112698903 1437102639 COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP-MEDICAL
4500 MEDICAL CENTER
CENTER OFDRMCKINNEY
MCKINNEY, TX 75069-1650 COLLIN 07/01/2017 16%
127311205 1699726406 COLUMBIA MEDICAL CENTER OF PLANO LP-MEDICAL CENTER3901 OF
W 15TH
PLANOST PLANO, TX 75075-7738 COLLIN 04/01/2017 15%
094105602 1518911833 COLUMBIA NORTH HILLS HOSPITAL-COLUMBIA NORTH HILLS4401HOSPITA
BOOTH CALLOWAY RD NORTH RICHLAND HILLS, TX TARRANT 76180-7371 05/01/2017 15%
094193202 1659323772 COLUMBIA PLAZA MED CTR OF FT WORTH SUBSIDIARY LP-PLAZA
900 8TH MEDICAL
AVE CENTER OF FORTFORTWORTH
WORTH, TX 76104-3902TARRANT 02/01/2017 15%
112716902 1619924719 COLUMBIA RIO GRANDE HEALTHCARE LP-RIO GRANDE REGIONAL
101 E RIDGE
HOSPITAL
RD MCALLEN, TX 78503-1847 HIDALGO 08/01/2017 12%
020947001 1043267701 COLUMBIA VALLEY HEALTHCARE SYSTEMS LP-VALLEY REGIONAL
100A E ALTON
MEDICAL
GLOOR
CENTER
BLVD BROWNSVILLE, TX 78526-3346 CAMERON 04/01/2017 11%
135033210 1740238641 COLUMBUS COMMUNITY HOSPITAL- 110 SHULT DR COLUMBUS, TX 78934-3016 COLORADO 04/01/2017 100%
281406304 1346544616 COMANCHE COUNTY MEDICAL CENTER COMPANY-COMANCHE 10201 COUNTY
HIGHWAYMEDICAL
16 CENTERCOMANCHE, TX 76442-4462 COMANCHE 01/01/2018 95%
112671602 1972581940 COMMUNITY HOSPITAL OF BRAZOSPORT-BRAZOSPORT REGIONAL
100 MEDICALHEALTH
DRIVE SYSTEM LAKE JACKSON, TX 77566-5674BRAZORIA 01/01/2018 38%
178396101 1174524466 CONTINUE CARE HOSPITAL OF TYLER INC-TYLER CONTINUE800 CARE
EAST HOSPITAL
DAWSON 4TH AT MOTHER
FLOORTYLER,
FRANCES
TX 75701
HOS SMITH 09/01/2011 10%

Prepared by HHSC Hospital Rate Analysis Department 2 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
364396701 1992709661 CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER-CONTINUE
1900 PINE ST CARE HOSPITAL ABILENE,
AT HENDRICK
TX 79601
MEDICAL CENTER
TAYLOR 07/01/2008 28%
352064501 1588005888 CONTINUECARE HOSPITAL OF MIDLAND INC- 4214 ANDREWS HWY FL 3 MIDLAND, TX 79703-4822 MIDLAND 05/01/2014 50%
021184901 1891765178 COOK CHILDREN'S MEDICAL CENTER- 801 7TH AVE FORT WORTH, TX 76104-2733TARRANT 11/01/2017 35%
196882804 1235299132 COOK CHILDRENS NORTHEAST HOSPITAL, LLC- 6316 PRECINCT LINE RD HURST, TX 76054-2766 TARRANT 01/01/2017 100%
130826407 1639176456 COON MEMORIAL HOSPITAL 1411 DENVER AVE DALHART, TX 79022-4809 DALLAM 07/01/2017 100%
094221102 1386652527 CORNERSTONE REGIONAL HOSPITAL 2302 CORNERSTONE BLVD EDINBURG, TX 78539-8471 HIDALGO 01/01/2017 13%
344945603 1821439183 CORPUS CHRISTI REHABILITATION HOSPITAL LLC 5726 ESPLANADE DR CORPUS CHRISTI, TX 78414-4165
NUECES 07/19/2013 50%
134772611 1780823021 CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY- 1507 W MAIN ST GATESVILLE, TX 76528-1024 CORYELL 07/01/2017 100%
136331910 1720096019 COUNTY OF WARD-WARD MEMORIAL HOSPITAL 406 S GARY MONAHANS, TX 79756-4799 WARD 01/01/2017 47%
137227806 1790702371 COUNTY OF YOAKUM-YOAKUM COUNTY HOSPITAL 412 MUSTANG AVE DENVER CITY, TX 79323-2750YOAKUM 01/01/2018 100%
139461107 1972517365 COVENANT HEALTH SYSTEM-COVENANT MEDICAL CENTER 3615 19TH ST LUBBOCK, TX 79410 LUBBOCK 06/01/2017 14%
319209801 1013941780 COVENANT LONG TERM CARE LP-COVENANT SPECIALTY 3815
HOSPITAL
20TH ST LUBBOCK, TX 79410-1235 LUBBOCK 06/01/2017 22%
358006001 1518348747 COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC-TRUSTPOINT
4302 PRINCETONREHABILITATION
ST LUBBOCK,
HOSPITAL TXOF79415-1304
LUBBOCK LUBBOCK 01/01/2016 41%
358006003 1952784985 COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC-TRUSTPOINT
4302 PRINCETONREHABILITATION
ST LUBBOCK,
HOSPITAL TXOF79415-1304
LUBBOCK LUBBOCK 08/01/2015 50%
303478701 1407010622 CR EMERGENCY ROOM LLC-BAYLOR EMERGENCY MEDICAL 26791
CENTER
HIGHWAY 380 AUBREY, TX 76227-7654 DENTON 10/17/2009 50%
199602701 1316197767 CRANE COUNTY HOSPITAL DISTRICT-CRANE MEMORIAL HOSPITAL
1310 SOUTH ALFORD STREET CRANE, TX 79731-3809 CRANE 10/01/2016 100%
094141105 1063500270 CROSBYTON CLINIC HOSPITAL 710 W MAIN ST CROSBYTON, TX 79322-2143 CROSBY 01/01/2016 83%
138911619 1437148020 CUERO COMMUNITY HOSPITAL 2550 N ESPLANADE ST CUERO, TX 77954-4736 DEWITT 08/01/2017 75%
361949601 1568848059 CUMBERLAND SURGICAL HOSPITAL OF SAN ANTONIO LLC- 5330 N LOOP 1604 W SAN ANTONIO, TX 78249 BEXAR 01/23/2016 50%
378029801 1164952685 CY-FAIR MEDICAL CENTER HOSPITAL, LLC-CYPRESS FAIRBANKS
10655 STEEPLETOP
MEDICAL CENTER
DR HOSPITAL
HOUSTON, TX 77065 HARRIS 08/01/2017 50%
021203701 1730187568 CYPRESS CREEK HOSPITAL INC 17750 CALI DR HOUSTON, TX 77090-2705 HARRIS 09/01/2006 51%
320384603 1356559991 DALLAS LTACH LLC-KINDRED HOSPITAL DALLAS CENTRAL8050 MEADOW RD DALLAS, TX 75231-3406 DALLAS 09/01/2013 50%
219336901 1861690364 DALLAS MEDICAL CENTER LLC- 7 MEDICAL PKWY DALLAS, TX 75234-7823 DALLAS 08/01/2017 18%
189947801 1134108053 DAWSON COUNTY HOSPITAL DISTRICT-MEDICAL ARTS HOSPITAL
2000 N BRYAN AVE LAMESA, TX 79331 DAWSON 04/01/2017 85%
160709501 1053317362 DAY SURGERY AT RENAISSANCE LLC-DOCTORS HOSPITAL 5501
AT S
RENAISSANCE
MCCOLL RD LTD EDINBURG, TX 78539-9152 HIDALGO 01/01/2018 20%
133544006 1568454403 DEAF SMITH COUNTY HOSPITAL DISTRICT-HEREFORD REGIONAL
540 W 15TH
MEDICAL
ST CENTER HEREFORD, TX 79045-2820 DEAF SMITH 08/01/2017 98%
364597001 1407229529 DECATUR HOSPITAL AUTHORITY-WISE HEALTH SYSTEM 3200 N TARRANT PKWY FORT WORTH, TX 76177-8611TARRANT 07/26/2016 50%
343108201 1033204342 DENTON TRANSITIONAL LTCH LP-INTEGRITY TRANSITIONAL
2813
HOSPITAL
S MAYHILL RD DENTON, TX 76208 DENTON 06/01/2008 50%
094118902 1851343909 DETAR HOSPITAL-DETAR HOSPITAL NAVARRO 506 E SAN ANTONIO ST VICTORIA, TX 77901-6060 VICTORIA 09/01/2017 17%
217884001 1326134255 DIMMIT REGIONAL HOSPITAL 704 HOSPITAL DR CARRIZO SPRINGS, TX 78834-3836
DIMMIT 08/01/2017 71%
112727605 1891741468 DOCTORS HOSPITAL 1997 LP-UNITED MEMORIAL MEDICAL510
CENTER
W TIDWELL RD HOUSTON, TX 77091-4339 HARRIS 02/01/2017 33%
132812205 1548286172 DRISCOLL CHILDRENS HOSPITAL 3533 S ALAMEDA ST CORPUS CHRISTI, TX 78411-1721
NUECES 09/01/2017 29%
199210901 1669655601 EAST EL PASO PHYSICIANS MEDICAL CENTER LLC-FOUNDATION
1416 GEORGE
SURGICAL
DIETER
HOSPITAL
DR OFELEL
PASO,
PASOTX 79936-7601 EL PASO 01/01/2018 23%
020812601 1235256884 EAST TEXAS MEDICAL CENTER 1000 S BECKHAM AVE TYLER, TX 75701-1908 SMITH 11/01/2017 13%
020812603 1619092780 EAST TEXAS MEDICAL CENTER 1000 S BECKHAM 5TH FLOOR TYLER, TX 75701-1908 SMITH 09/01/2006 31%
139173209 1356320873 EAST TEXAS MEDICAL CENTER ATHENS 2000 S PALESTINE ATHENS, TX 75751-5610 HENDERSON 04/01/2017 17%
094127002 1801975107 EAST TEXAS MEDICAL CENTER CARTHAGE 409 COTTAGE RD CARTHAGE, TX 75633-1466 PANOLA 07/01/2017 39%
208843701 1770717167 EAST TEXAS MEDICAL CENTER HENDERSON- 300 WILSON ST HENDERSON, TX 75652-5956 RUSK 09/01/2017 30%
130612806 1285689133 EAST TEXAS MEDICAL CENTER JACKSONVILLE 501 S RAGSDALE ST JACKSONVILLE, TX 75766-2434
CHEROKEE 11/01/2017 17%
138374715 1720037559 EAST TEXAS MEDICAL CENTER PITTSBURG- 2701 US HWY 271 N PITTSBURG, TX 75686-4289 CAMP 12/01/2017 33%
017624011 1396748430 EAST TEXAS MEDICAL CENTER QUITMAN- 117 N WINNSBORO ST QUITMAN, TX 75783-2144 WOOD 05/01/2017 27%
021177301 1700901873 EAST TEXAS MEDICAL CENTER RE 701 OLYMPIC PLAZA CIR TYLER, TX 75701-1950 SMITH 08/10/1995 80%
121817401 1821063553 EAST TEXAS MEDICAL CENTER TRINITY 317 PROSPECT DRIVE TRINITY, TX 75862-0317 TRINITY 03/01/2017 37%
137074409 1689650921 EASTLAND MEMORIAL HOSPITAL DISTRICT-EASTLAND MEMORIAL
304 S DAUGHERTY
HOSPITAL AVE EASTLAND, TX 76448-2609 EASTLAND 06/01/2017 50%
348928801 1679903967 EBD BEMC BURLESON, LLC-BAYLOR EMERGENCY MEDICAL 12500
CENTER
SOUTH FWY STE 100 BURLESON, TX 76028 JOHNSON 03/19/2015 50%
343799801 1952732653 EBD BEMC ROCKWALL, LLC-BAYLOR EMERGENCY MEDICAL 1975
CENTER
ALPHA DR STE 100 ROCKWALL, TX 75087 ROCKWALL 10/01/2014 50%
135235306 1740273994 ECTOR COUNTY HOSPITAL DISTRICT-MEDICAL CENTER HOSPITAL
500 W 4TH ST ODESSA, TX 79761 ECTOR 09/01/2017 35%
169893802 1780677971 ECTOR COUNTY HOSPITAL DISTRICT-MEDICAL CENTER HOSPITAL
500 W 4TH ST ODESSA, TX 79761-5001 ECTOR 06/01/2011 37%
311054601 1003192311 EL CAMPO MEMORIAL HOSPITAL- 303 SANDY CORNER RD EL CAMPO, TX 77437-9535 WHARTON 04/01/2017 94%
291854201 1558659714 EL PASO CHILDRENS HOSPITAL- 4845 ALAMEDA AVE EL PASO, TX 79905-2705 EL PASO 11/01/2017 44%
138951211 1316936990 EL PASO COUNTY HOSPITAL DISTRICT-UNIVERSITY MEDICAL
4815CENTER
ALAMEDA OFAVENUE
EL PASO EL PASO, TX 79905-2703 EL PASO 10/01/2017 37%

Prepared by HHSC Hospital Rate Analysis Department 3 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
094109802 1770536120 EL PASO HEALTHCARE SYSTEM LTD-LAS PALMAS MEDICAL 1801
CENTER
N OREGON ST EL PASO, TX 79902-3524 EL PASO 07/01/2017 11%
190248801 1194890103 EL PASO LTAC HOSPITAL 1221 N COTTON ST 3RD FLOOREL PASO, TX 79902-3015 EL PASO 02/04/2007 50%
148322401 1366427130 EL PASO SPECIALTY HOSPITAL LTD-SURGICAL INSTITUTE1755
OF ELCURIE
PASODR STE A EL PASO, TX 79902-2920 EL PASO 01/01/2017 43%
135034009 1871583153 ELECTRA HOSPITAL DISTRICT-ELECTRA MEMORIAL HOSPITAL
1207 S BAILEY ST ELECTRA, TX 76360-3221 WICHITA 08/01/2017 53%
309798201 1669752234 EMERUS BHS SA THOUSAND OAKS LLC-BAPTIST EMERGENCY 16088HOSPITAL
SAN PEDRO HAUSMAN
AVENUE SAN ANTONIO, TX 78232-2249BEXAR 01/01/2018 39%
163111101 1063411767 ESSENT PRMC LP-PARIS REGIONAL MEDICAL CENTER 1128 CLARKSVILLE ST STE 50 PARIS, TX 75460-6089 LAMAR 07/01/2017 29%
325449201 1144566316 ESWCT CEDAR PARK, LLC-BAYLOR SCOTT & WHITE EMERGENCY
900 E WHITESTONE
MEDICAL CTRBLVD
AT CEDACEDAR PARK, TX 78613-9093WILLIAMSON 09/01/2013 50%
376537201 1235685892 FAIRFIELD HOSPITAL DISTRICT-FREESTONE MEDICAL CENTER
125 NEWMAN ST FAIRFIELD, TX 75840-1419 FREESTONE 08/01/2017 31%
133367602 1841294246 FALLS COMMUNITY HOSPITAL AND CLINIC 322 COLEMAN ST MARLIN, TX 76661-2358 FALLS 07/01/2017 37%
330811601 1760417646 FANNIN COUNTY HOSPITAL AUTHORITY-TMC BONHAM HOSPITAL
504 LIPSCOMB ST BONHAM, TX 75418-4028 FANNIN 01/01/2018 45%
354160901 1336533595 FIRST TEXAS HOSPITAL CARROLLTON LLC- 1401 E TRINITY MILLS RD CARROLLTON, TX 75006-1442DALLAS 11/03/2015 50%
365480801 1821450255 FIRST TEXAS HOSPITAL CY-FAIR, LLC-FIRST TEXAS HOSPITAL
9922 LOUETTA RD HOUSTON, TX 77070 HARRIS 10/11/2016 50%
112692202 1598746703 FISHER COUNTY HOSPITAL 774 STATE HWY 70 NORTH ROTAN, TX 79546-6918 FISHER 02/01/2016 100%
217744601 1902047376 FLOWER MOUND HOSPITAL PARTNERS LLC-TEXAS HEALTH 4400
PRESBYTERIAN
LONG PRAIRIEHOSPITAL
RD FLOWER
FLOWERMOUND
MOUND, TX 75028-1892
DENTON 04/01/2017 43%
110803703 1770579591 FORT DUNCAN REGIONAL MEDICAL CENTER LP-FORT DUNCAN3333 NREGIONAL
FOSTER MALDONADO
MEDICAL CENTER
BLVD
EAGLE PASS, TX 78852-5893 MAVERICK 01/01/2018 23%
112688002 1952308132 FRIO HOSPITAL 200 S I H 35 PEARSALL, TX 78061-6601 FRIO 01/01/2017 61%
157144001 1922002674 FRISCO MEDICAL CENTER-BAYLOR SCOTT & WHITE MEDICAL5601CENTER
WARREN- FRISCO
PKWY FRISCO, TX 75034 DENTON 01/01/2018 46%
167364201 1871599183 FT WORTH SURGICARE PARTNERS, LTD-BAYLOR SURGICAL 1800HOSPITAL
PARK PLACE
AT FTAVE
WORTH FORT WORTH, TX 76110-1302TARRANT 01/01/2016 44%
121777003 1922009331 GAINESVILLE HOSPITAL DISTRICT-NORTH TEXAS MEDICAL1900
CENTER
HOSPITAL BLVD GAINESVILLE, TX 76240-2002COOKE 08/01/2017 48%
359590201 1649646415 GARLAND BEHAVIORAL HOSPITAL 2300 MARIE CURIE DR GARLAND, TX 75042-5706 DALLAS 03/09/2016 50%
112728403 1083619712 GENERAL HOSPITAL-IRAAN GENERAL HOSPITAL 600 HWY 349 NORTH IRAAN, TX 79744-0665 PECOS 01/01/2018 100%
345305201 1275956807 GEORGETOWN BEHAVIORAL HEALTH INSTITUTE, LLC- 3101 S AUSTIN AVE GEORGETOWN, TX 78626-7541 WILLIAMSON 10/28/2014 50%
312476002 1396902540 GLOBALREHAB FORT WORTH, LP- 6601 HARRIS PKWY FORT WORTH, TX 76132-6108TARRANT 11/19/2008 50%
310164401 1306011929 GLOBALREHAB LP- 1340 EMPIRE CENTRAL DR DALLAS, TX 75247-4022 DALLAS 11/19/2008 50%
349912101 1568695146 GLOBALREHAB SAN ANTONIO LP-SELECT REHABILITATION 19126
HOSPITAL
STONEHUE
OF SAN ANTONIO SAN ANTONIO, TX 78258-3490BEXAR 04/06/2010 80%
121785303 1932108214 GONZALES HEALTHCARE SYSTEMS-MEMORIAL HOSPITAL1110 N SARAH DEWITT DR GONZALES, TX 78629-3311 GONZALES 05/01/2017 96%
094095902 1689663007 GOOD SHEPHERD MEDICAL CTR-GOOD SHEPHERD MEDICAL 700 CENTER
E MARSHALL AVE LONGVIEW, TX 75601-5580 GREGG 09/01/2017 20%
137075116 1962455832 GOODALL WITCHER HOSPITAL FOUNDATION- 101 POSEY AVE CLIFTON, TX 76634 BOSQUE 11/01/2016 79%
197063401 1841497153 GPCH LLC-GOLDEN PLAINS COMMUNITY HOSPITAL 100 MEDICAL DR BORGER, TX 79007-7579 HUTCHINSON 01/01/2018 61%
346945401 1881691061 GRAHAM HOSPITAL DISTRICT- 1301 MONTGOMERY RD GRAHAM, TX 76450 YOUNG 11/01/2017 74%
147918003 1154317774 GRIMES ST JOSEPH HEALTH CENTER 210 S. JUDSON NAVASOTA, TX 77868-3704 GRIMES 01/01/2016 65%
138411709 1720088123 GUADALUPE COUNTY HOSPITAL BOARD-GUADALUPE REGIONAL1215 EAST
MEDICAL
COURT CENTER SEGUIN, TX 78155-5129 GUADALUPE 08/01/2017 52%
121792903 1326037607 HAMILTON GENERAL HOSPITAL 400 N BROWN HAMILTON, TX 76531-1518 HAMILTON 08/01/2017 54%
110856504 1134137466 HAMILTON HOSPITAL 901 WEST HAMILTON ST OLNEY, TX 76374-1745 YOUNG 03/01/2017 65%
094131202 1396739710 HAMLIN MEMORIAL HOSPITAL 632 NW SECOND HAMLIN, TX 79520-3808 JONES 09/01/2015 100%
094117105 1992707780 HANSFORD COUNTY HOSPITAL DISTRICT-HANSFORD COUNTY 707 SOUTH
HOSPITAL
ROLAND ST SPEARMAN, TX 79081-3441 HANSFORD 10/01/2015 100%
121692107 1861510521 HARDEMAN COUNTY MEMORIAL HOSPITAL 402 MERCER ST QUANAH, TX 79252 HARDEMAN 10/01/2012 100%
154504801 1881688976 HARLINGEN MEDICAL CENTER LP- 5501 S EXPRESSWAY 77 HARLINGEN, TX 78550-3213 CAMERON 01/01/2018 27%
133355104 1205900370 HARRIS COUNTY HOSPITAL DISTRICT 1504 TAUB LOOP HOUSTON, TX 77030-1608 HARRIS 06/01/2017 55%
112667403 1124092036 HARRISON COUNTY HOSPITAL ASSOCIATION-GOOD SHEPHERD811 S WASHINGTON
MEDICAL CENTERAVE MARSHALL
MARSHALL, TX 75670-5336 HARRISON 10/01/2017 38%
112702904 1184607897 HASKELL MEMORIAL HOSPITAL 1 NORTH AVENUE N HASKELL, TX 79521-5499 HASKELL 05/01/2016 100%
355497401 1780025148 HAVEN BEHAVIORAL SERVICES OF FRISCO LLC-HAVEN BEHAVIORAL
5680 FRISCO HOSPITAL
SQUARE OF
BLVDFRISCO
STEFRISCO,
3000 TX 75034-3300 DENTON 01/09/2015 50%
021195501 1477669208 HEALTH AND HUMAN SERVICES COMMISSION-NORTH TEXAS 6515STATE
KEMP HOSPITAL
BLVD WICHITA FALLS, TX 76308-5419WICHITA 05/01/2006 77%
021196301 1245344472 HEALTH AND HUMAN SERVICES COMMISSION-NORTH TEXAS 4730STATE
COLLEGE
HOSPITAL
DR VERNON, TX 76384-2231 WILBARGER 05/01/2006 84%
021219301 1821161167 HEALTH AND HUMAN SERVICES COMMISSION-RIO GRANDE 1401
STATE
S RANGERVILLE
CENTER RD HARLINGEN, TX 78552-7638 CAMERON 10/01/2006 100%
112751605 1720094550 HEALTH AND HUMAN SERVICES COMMISSION-TDMHMR-EL4615 PASOALAMEDA
PSYCHIATRIC
AVE CENTER EL PASO, TX 79905-2702 EL PASO 01/01/2006 41%
199329702 1699749341 HEALTH SOUTH CITY VIEW REHABILITATION HOSPITAL-HEALTHSOUTH
6701 OAKMONT CITY
BLVD
VIEW REHABILITATION
FORT WORTH,HOSPITAL
TX 76132-2957TARRANT 09/01/2006 50%
337018101 1366871600 HEALTH SOUTH REHABILITATION HOSPITAL OF HUMBLE- 19002 MCKAY DR HUMBLE, TX 77338-5701 HARRIS 01/01/2014 83%
021185601 1013968726 HEALTHBRIDGE CHILDRENS HOSPITAL- HOUSTON LTD-HEALTHBRIDGE
2929 WOODLAND CHILDRENS
PARK DRHOSPITAL
HOUSTON, TX 77082-2687 HARRIS 01/01/2018 37%
094347402 1144294893 HEALTHSOUTH PLANO REHABILITATION HOSPITAL LLC-HEALTHSOUTH
2800 W 15TH ST PLANO REHABILITATION
PLANO, HOSPITAL
TX 75075-7526 COLLIN 09/01/2006 80%
309446801 1548546088 HEALTHSOUTH REHAB HOSPITAL OF SOUTH AUSTIN LLC-HEALTHSOUTH
330 W BEN WHITE REHABILITATION
BLVD AUSTIN,
HOSPITAL
TX 78704-8095
OF AUSTIN TRAVIS 06/29/2012 50%

Prepared by HHSC Hospital Rate Analysis Department 4 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
288662403 1427374222 HEALTHSOUTH REHAB HOSPITAL OF THE MID-CITIES LLC-RELIANT
2304 HIGHWAY
REHABILITATION
121 HOSPITAL
BEDFORD,
MID CITIES
TX 76021-5985 TARRANT 11/05/2010 80%
021168201 1548233265 HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO (RIOSA-HEALTHSOUTH
9119 CINNAMON HL REHAB INSTITUTUE
SAN ANTONIO,
OF SAN TXANTONIO
78240-5401BEXAR 09/01/2006 40%
021173202 1821062050 HEALTHSOUTH REHABILIATION HOSPITAL OF ARLINGTON3200 MATLOCK RD ARLINGTON, TX 76015-2911 TARRANT 08/01/2009 58%
094352403 1194798801 HEALTHSOUTH REHABILITATION HOSPITAL THE WOODLANDS-HEALTHSOUTH
18550 INTERSTATE 45REHAB
S HOSPITAL
SHENANDOAH,
THE WOODLANDS
TX 77384-4119MONTGOMERY 09/01/2004 50%
209804801 1477731156 HEALTHSOUTH REHABILITATION HOSPITAL NORTH HOUSTON-HEALTHSOUTH
117 VISION PARK BLVD REHABILITATION
SHENANDOAH,
HOSPITALTXVISION
77384-3001
PARK
MONTGOMERY 07/01/2015 80%
313188001 1659539567 HEALTHSOUTH REHABILITATION HOSPITAL OF ABILENE LLC-HEALTHSOUTH
6401 DIRECTORS PKWY REHABILITATION
ABILENE,
HOSPITAL
TX 79606-5881
OF ABILENE TAYLOR 10/30/2009 50%
301006801 1275813610 HEALTHSOUTH REHABILITATION HOSPITAL OF CYPRESS LLC-
13031 WORTHAM CENTER DR HOUSTON, TX 77065-5662 HARRIS 09/01/2012 50%
314562501 1982920773 HEALTHSOUTH REHABILITATION HOSPITAL OF DALLAS LLC-HEALTHSOUTH
7930 NORTHAVEN REHABILITATION
RD DALLAS,
HOSPITAL
TX 75230-3331
OF DALLAS DALLAS 10/07/2010 50%
094343303 1851364558 HEALTHSOUTH REHABILITATION HOSPITAL OF FORT WORTH-
1212 W LANCASTER AVE # 1212FORT WORTH, TX 76102-4510TARRANT 01/01/2011 100%
199238002 1720279342 HEALTHSOUTH REHABILITATION HOSPITAL OF RICHARDSON3351 WATERVIEW PKWY RICHARDSON, TX 75080-1449DALLAS 02/01/2016 56%
209190201 1245422567 HEALTHSOUTH REHABILITATION HOSPITAL OF ROUND ROCK1400 HESTERS CROSSING RD ROUND ROCK, TX 78681-8025WILLIAMSON 07/09/2008 50%
219907701 1518287721 HEALTHSOUTH REHABILITATION HOSPITAL OF SUGAR LAND-HEALTHSOUTH
1325 HIGHWAY 6 SUGAR LAND SUGAR
REHABILITATION
LAND, TX 77478-4906FORT
HOSPITAL BEND 10/05/2010 50%
315341301 1376829812 HEALTHSOUTH REHABILITATION HOSPITAL OF VINTAGE PAR-HEALTHSOUTH
20180 CHASEWOODREHABILITATION
PARK DR HOUSTON, HOSPITAL
TX 77070-1436
THE VINTAGEHARRIS 05/14/2012 50%
021175701 1649243353 HEALTHSOUTH REHABILITATION OF TEXARKANA INC 515 W 12TH ST TEXARKANA, TX 75501-4416 BOWIE 09/01/2006 29%
094351601 1821061532 HEALTHSOUTH REHABILITATION-HEALTHSOUTH REHABILITATION
1800 HERITAGE
HOSPITALBLVD
OF MIDLAND/ODE
MIDLAND, TX 79707-9750 MIDLAND 09/01/2006 52%
322916301 1558349399 HEART OF TEXAS HEALTHCARE SYSTEM- 2008 NINE RD BRADY, TX 76825-7210 MCCULLOCH 04/01/2017 86%
109588703 1558354241 HEMPHILL COUNTY HOSPITAL 1020 S 4TH ST CANADIAN, TX 79014 HEMPHILL 10/01/2016 100%
138644310 1528064649 HENDRICK MEDICAL CENTER 1900 PINE ABILENE, TX 79601-2432 TAYLOR 08/01/2017 22%
361699701 1235510090 HERITAGE PARK SURGICAL HOSPITAL, LLC-BAYLOR SCOTT3601
& WHITE
N CALAIS
SURGICAL
ST HOSPITALSHERMAN,
AT SHERMAN
TX 75090-1785 GRAYSON 12/22/2010 50%
312239201 1841562709 HH KILLEEN HEALTH SYSTEM LLC- 850 W CENTRAL TEXAS EXPY HARKER HEIGHTS, TX 76548-1890 BELL 05/01/2017 32%
184076101 1205999232 HICKORY TRAIL HOSPITAL LP 2000 OLD HICKORY TRL DESOTO, TX 75115-2242 DALLAS 07/01/2006 73%
136430906 1497726343 HILL COUNTRY MEMORIAL HOSPITAL-HILL COUNTRY MEMORIAL
1020 S HOSP
STATE HIGHWAY 16 FREDERICKSBURG, TX 78624-0835GILLESPIE 01/01/2018 45%
138962907 1891882833 HILLCREST BAPTIST MEDICAL CENTER-BAYLOR SCOTT & 100
WHITE
HILLCREST
MEDICALMEDICAL
CENTER-HILLCREST
BLVD WACO, TX 76712-8897 MCLENNAN 10/01/2017 35%
021215104 1689692402 HMIH CEDAR CREST LLC-CEDAR CREST HOSPITAL 3500 S IH 35 BELTON, TX 76513-9426 BELL 12/23/2015 50%
365213301 1265808232 HOPEBRIDGE HOSPITAL HOUSTON, LLC-HOPEBRIDGE HOSPITAL
5556 GASMER DR HOUSTON, TX 77035 HARRIS 07/01/2017 36%
192996002 1962614834 HORIZON HEALTH AUSTIN INC-AUSTIN LAKES HOSPITAL 1025 E 32ND STREET AUSTIN, TX 78705-2714 TRAVIS 12/12/2007 80%
348990801 1689098790 HOUSTON BEHAVIORAL HEALTHCARE HOSPITAL, LLC- 2801 GESSNER RD HOUSTON, TX 77080-2503 HARRIS 03/25/2015 50%
360991901 1306223458 HOUSTON COUNTY HOSPITAL DISTRICT- 1100 E LOOP 304 CROCKETT, TX 75835-1810 HOUSTON 01/01/2018 56%
342897103 1306268321 HOUSTON METHODIST ST CATHERINE HOSPITAL-HOUSTON 701METHODIST
S FRY RD ST CATHERINE KATY, HOSPITAL.
TX 77450-2237 HARRIS 07/01/2017 57%
336478801 1952723967 HOUSTON METHODIST ST JOHN HOSPITAL- 18300 SAINT JOHN DR HOUSTON, TX 77058-6302 HARRIS 01/01/2018 27%
193867201 1740450121 HOUSTON NORTHWEST OPERATING COMPANY LLC-HOUSTON 710 CYPRESS
NORTHWEST
CREEK MEDICAL
PKWY CENTER
HOUSTON, TX 77090-3402 HARRIS 05/01/2017 18%
131038504 1598750721 HUNT MEMORIAL HOSPITAL DISTRICT-HUNT REGIONAL MEDICAL
4215 JOECENTER
RAMSEY BLVD GREENVILLE, TX 75401-7852 HUNT 10/01/2017 41%
163936101 1669569984 IRVING COPPELL SURGICAL HOSPITAL LLP-IRVING-COPPELL
400SURGICAL
W INTERSTATE
HOSPITAL
635 STE
LLP101IRVING, TX 75063-1158 DALLAS 01/01/2017 35%
119874904 1790777696 JACK COUNTY HOSPITAL DISTRICT-FAITH COMMUNITY HOSPITAL
215 CHISHOLM TRL JACKSBORO, TX 76458-1403 JACK 06/01/2017 100%
121808305 1124061882 JACKSON COUNTY HOSPITAL DISTRICT-JACKSON HEALTHCARE
1013 S WELLS
CENTERST EDNA, TX 77957-4045 JACKSON 08/01/2017 100%
136412710 1699772541 KARNES COUNTY HOSPITAL DISTRICT-OTTO KAISER MEMORIAL
3349 S HOSPITAL
HWY 181 KENEDY, TX 78119-5240 KARNES 06/01/2017 90%
168648701 1669480323 KELL WEST REGIONAL HOSPITAL LLC-KELL WEST REGIONAL
5420HOSPITAL
KELL WEST BOULEVARD WICHITA FALLS, TX 76310-2542 WICHITA 12/01/2017 68%
021004901 1922177997 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL
1802 HIGHWAY
- MANSFIELD
157 N MANSFIELD, TX 76063-3923 TARRANT 12/01/2006 26%
021001501 1699844654 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-
9525 GREENVILLE
DALLAS AVE DALLAS, TX 75243-4116 DALLAS 12/01/2006 25%
164466801 1598834566 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-FORT
815 EIGHTH AVENUE
WORTH FORT WORTH, TX 76104-2609TARRANT 11/01/2016 25%
021002301 1558430520 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITALS
3636 MEDICAL
SAN ANTONIO
DRIVE SAN ANTONIO, TX 78229-2183BEXAR 05/01/2014 42%
149633301 1821167818 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-WHITE
9440 POPPY DRROCK-5TH FLOOR SOUTH
DALLAS, TX 75218-3652 DALLAS 09/01/2004 50%
021008001 1942379912 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPTIAL
6441 MAIN
HOUSTON
STREET MEDICAL CENTERHOUSTON, TX 77030-1502 HARRIS 09/01/2010 50%
112724302 1811942238 KINGWOOD PLAZA HOSPITAL-KINGWOOD MEDICAL CENTER 22999 HIGHWAY 59 N KINGWOOD, TX 77339-4438 HARRIS 08/01/2017 13%
135035706 1861488579 KNAPP MEDICAL CENTER 1401 E 8TH ST WESLACO, TX 78596-6640 HIDALGO 01/01/2018 30%
366222301 1558721365 KND DEVELOPMENT 68, LLC-KINDRED HOSPITAL - SAN ANTONIO
111 DALLAS
CENTRAL
ST FL 4 SAN ANTONIO, TX 78205-1201BEXAR 06/28/2016 50%
094178302 1114998911 LAKE GRANBURY MEDICAL CENTER 1310 PALUXY RD GRANBURY, TX 76048-5655 HOOD 12/01/2017 23%
020966001 1205018439 LAKE POINTE MEDICAL CENTER 6800 SCENIC DR ROWLETT, TX 75088-4552 DALLAS 05/01/2017 18%
310443201 1831471291 LAKEWAY REGIONAL MEDICAL CENTER LLC- 100 MEDICAL PKWY LAKEWAY, TX 78738-5621 TRAVIS 09/01/2017 43%
127313803 1700854288 LAMB HEALTHCARE CENTER 1500 S SUNSET LITTLEFIELD, TX 79339-4899 LAMB 08/01/2017 100%
331242301 1851632616 LANCASTER REGIONAL HOSPITAL LP- 2600 W PLEASANT RUN RD LANCASTER, TX 75146-1114 DALLAS 01/01/2018 46%

Prepared by HHSC Hospital Rate Analysis Department 5 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
162033801 1548232044 LAREDO MEDICAL CENTER 1700 E SAUNDERS STREET LAREDO, TX 78041-5401 WEBB 08/01/2017 14%
094186602 1396731105 LAREDO REGIONAL MEDICAL CENTER LP-DOCTORS HOSPITAL
10700OF
MCPHERSON
LAREDO RD LAREDO, TX 78045-6268 WEBB 01/01/2018 21%
350658601 1710389929 LAREDO REHABILITATION HOSPITAL LLC- 2005A E BUSTAMANTE ST LAREDO, TX 78041-5470 WEBB 02/26/2015 50%
185051301 1316992878 LAREDO SPECIALTY HOSPITAL 2005 BUSTAMANIE LAREDO, TX 78041-5470 WEBB 07/07/2006 50%
135233809 1992767511 LAVACA MEDICAL CENTER HBP-LAVACA MEDICAL CENTER 1400 N TEXANA ST HALLETTSVILLE, TX 77964-2021
LAVACA 01/01/2018 94%
284333604 1154324952 LIBERTY COUNTY HOSPITAL DISTRICT NO 1-LIBERTY DAYTON
1353 REGIONAL
N TRAVIS STMEDICAL CENTERLIBERTY, TX 77575-3549 LIBERTY 10/01/2016 97%
121781205 1831140979 LILLIAN M HUDSPETH MEMORIAL ER PHYS-LILLIAN M HUDSPETH
308 HUDSPETH
MEMORIAL STHOSPITAL SONORA, TX 76950-8003 SUTTON 01/01/2018 100%
140714001 1861487779 LIMESTONE MEDICAL CENTER 701 MCCLINTIC GROESBECK, TX 76642-2128 LIMESTONE 07/01/2017 75%
342027501 1619303641 LITTLE RIVER HEALTHCARE CAMERON HOSPITAL- 806 N CROCKETT AVE CAMERON, TX 76520-2553 MILAM 07/19/2014 50%
110839103 1528026267 LONGVIEW MEDICAL CENTER LP-LONGVIEW REGIONAL MEDICAL
2901 N 4TH
CENTER
ST LONGVIEW, TX 75605-5128 GREGG 09/01/2017 17%
163219201 1922001775 LUBBOCK HEART HOSPITAL LLC-LUBBOCK HEART HOSPITAL4810 N LOOP 289 LUBBOCK, TX 79416-3025 LUBBOCK 04/01/2017 44%
281514401 1225289499 LUBBOCK HERITAGE HOSPITAL LLC-GRACE MEDICAL CENTER
2412 50TH ST LUBBOCK, TX 79412-2504 LUBBOCK 01/01/2018 36%
136492909 1992708705 LUBBOCK REGIONAL MHMR CENTER 1602 10TH ST LUBBOCK, TX 79401-2607 LUBBOCK 09/01/2012 50%
094180903 1821066820 LYNN COUNTY HOSPITAL-LYNN COUNTY HOSPITAL DISTRICT
2600 LOCKWOOD TAHOKA, TX 79373 LYNN 09/01/2017 72%
020990001 1780731737 MADISON ST JOSEPH HEALTH CENTER 1101 WEST CROSS ST MADISONVILLE, TX 77864 MADISON 07/01/2017 33%
136145310 1679560866 MARTIN COUNTY HOSPITAL DISTRICT 600 EAST I 20 STANTON, TX 79782-0640 MARTIN 05/01/2015 100%
130959304 1679678767 MATAGORDA COUNTY HOSPITAL DISTRICT-MATAGORDA REGIONAL
104 7TH STMEDICAL CENTER BAY CITY, TX 77414-4853 MATAGORDA 08/01/2017 54%
283280001 1871898478 MAYHILL BEHAVIORAL HEALTH LLC- 2809 S MAYHILL RD DENTON, TX 76208-5910 DENTON 01/01/2018 31%
094172602 1023013935 MCCAMEY HOSPITAL 2500 S HWY 305 MCCAMEY, TX 79752-1200 UPTON 09/01/2014 100%
094192402 1255384533 MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP-MEDICAL
500CENTER
WEST MAIN
OF LEWISVILLE LEWISVILLE, TX 75057-3629 DENTON 05/01/2017 19%
212140201 1427048453 MEDINA COUNTY HOSPITAL DISTRICT- 3100 AVENUE E HONDO, TX 78861-3534 MEDINA 09/01/2017 87%
020834001 1730132234 MEMORIAL HERMANN HEALTH SYSTEM-MHHS THE WOODLANDS1635 NORTH
HOSPITAL
LOOP W HOUSTON, TX 77008-1532 HARRIS 07/01/2017 33%
337433201 1710985098 MEMORIAL HERMANN HEALTH SYSTEM-TIRR MEMORIAL HERMANN
1333 MOURSUND ST HOUSTON, TX 77030-3405 HARRIS 01/01/2018 46%
137805107 1982666111 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS HERMANN 6411
HOSPITAL
FANNIN ST HOUSTON, TX 77030-1501 HARRIS 07/01/2017 24%
146509801 1932152337 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS KATY HOSPITAL
23900 KATY FWY KATY, TX 77494-1323 FORT BEND 01/01/2017 31%
020934801 1740233782 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS MEMORIAL 921
CITY
GESSNER
HOSPITALRD HOUSTON, TX 77024-2315 HARRIS 07/01/2017 37%
192751901 1295843787 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS NORTHEAST 18951
HOSPITAL
MEMORIAL NORTH HUMBLE, TX 77338-4217 HARRIS 01/01/2018 29%
146021401 1295788735 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS SUGAR LAND 17500HOSPITAL
WEST GRAND PARKWAYSUGAR SOUTHLAND, TX 77479-2562FORT BEND 08/01/2017 34%
202351701 1366532228 MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD LLC 300 KINGWOOD MEDICAL DR KINGWOOD, TX 77339-6400 HARRIS 12/01/2014 41%
201645301 1033114608 MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL LLP-SUGAR
16906 SOUTHWEST
LAND SURGICAL
FWY HOSPITAL
SUGAR LAND, TX 77479-2350FORT BEND 02/01/2012 36%
112697102 1689650616 MEMORIAL HOSP OF POLK COUNTY-MEMORIAL MEDICAL CENTER
1717 HIGHWAY
LIVINGSTON
59 BYPASS LIVINGSTON, TX 77351-5703 POLK 06/01/2017 36%
094121303 1821025990 MEMORIAL HOSPITAL 209 NW 8TH ST SEMINOLE, TX 79360-3447 GAINES 09/01/2017 100%
137909111 1689630865 MEMORIAL MEDICAL CENTER 815 N VIRGINIA PORT LAVACA, TX 77979-0025CALHOUN 01/01/2018 56%
139172412 1396746129 MEMORIAL MEDICAL CENTER OF EAST TEXAS-MEMORIAL 1201
MED FRANK
CTR OFSTREET
EAST TX LUFKIN, TX 75904-1447 ANGELINA 06/01/2017 29%
130734007 1578547345 MEMORIAL MEDICAL CENTER SAN AUGUSTINE 511 E HOSPITAL ST SAN AUGUSTINE, TX 75972-0658
SAN AUGUSTINE 07/01/2017 72%
121821603 1497731426 MEMORIAL SPECIALTY HOSPITAL 1201 W FRANK AVE LUFKIN, TX 75904-0000 ANGELINA 07/01/2017 27%
353570001 1285028951 MESA HILLS SPECIALTY HOSPITAL OPERATOR, LLC-MESA2311
HILLS
N SPECIALTY
OREGON STHOSPITAL EL PASO, TX 79902 EL PASO 04/01/2015 32%
218319601 1831146331 MESQUITE SPECIALTY HOSPITAL LP 1024 N GALLOWAY AVE MESQUITE, TX 75149-2434 DALLAS 09/01/2009 50%
376837601 1184179194 METHODIST HEALTH CENTERS-HOUSTON METHODIST THE 17201
WOODLANDS
INTERSTATE HOSPITAL
45 S SHENANDOAH, TX 77385-3311 MONTGOMERY 07/24/2017 50%
281028501 1083937593 METHODIST HEALTH CENTERS-METHODIST WEST HOUSTON 18500
HOSPITAL
KATY FWY HOUSTON, TX 77094-1110 HARRIS 01/01/2018 37%
121820803 1871560003 METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD9150LLP-METHODIST
HUEBNER RD AMBULATORY
STE 100 SAN
SURGERY
ANTONIO, TX 78240-1558BEXAR 01/01/2017 44%
204254101 1659525236 METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD1139LLP-METHODIST
E SONTERRASTONEBLVD OAK HOSPITAL
SAN ANTONIO, TX 78258-3999BEXAR 03/01/2017 18%
094154402 1124074273 METHODIST HOSPITAL 7700 FLOYD CURL DR SAN ANTONIO, TX 78229-3902BEXAR 07/01/2017 17%
133258705 1225146400 METHODIST HOSPITAL LEVELLAND-COVENANT HOSPITAL1900LEVELLAND
COLLEGE AVENUE LEVELLAND, TX 79336 HOCKLEY 06/01/2017 54%
126679303 1275592131 METHODIST HOSPITAL OF DALLAS-METHODIST CHARLTON 3500
MEDICAL
W WHEATLAND
CENTER RD DALLAS, TX 75237-3460 DALLAS 06/01/2017 29%
186221101 1689629941 METHODIST HOSPITAL OF DALLAS-METHODIST MANSFIELD 2700
MEDICAL
E BROADCENTER
ST MANSFIELD, TX 76063-5899 TARRANT 07/01/2017 26%
127263503 1073580726 METHODIST HOSPITAL PLAINVIEW-COVENANT HOSPITAL PLAINVIEW
2601 DIMMITT RD PLAINVIEW, TX 79072-1833 HALE 06/01/2017 38%
135032405 1528027786 METHODIST HOSPITALS OF DALLAS-METHODIST DALLAS MEDICAL
1441 N BECKLEY
CENTERAVE DALLAS, TX 75203-1201 DALLAS 06/01/2017 28%
209345201 1033165501 METHODIST HOSPITALS OF DALLAS-METHODIST RICHARDSON
2831 EMEDICAL
PRESIDENT
CENTER
GEORGE BUSH
RICHARDSON,
HWY TX 75082-3561DALLAS 06/01/2017 28%
328934001 1952538431 METHODIST MCKINNEY HOSPITAL LLC- 8000 ELDORADO PKWY MCKINNEY, TX 75070-5940 COLLIN 09/01/2013 50%
094219503 1497871628 METHODIST SUGAR LAND HOSPITAL-HOUSTON METHODIST 16655
SUGAR
SOUTHWEST
LAND HOSPITAL
FWY SUGAR LAND, TX 77479-2329FORT BEND 01/01/2018 26%

Prepared by HHSC Hospital Rate Analysis Department 6 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
140713201 1871619254 METHODIST WILLOWBROOK-HOUSTON METHODIST WILLOWBROOK
18220 TOMBALL
HOSPITAL
PKWY HOUSTON, TX 77070-4347 HARRIS 01/01/2018 25%
127319504 1437171568 METHODISTS CHILDRENS HOSPITAL-COVENANT CHILDRENS 4015HOSPITAL
22ND PL LUBBOCK, TX 79410-1119 LUBBOCK 09/01/2017 23%
094119702 1629089966 METROPLEX ADVENTIST HOSPITAL INC-METROPLEX HOSPITAL
2201 SOUTH CLEAR CREEK RDKILLEEN, TX 76549-4110 BELL 08/01/2017 36%
149073203 1750392916 METROPLEX ADVENTIST HOSPITAL INC-ROLLINS BROOK COMMUNITY
608 N KEY AVE
HOSPITAL LAMPASAS, TX 76550-1106 LAMPASAS 08/01/2017 45%
357475801 1346630316 MID JEFFERSON EXTENDED CARE HOSPITAL- 2600 HIGHWAY 365 NEDERLAND, TX 77627 JEFFERSON 11/01/2011 67%
136143806 1255325817 MIDLAND COUNTY HOSPITAL DISTRCT-MIDLAND MEMORIAL 400
HOSPITAL
ROSALIND REDFERN GROVER MIDLAND,
PKWY TX 79701-5846 MIDLAND 09/01/2017 40%
021189801 1023015120 MILLWOOD HOSPITAL 1011 NORTH COOPER STREET ARLINGTON, TX 76011-5517 TARRANT 09/01/2006 21%
112679902 1205833985 MISSION HOSPITAL INC-MISSION REGIONAL MEDICAL CENTER
900 SOUTH BRYAN RD MISSION, TX 78572-6613 HIDALGO 09/01/2017 27%
136325111 1184631673 MITCHELL COUNTY HOSPITAL DISTRICT-MITCHELL COUNTY997HOSPITAL
W INTERSTATE 20 COLORADO CITY, TX 79512 MITCHELL 08/01/2017 100%
094129604 1700991700 MOORE COUNTY HOSPITAL- 224 E 2ND ST DUMAS, TX 79029-3808 MOORE 07/01/2016 55%
141858401 1952306672 MOTHER FRANCES HOSPITAL JACKSONVILLE 2026 S JACKSON ST JACKSONVILLE, TX 75766-5822
CHEROKEE 06/01/2017 42%
094108002 1679578439 MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER-MOTHER
800 E DAWSON ST FRANCES HOSPITAL
TYLER, TX 75701-2036 SMITH 06/01/2017 21%
127301306 1659308948 MOTHER FRANCES HOSPITAL WINNSBORO 719 W COKE RD WINNSBORO, TX 75494-3011 WOOD 06/01/2017 37%
094159302 1386647717 MSH PARTNERS LLC-BAYLOR MEDICAL CENTER AT UPTOWN 2727 E LEMMON AVE DALLAS, TX 75204-2833 DALLAS 01/01/2016 47%
120745806 1699770149 MUENSTER HOSPITAL DISTRICT-MUENSTER MEMORIAL HOSPITAL
605 N MAPLE ST MUENSTER, TX 76252-2425 COOKE 07/01/2015 100%
131030209 1780612754 NACOGDOCHES COUNTY HOSPITAL DISTRICT- 1204 N MOUND ST NACOGDOCHES, TX 75961-4027NACOGDOCHES 04/01/2012 46%
131030203 1801831748 NACOGDOCHES COUNTY HOSPITAL DISTRICT-MEMORIAL 1204
HOSPITAL
N MOUND ST NACOGDOCHES, TX 75961-4027NACOGDOCHES 06/01/2017 59%
130605205 1700885076 NACOGDOCHES MEDICAL CENTER 4920 NE STALLINGS DR NACOGDOCHES, TX 75965-1254NACOGDOCHES 01/01/2018 23%
112701102 1144274226 NAVARRO REGIONAL HOSPITAL 3201 W STATE HIGHWAY 22 CORSICANA, TX 75110-2450 NAVARRO 01/01/2017 22%
147227603 1760482939 NEURO INSTITUTE OF AUSTIN LP-TEXAS NEUROREHAB CENTER
1106 W DITTMAR RD AUSTIN, TX 78745-6328 TRAVIS 01/01/2016 42%
291429301 1801191853 NEW BRAUNFELS REG REHAB HOSP INC- 2041 SUNDANCE PKWY NEW BRAUNFELS, TX 78130-2779
COMAL 08/26/2011 50%
331172201 1023451077 NEW LIFECARE HOSPITALS OF NORTH TEXAS LLC- 1950 RECORD CROSSING RD DALLAS, TX 75235-6223 DALLAS 07/01/2017 21%
330847001 1679916530 NEW LIFECARE HOSPITALS OF SOUTH TEXAS LLC- 2001 S M ST MCALLEN, TX 78503-1551 HIDALGO 05/31/2013 50%
112718503 1477583334 NEW MEDICAL HORIZONS II LTD-CYPRESS FAIRBANKS MED10655
CTRSTEEPLETOP DR HOUSTON, TX 77065-4222 HARRIS 02/01/2017 21%
329623801 1942643804 NEW SAN ANTONIO SPECIALTY HOSPITAL LLC-LIFE CARE 8902
HOSPITALS
FLOYD OF
CURLSANDRANTONIO SAN ANTONIO, TX 78240-1681BEXAR 05/31/2013 50%
133252005 1093786204 NHCI OF HILLSBORO INC-HILL REGIONAL HOSPITAL 101 CIRCLE DR HILLSBORO, TX 76645-0000 HILL 05/01/2017 50%
297342201 1801168190 NIX HOSPITALS SYSTEM LLC- 414 NAVARRO ST STE 600 SAN ANTONIO, TX 78205-2541BEXAR 01/01/2018 20%
127310404 1689655912 NOCONA HOSPITAL DISTRICT-NOCONA GENERAL HOSPITAL 100 PARK RD NOCONA, TX 76255-3616 MONTAGUE 05/01/2017 60%
121845505 1245315647 NORTH BAY GENERAL HOSPITAL INC 1711 W WHEELER AVE ARANSAS PASS, TX 78336-4536
SAN PATRICIO 01/01/2018 31%
185964702 1548236524 NORTH CENTRAL SURGICAL CENTER LLP 9301 N CENTRAL EXPY STE 100DALLAS, TX 75231-0802 DALLAS 09/01/2009 50%
189049301 1285681064 NORTH CYPRESS MEDICAL CENTER OPERATION COMPANY 21214
LTD-NORTH
NORTHWESTCYPRESS
FREEWAY
MEDICAL
CYPRESS,
CENTERTX 77429-3373 HARRIS 01/01/2018 15%
020989201 1205837770 NORTH RUNNELS COUNTY HOSPITAL- 7821 STATE HIGHWAY 153 WINTERS, TX 79567-7345 RUNNELS 06/01/2017 100%
350857401 1871911016 NORTH TEXAS - MCA, LLC-MEDICAL CENTER OF ALLIANCE3101 N TARRANT PKWY FORT WORTH, TX 76177-8601TARRANT 02/01/2017 43%
121787905 1396748471 NORTH WHEELER COUNTY HOSTPIAL DISTRICT-PARKVIEW 901
HOSPITAL
SWEETWATER WHEELER, TX 79096-1030 WHEELER 01/01/2011 100%
137245009 1467442418 NORTHWEST TEXAS HEALTH CARE SYSTEM INC-NORTHWEST 1501 STEXAS
COULTER
HOSPITAL
ST AMARILLO, TX 79106-1770 POTTER 01/01/2018 20%
127303903 1700883196 OAK BEND MEDICAL CENTER-OAKBEND MEDICAL CENTER1705 JACKSON ST RICHMOND, TX 77469-3246 FORT BEND 01/01/2018 41%
333366801 1750620456 OCEANS BEHAVIORAL HOSPITAL OF ABILENE LLC- 4225 WOODS PL ABILENE, TX 79602-7991 TAYLOR 11/07/2013 50%
352075101 1891193868 OCEANS BEHAVIORAL HOSPITAL OF KATY LLC- 455 PARK GROVE LN KATY, TX 77450-1572 HARRIS 05/21/2015 50%
341027602 1689004939 OCEANS BEHAVORIAL HOSPITAL OF LUFKIN LLC 302 GOBBLERS KNOB RD LUFKIN, TX 75904-5419 ANGELINA 03/19/2014 50%
358963201 1255708715 OCH HOLDINGS-OUR CHILDREN'S HOUSE 1340 EMPIRE CENTRAL DR DALLAS, TX 75247-4022 DALLAS 08/01/2017 39%
112704504 1245237593 OCHILTREE GENERAL HOSPITAL 3101 GARRETT DR PERRYTON, TX 79070-5323 OCHILTREE 08/01/2017 100%
112711003 1801852736 ODESSA REGIONAL HOSPITAL LP-ODESSA REGIONAL MEDICAL
520 EAST
CENTER
6TH ST ODESSA, TX 79761-4527 ECTOR 09/01/2017 19%
285368102 1881915304 OPREX SURGERY BAYTOWN LP-ALTAS BAYTOWN HOSPICE 1455 MANOR DRIVE STE 200 BAYTOWN, TX 77521 HARRIS 06/23/2015 50%
020977701 1134166192 ORTHOPEDIC HOSPITAL LTD-TEXAS ORTHOPEDIC HOSPITAL7401 MAIN ST HOUSTON, TX 77030-4509 HARRIS 01/01/2018 11%
158914501 1295890093 ORTHOPEDIC AND SPINE SURGICAL HOSPITAL OF S TX LP-SOUTH
18600 HARDY
TEXASOAK
SPINE
BLVDAND SURGICAL
SAN ANTONIO,
HOSPITAL
TX 78258-4206
LP BEXAR 01/01/2018 28%
152686501 1780786699 PALACIOS COMMUNITY MEDICAL CENTER 311 GREEN AVE PALACIOS, TX 77465-3213 MATAGORDA 01/01/2017 98%
121816602 1164510673 PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP-PALESTINE
2900 S LOOP 256REGIONAL MEDICAL
PALESTINE,
CENTER TX 75801-6958 ANDERSON 01/01/2018 17%
138950412 1972590602 PALO PINTO GENERAL HOSPITAL 400 SW 25TH AVE MINERAL WELLS, TX 76067-8246
PALO PINTO 08/01/2017 59%
367514201 1831550680 PAM SQUARED AT BEAUMONT, LLC- 3340 PLAZA 10 DR BEAUMONT, TX 77707-2551 JEFFERSON 06/01/2016 50%
346300201 1467853051 PAM SQUARED AT CORPUS CHRISTI LLC-PAM SPECIALTY 600
HOSPITAL
ELIZABETH
AT CORPUS
ST FL 3 CHRISTICORPUS
NORTH CHRISTI, TX 78404 NUECES 11/03/2014 47%
346138602 1225439821 PAM SQUARED AT TEXARKANA, LLC- 2400 SAINT MICHAEL DR FL 2 TEXARKANA, TX 75503 BOWIE 11/03/2014 34%

Prepared by HHSC Hospital Rate Analysis Department 7 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
357622501 1942601547 PAM SQUARED AT TEXARKANA, LLC-PAM SPECIALTY HOSPITAL
1000 PINE
OF TEXARKANA
ST SOUTH TEXARKANA, TX 75501 BOWIE 11/03/2014 34%
121811703 1780615880 PARK PLAZA HOSPITAL 1313 HERMANN DR HOUSTON, TX 77004-7005 HARRIS 01/01/2018 16%
127295703 1932123247 PARKLAND MEMORIAL HOSPITAL 5200 HARRY HINES BLVD DALLAS, TX 75235-7709 DALLAS 08/01/2017 33%
111915801 1497708929 PARKVIEW REGIONAL HOSPITAL 600 SOUTH BONHAM STREET MEXIA, TX 76667-3603 LIMESTONE 04/01/2017 35%
137343308 1861475626 PARMER COUNTY COMMUNITY HOSPITAL 1307 CLEVELAND AVE FRIONA, TX 79035-1121 PARMER 09/01/2017 86%
130616909 1760598692 PECOS COUNTY MEMORIAL HOSPITAL- 387 INTERSTATE 10 W FORT STOCKTON, TX 79735-2700PECOS 01/01/2018 63%
174662001 1316933609 PHYSICIANS MEDICAL CENTER LLC-TEXAS HEALTH CENTER6020
FOR
WEST
DIAGNOSTICS
PARKER ROADAND SURGERY
PLANO,PLTX 75093-8171 COLLIN 12/01/2013 40%
165305701 1912948845 PHYSICIANS SURGICAL HOSPITALS LLC-QUAIL CREEK SURGICAL
6819 PLUM
HOSPITAL
CREEK DR AMARILLO, TX 79124-1602 POTTER 01/01/2018 20%
343467201 1659374585 PINE CREEK MEDICAL CENTER, LLC- 9032 HARRY HINES BLVD DALLAS, TX 75235-1720 DALLAS 09/01/2012 50%
361849801 1184089054 PINE VALLEY SPECIALTY HOSPITAL OPERATOR, LLC-PINE6160
VALLEY
SOUTH
SPECIALTY
LOOP E HOSPITALHOUSTON, TX 77087 HARRIS 01/01/2016 89%
136142011 1033118716 PLAINS MEMORIAL HOSPITAL DISTRICT-PLAINS MEMORIAL310
HOSPITAL
WEST HALSELL DIMMITT, TX 79027-1846 CASTRO 05/01/2016 67%
353871201 1689068355 PLANO SPECIALTY HOSPITAL OPERATOR LLC-PLANO SPECIALTY
1621 COIT
HOSPITAL
RD PLANO, TX 75075 COLLIN 04/01/2015 42%
352444901 1851785521 PLUM CREEK SPECIALTY HOSPITAL OPERATOR LLC-PLUM5601
CREEK
PLUMSPECIALTY
CREEK DR HOSPITAL AMARILLO, TX 79124 POTTER 04/01/2015 56%
325177904 1043552177 POST ACUTE MEDICAL AT ALLEN LLC DBA WARM SPRINGS-WARM
1001 RAINTREE
SPRINGSCIRREHABILITATION
ALLEN,
HOSPITAL
TX 75013-4912
OF ALLEN COLLIN 04/08/2013 50%
199191101 1114962842 POST ACUTE MEDICAL AT LULING LLC-WARM SPRINGS SPECIALTY
200 MEMORIAL
HOSPITAL
DR OF LULINGLULING,
LLC TX 78648-3213 CALDWELL 12/01/2006 67%
199478201 1376588228 POST ACUTE MEDICAL AT SAN ANTONIO LLC-WARM SPRINGS
5101 REHABILITATION
MEDICAL DR HOSPITAL SAN
OF ANTONIO,
SAN ANTONITX 78229-4801BEXAR 05/01/2017 32%
199183801 1659316115 POST ACUTE MEDICAL AT VICTORIA LLC-PAM SPECIALTY 102
HOSPITAL
MEDICALOFDR
VICTORIA NORTHVICTORIA, TX 77904-3101 VICTORIA 08/01/2007 68%
317151401 1689795098 POST ACUTE MEDICAL OF NEW BRAUNFELS LLC-WARM SPRINGS
1445 HANZSPECIALTY
DR HOSPITAL NEW
OF NEW
BRAUNFELS,
BRAUNFELSTX 78130-2567
COMAL 09/01/2012 50%
329971101 1366874620 POST ACUTE SPECIALTY HOSPITAL OF CORPUS CHRISTI LL-
6226 SARATOGA BLVD CORPUS CHRISTI, TX 78414-3421
NUECES 09/01/2013 25%
331384301 1417389784 POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC DBA-PAM
506 E SAN
SPECIALTY
ANTONIOHOSPITAL
ST FL 3 OFVICTORIA,
VICTORIATXSOUTH
77901-6060 VICTORIA 09/25/2013 50%
316360201 1407121189 PREFERRED HOSPITAL LEASING COLEMAN INC- 310 S PECOS ST COLEMAN, TX 76834-4159 COLEMAN 12/01/2017 74%
179272301 1295764553 PREFERRED HOSPITAL LEASING ELDORADO INC-SCHLEICHER
102 NCOUNTY
US HIGHWAY
MEDICAL
277 CENTER ELDORADO, TX 76936-4010 SCHLEICHER 12/01/2014 100%
200683501 1932379856 PREFERRED HOSPITAL LEASING HEMPHILL INC-SABINE COUNTY
2301 HIGHWAY
HOSPITAL83 WEST HEMPHILL, TX 75948-4159 SABINE 12/01/2014 100%
126840107 1477594299 PREFERRED HOSPITAL LEASING INC-COLLINGSWORTH GENERAL
1013 15THHOSPITAL
ST WELLINGTON, TX 79095 COLLINGSWORTH 08/01/2017 100%
206083201 1164688495 PREFERRED HOSPITAL LEASING JUNCTION INC-KIMBLE HOSPITAL
349 REID RD JUNCTION, TX 76849-3049 KIMBLE 04/01/2016 100%
350190001 1619368339 PREFERRED HOSPITAL LEASING MULESHOE INC-MULESHOE 708 AREA
S 1ST MEDICAL
ST CENTER MULESHOE, TX 79347-3627 BAILEY 10/01/2016 100%
176354201 1013970862 PREFERRED HOSPITAL LEASING VAN HORN INC-CULBERSONEISENHOWER
HOSPITAL AND FM 2185 VAN HORN, TX 79855-0609 CULBERSON 03/01/2013 100%
121822403 1700805678 PRHC ENNIS LP-ENNIS REGIONAL MEDICAL CENTER 2201 WEST LAMPASAS ENNIS, TX 75119-5644 ELLIS 05/01/2017 22%
354018901 1790174860 PRIME HEALTHCARE SERVICES MESQUITE LLC-DALLAS REGIONAL
1011 N GALLOWAY
MEDICAL CENTER
AVE MESQUITE, TX 75149 DALLAS 01/01/2017 13%
308032701 1386902138 PRIME HEALTHCARE SERVICES PAMPA LLC-PAMPA REGIONAL
1 MEDICAL
MEDICAL
PLAZA
CENTER
DR PAMPA, TX 79065 GRAY 08/01/2017 42%
340716501 1902237431 PROMISE HOSPITAL OF DALLAS INC- 7955 HARRY HINES BLVD BLD DALLAS, TX 75235-3305 DALLAS 03/18/2014 52%
339884401 1346671849 PROMISE HOSPITAL OF WICHITA FALLS INC- 1103 GRACE ST WICHITA FALLS, TX 76301-4414WICHITA 03/17/2014 80%
111829102 1093708679 PROVIDENCE HEALTH SERVICES OF WACO-PROVIDENCE6901HEALTHCARE
MEDICAL PARKWAY
NETWORK WACO, TX 76712-7910 MCLENNAN 07/01/2017 37%
370663201 1467836841 PROVIDENCE HOSPITAL OF NORTH HOUSTON LLC- 16750 RED OAK DR HOUSTON, TX 77090 HARRIS 12/14/2016 50%
121806703 1881697316 REAGAN HOSPITAL DISTRICT-REAGAN MEMORIAL HOSPITAL1300 N MAIN AVE BIG LAKE, TX 76932-3938 REAGAN 03/01/2012 100%
210433301 1427048743 RED RIVER HOSPITAL LLC-RED RIVER HOSPITAL 1505 EIGHT STREET WICHITA FALLS, TX 76301-3106WICHITA 01/29/2010 38%
112684904 1831170273 REEVES COUNTY HOSPITAL DISTRICT 2323 TEXAS ST PECOS, TX 79772-7338 REEVES 01/01/2018 100%
020991801 1942240189 REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT 107 SWIFT ST REFUGIO, TX 78377-2425 REFUGIO 01/01/2017 100%
179884501 1518905025 REHABCARE GROUP OF ARLINGTON LP-KINDRED REHABILITATION
2601 WEST HOSPITAL
RANDOL ARLINGTON
MILL ROADARLINGTON,
STE 101 TX 76012-4216 TARRANT 02/24/2006 50%
212203801 1770740359 REHABILIATION INSTITUTE OF DENTON LLC-SELELCT REHABILITATIOIN
2620 SCRIPTUREHOSPITAL
ST OF DENTON
DENTON, TX 76201-4315 DENTON 04/03/2009 50%
218868201 1922321447 REHABILITATION HOSPITAL OF MESQUITE LLC-MESQUITE 1023
REHABILITATION
N BELT LINE INSTITUTE
RD MESQUITE, TX 75149-1788 DALLAS 11/03/2010 50%
343723801 1427472463 RESOLUTE HOSPITAL COMPANY LLC- 555 CREEKSIDE XING NEW BRAUNFELS, TX 78130-2594COMAL 05/01/2017 43%
112745802 1518937218 RIVER CREST HOSPITAL 1636 HUNTERS GLEN RD SAN ANGELO, TX 76901-5016TOM GREEN 02/01/2006 25%
339869503 1184056954 ROCK SPRINGS, LLC- 700 SE INNER LOOP GEORGETOWN, TX 78626-7700 WILLIAMSON 06/25/2014 50%
183086102 1306933692 ROCKDALE BLACKHAWK LLC-LITTLE RIVER HEALTHCARE 1700 BRAZOS AVE ROCKDALE, TX 76567-2517 MILAM 01/01/2018 56%
193399601 1629138029 ROCKWALL REGIONAL HOSPITAL LLC-TEXAS HEALTH PRESBYTERIAN
3150 HORIZON HOSPITAL
RD ROCKWALL
ROCKWALL, TX 75032-7805 ROCKWALL 01/01/2018 36%
133244705 1275581852 ROLLING PLAINS MEMORIAL HOSPITAL 200 E ARIZONA AVE SWEETWATER, TX 79556-7120 NOLAN 09/01/2017 100%
020957901 1649223645 ROUND ROCK HOSPITAL-ROUND ROCK MEDICAL CENTER2400 ROUND ROCK AVE ROUND ROCK, TX 78681-4004WILLIAMSON 08/01/2017 23%
127267603 1942294939 SAINT JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN, TX 77802-3867 BRAZOS 07/01/2017 23%
112693002 1194776104 SAN ANGELO COMMUNITY MEDICAL CENTER 3501 KNICKERBOCKER RD SAN ANGELO, TX 76904-7610TOM GREEN 07/01/2017 24%
349059101 1871917971 SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL, LLC-8550 HUEBNER RD SAN ANTONIO, TX 78240 BEXAR 01/22/2015 50%

Prepared by HHSC Hospital Rate Analysis Department 8 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
137962006 1891789772 SAN JACINTO METHODIST HOSPITAL-SAN JACINTO METHODIST
4401 GARTH
HOSP RD BAYTOWN, TX 77521-2122 HARRIS 01/01/2018 27%
354215101 1720411713 SAS HEALTHCARE INC-SUNDANCE HOSPITAL DALLAS 2696 W WALNUT ST GARLAND, TX 75042 DALLAS 01/08/2015 80%
094212002 1538117452 SCA HOUSTON HOSPITAL FOR SPECIALIZED SURGERY LP-HOUSTON
5445 LA BRANCH
HOSPITAL
ST FOR SPECIALIZED
HOUSTON,SURGERY
TX 77004-6835 HARRIS 12/01/2005 100%
150967102 1013993559 SCCI HOSPITAL EL PASO INC-KINDRED HOSPITAL EL PASO1740 CURIE DR EL PASO, TX 79902-2901 EL PASO 11/01/2016 21%
131043506 1831160423 SCENIC MOUNTAIN MEDICAL CENTER 1601 W 11TH PL BIG SPRING, TX 79720-4114 HOWARD 01/01/2018 26%
135226205 1154315307 SCOTT & WHITE HOSPITAL BRENHAM-BAYLOR SCOTT AND 700
WHITE
MEDICALMEDICAL
PKWYCENTER BRENHAM
BRENHAM, TX 77833-5413 WASHINGTON 01/01/2018 100%
353712801 1396138970 SCOTT & WHITE HOSPITAL-MARBLE FALLS-BAYLOR SCOTT 810
& WHITE
W HIGHWAY
MEDICAL
71 CENTER-MARBLE
MARBLEFALLS
FALLS, TX 78654-8602
BURNET 05/01/2017 86%
220798701 1326349986 SCOTT AND WHITE HOSPITAL - LLANO-BAYLOR SCOTT AND 200WHITE
W OLLIEMEDICAL
ST CENTER - LLANO
LLANO, TX 78643-2628 LLANO 09/01/2016 56%
326725404 1265772362 SCOTT AND WHITE HOSPITAL COLLEGE STATION-BAYLOR700 SCOTT
SCOTT & WHITE
AND WHITE
MEDICAL
DR CENTER
COLLEGE
COLLEGE
STATION,
STATIO
TX 77845-6441
BRAZOS 05/01/2017 39%
190123303 1265568638 SCOTT AND WHITE HOSPITAL ROUND ROCK-BAYLOR SCOTT 300 &
UNIVERSITY
WHITE MEDICAL
BLVD CENTERROUND
- ROUNDROCK,
ROCKTX 78665-1032WILLIAMSON 05/01/2017 39%
136327710 1962497800 SCOTT AND WHITE HOSPITAL TAYLOR-BAYLOR SCOTT AND 305WHITE
MALLARDMEDICAL
LN CENTER TAYLORTAYLOR, TX 76574-1208 WILLIAMSON 01/01/2017 51%
137249208 1477516466 SCOTT AND WHITE MEMORIAL HOSPITAL-SCOTT AND WHITE 2401MEDICAL
S 31ST ST
CENTER - TEMPLETEMPLE, TX 76508-0001 BELL 08/01/2017 33%
136330112 1578588463 SCURRY COUNTY HOSPITAL DISTRICT-D.M. COGDELL MEMORIAL
1700 COGDELL
HOSPITALBLVD SNYDER, TX 79549-6162 SCURRY 01/01/2018 72%
358597801 1184029811 SELECT SPECIALITY HOSPITAL-DALLAS, INC- 3500 GASTON AVE DALLAS, TX 75246-2017 DALLAS 07/01/2015 50%
194036301 1063411239 SELECT SPECIALTY HOSPITAL DALLAS INC-DALLAS SPECIALTY
2329 PARKER
HOSPITALRDDALLAS INC CARROLLTON, TX 75010-4713DENTON 09/01/2004 50%
197824901 1861492670 SELECT SPECIALTY HOSPITAL LONGVIEW INC-SELECT SPECIALTY
700 E MARSHALL
HOSPITALAVE
LONGVIEWLONGVIEW, TX 75601-5580 GREGG 01/01/2004 50%
361697101 1790189942 SELECT SPECIALTY HOSPITAL-DALLAS, INC 2300 MARIE CURIE DR GARLAND, TX 75042 DALLAS 07/01/2015 50%
137265806 1093810327 SETON FAMILY OF HOSPITALS-DELL SETON MEDICAL CENTER
1500 RED
AT THE
RIVER
UNIVERSITY
ST OF TEX
AUSTIN, TX 78701-0000 TRAVIS 06/01/2017 31%
094153604 1356446686 SETON FAMILY OF HOSPITALS-SETON EDGAR B DAVIS HOSPITAL
130 HAYS ST LULING, TX 78648-3207 CALDWELL 07/01/2017 49%
094151004 1003833013 SETON FAMILY OF HOSPITALS-SETON HIGHLAND LAKES 3201 S WATER ST BURNET, TX 78611-4510 BURNET 07/01/2017 27%
135225404 1164526786 SETON FAMILY OF HOSPITALS-SETON MEDICAL CENTER AUSTIN
1201 W 38TH ST AUSTIN, TX 78705-1006 TRAVIS 07/01/2017 20%
208013701 1619115383 SETON FAMILY OF HOSPITALS-SETON MEDICAL CENTER HAYS
6001 KYLE PKWY KYLE, TX 78640-6112 HAYS 06/01/2017 23%
194106401 1578780870 SETON FAMILY OF HOSPITALS-SETON MEDICAL CENTER WILLIAMSON
201 SETON PKWY ROUND ROCK, TX 78665-8000WILLIAMSON 07/01/2017 21%
158980601 1124137054 SETON FAMILY OF HOSPITALS-SETON NORTHWEST HOSPITAL11113 RESEARCH BLVD AUSTIN, TX 78759-5297 TRAVIS 06/01/2017 22%
286326801 1154612638 SETON FAMILY OF HOSPITALS-SETON SMITHVILLE REGIONAL
1201HOSPITAL
HILL RD SMITHVILLE, TX 78957-9533 BASTROP 07/01/2016 81%
158977201 1750499273 SETON FAMILY OF HOSPITALS-SETON SOUTHWEST HOSPITAL7900 FM 1826 AUSTIN, TX 78737-1407 HAYS 06/01/2017 20%
186599001 1447355771 SETON HEALTHCARE-DELL CHILDRENS MEDICAL CENTER4900 OF CENTRAL
MUELLERTEXAS
BLVD AUSTIN, TX 78723-3079 TRAVIS 07/01/2017 21%
121193005 1538150370 SHAMROCK GENERAL HOSPITAL 1000 S MAIN ST SHAMROCK, TX 79079-2820 WHEELER 10/01/2016 100%
137226005 1992707228 SHANNON MEDICAL CENTER 120 E HARRIS AVE SAN ANGELO, TX 76903-5904TOM GREEN 09/01/2017 46%
175965601 1861598633 SHC KPH LP-KINGWOOD PINES HOSPITAL 2001 LADBROOK, DR KINGWOOD, TX 77339-0000 HARRIS 10/01/2006 38%
220351501 1013957836 SHERMAN GRAYSON HOSPITAL LLC-WILSON N JONES REGIONAL
500 N HIGHLAND
MEMORIAL AVECENTER SHERMAN, TX 75092-7354 GRAYSON 04/01/2017 31%
298213401 1518000306 SHRINERS HOSPITAL FOR CHILDREN- 6977 MAIN ST HOUSTON, TX 77030-3701 HARRIS 01/01/2018 90%
293388901 1669513941 SHRINERS HOSPITALS FOR CHILDREN- 815 MARKET ST GALVESTON, TX 77550-2725 GALVESTON 01/01/2018 60%
127294003 1790782704 SID PETERSON MEMORIAL HOSPITAL-PETERSON REGIONAL 551MEDICAL
HILL COUNTRY
CENTER DR KERRVILLE, TX 78028-6085 KERR 06/01/2017 44%
133245406 1215969787 SIERRA MEDICAL CENTER-THE HOSPITAL OF PROVIDENCE 1625
SIERRA
MEDICAL
CAMPUS
CENTER DR EL PASO, TX 79902-5005 EL PASO 05/01/2017 15%
181706601 1154361475 SJ MEDICAL CENTER LLC-ST JOSEPH MEDICAL CENTER 1401 ST JOSEPH PKWY HOUSTON, TX 77002-8301 HARRIS 12/01/2017 18%
190895601 1598710592 SOLARA HOSPITAL HARLINGEN 508 VICTORIA LANE HARLINGEN, TX 78550-3225 CAMERON 01/04/2007 50%
216719901 1700826575 SOMERVELL COUNTY HOSPITAL DISTRICT-GLEN ROSE MEDICAL
1021 HOLDEN
CENTER ST GLEN ROSE, TX 76043-4937 SOMERVELL 12/01/2016 69%
094113001 1770573586 SOUTH TEXAS HEALTH SYSTEM 1102 W TRENTON RD EDINBURG, TX 78539-9105 HIDALGO 01/01/2018 14%
121780403 1184695785 SOUTH TEXAS REGIONAL MEDICAL CENTER 1905 HIGHWAY 97 E JOURDANTON, TX 78026-1504ATASCOSA 06/01/2017 33%
173995503 1093712697 SOUTH TEXAS REHABILITATION HOSPITAL LP- 425 EAST ALTON GLOOR BROWNSVILLE, TX 78526-3361 CAMERON 06/01/2014 60%
171461001 1629064928 SOUTHLAKE SPECIALTY HOSPITAL LLC-TEXAS HEALTH HARRIS
1545 SOUTHLAKE
METHODISTBLVDHOSPITAL SOUTHLAKE
SOUTHLAKE, TX 76092-6422 TARRANT 01/01/2018 48%
136491104 1912906298 SOUTHWEST GENERAL HOSPITAL LP-SOUTHWEST GENERAL 7400HOSPITAL
BARLITE BLVD SAN ANTONIO, TX 78224-1308BEXAR 09/01/2017 22%
352273201 1376954263 SRP BEHAVIORAL HOSPITAL OF PLANO LLC- 4301 MAPLESHADE PLANO, TX 75093 COLLIN 11/05/2014 50%
351415002 1447672910 SRP OCEANS HOSPITAL OF FORTWORTH LLC-WELLBRIDGE 6200
HEALTHCARE
OVERTON RIDGE
OF FORT
BLVDWORTH
FORT WORTH, TX 76132-3614TARRANT 09/18/2015 50%
362439701 1184014433 SRP OCEANS HOSPITAL OF SAN MARCOS LLC-OCEANS BEHAVIORAL
1106 N INTERSTATE
HOSPITAL 35OF SAN MARCOS
SAN MARCOS, TX 78666 HAYS 10/23/2015 50%
094160103 1720033947 ST DAVIDS COMMUNITY HOSPITAL-ST DAVIDS MEDICAL CENTER
919 E 32ND ST AUSTIN, TX 78705-2703 TRAVIS 01/01/2018 20%
112717702 1679528889 ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP-SOUTH AUSTIN
901 W.HOSPITAL
BEN WHITE BLVD AUSTIN, TX 78704-6903 TRAVIS 11/01/2017 16%
094216103 1629021845 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP-ST DAVID'S
12221
NORTH
N MOAUSTIN
PAC EXPY
MEDICAL CENTER
AUSTIN, TX 78758-2401 TRAVIS 06/01/2017 16%
368423501 1932573417 ST JOSEPH HEALTHSOUTH REHABILITATION HOSPITAL LLC-CHI
1600 JOSEPH
ST JOSEPEH
DR REHABILITATION
BRYAN,HOSPITAL
TX 77802WITH HEALTH BRAZOS 09/01/2016 50%
160630301 1942208616 ST LUKES COMMUNITY HEALTH SERVICES-ST LUKES THE17200
WOODLANDS
ST LUKE'SHOSPITAL
WAY THE WOODLANDS, TX 77384-8007MONTGOMERY 06/01/2017 28%

Prepared by HHSC Hospital Rate Analysis Department 9 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
339153401 1710314141 ST LUKES HOSPITAL AT THE VINTAGE- 20171 CHASEWOOD PARK DR HOUSTON, TX 77070-1437 HARRIS 06/01/2017 50%
210274101 1184868879 ST LUKES LAKESIDE HOSPITAL LLC-ST LUKES LAKESIDE HOSPITAL
17400 ST LUKES WAY THE WOODLANDS, TX 77384-8036
MONTGOMERY 07/01/2016 41%
281219001 1407990088 ST LUKES PATIENTS MEDICAL CENTER- 4600 E SAM HOUSTON PKWY SPASADENA, TX 77505-3948 HARRIS 07/01/2017 42%
176692501 1659362630 ST MARKS MEDICAL CENTER ONE ST MARK'S PLACE LA GRANGE, TX 78945-1250 FAYETTE 07/01/2017 100%
298019501 1659559573 ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION-SUGAR-ST.
1317 LAKELUKE'S
POINTESUGAR
PKWY LANDSUGAR
HOSPITAL
LAND, TX 77478-3997FORT BEND 07/01/2017 54%
126842708 1649224825 STAMFORD MEMORIAL HOSPITAL- 1601 COLUMBIA ST STAMFORD, TX 79553-6863 JONES 01/01/2018 100%
136332705 1760567085 STARR COUNTY MEMORIAL HOSPITAL 128 N FM 3167 RIO GRANDE CITY, TX 78582-6211
STARR 09/01/2017 100%
337991901 1285065623 STEPHENS MEMORIAL HOSPITAL- 200 S GENEVA ST BRECKENRIDGE, TX 76424-4702STEPHENS 01/01/2017 78%
020992601 1083612121 STONEWALL MEMORIAL HOSPITAL DISTRICT-STONEWALL821 MEMORIAL
N BROADWAY
HOSPITAL ASPERMONT, TX 79502-9023 STONEWALL 10/01/2016 100%
371439601 1154782548 STRATEGIC BH-BROWNSVILLE, LLC-PALMS BEHAVIORAL HEALTH
613 VICTORIA LN HARLINGEN, TX 78550 CAMERON 10/04/2016 50%
338014903 1568885549 STRATEGIC BH-ROCK PRAIRIE BEHAVIORAL HEALTH 3550 NOMAND DR COLLEGE STATION, TX 77845-6399
BRAZOS 06/10/2014 50%
335255101 1164665899 SUGAR LAND 24 HOUR HOSPITAL, LLC-EMERUS EMERGENCY16000HOSPITAL
SOUTHWEST
SUGARFWY
LAND
STE 100
SUGAR LAND, TX 77479-2674FORT BEND 01/01/2016 87%
361635101 1003282039 SUN HOUSTON, LLC- 7601 FANNIN ST HOUSTON, TX 77054-1905 HARRIS 04/19/2016 50%
283761901 1578878245 SUNDANCE HOSPITAL- 7000 US 287 HWY ARLINGTON, TX 76001-2805 TARRANT 07/23/2011 80%
020988401 1023011657 SWEENY COMMUNITY HOSPITAL 305 N MCKINNEY SWEENY, TX 77480-2801 BRAZORIA 08/01/2017 100%
316076401 1518253194 SWISHER MEMORIAL HEALTHCARE SYSTEM-SWISHER MEMORIAL
539 SE 2NDHOSPITAL
ST TULIA, TX 79088-2400 SWISHER 01/01/2017 100%
126675104 1992753222 TARRANT COUNTY HOSPITAL DISTRICT-JPS HEALTH NETWORK
1500 S MAIN ST FORT WORTH, TX 76104-4917TARRANT 09/01/2017 36%
169553801 1801826839 TENET FRISCO LTD 12505 LEBANON RD FRISCO, TX 75035-8298 COLLIN 01/01/2018 29%
196829901 1972709970 TENET HOSPITALS LIMITED-THE HOSPITALS OF PROVIDENCE
3280EAST
JOE BATTLE
CAMPUS BLVD EL PASO, TX 79938-2622 EL PASO 01/01/2018 12%
130601104 1700801909 TENET HOSPITALS LIMITED-THE HOSPITALS OF PROVIDENCE
2001MEMORIAL
NORTH OREGON
CAMPUS EL PASO, TX 79902-3320 EL PASO 05/01/2017 13%
369162801 1538522412 TENET HOSPITALS LIMITED-THE HOSPITALS OF PROVIDENCE
2000TRANSMOUNTAIN
TRANS MOUNTAINCAMPUS
RD EL PASO, TX 79911-0000 EL PASO 02/06/2017 50%
130618504 1811916901 TERRY MEMORIAL HOSPITAL DISTRICT-BROWNFIELD REGIONAL
705 E FELT
MEDICAL CENTER BROWNFIELD, TX 79316-3439TERRY 08/01/2017 73%
133257904 1841354677 TEXAS CENTER FOR INFECTIOUS 2303 SE MILITARY DR SAN ANTONIO, TX 78223-3542BEXAR 03/01/2017 90%
139135109 1477643690 TEXAS CHILDRENS HOSPITAL 6621 FANNIN ST HOUSTON, TX 77030-2358 HARRIS 12/01/2017 33%
318137201 1245523372 TEXAS GENERAL HOSPITAL- 2709 HOSPITAL BLVD GRAND PRAIRIE, TX 75051-1017
DALLAS 01/01/2017 15%
371495801 1720474919 TEXAS GENERAL HOSPITAL - VZRMC LP- 707 N WALDRIP ST GRAND SALINE, TX 75140-1555VAN ZANDT 11/09/2016 50%
130614405 1174533343 TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 800 W RANDOL MILL RD ARRLINGTON, TX 76012 TARRANT 1/1/2018 0.32
316296801 1215296884 TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE-10864 TEXAS HEALTH TRL FORT WORTH, TX 76244-4897TARRANT 07/01/2017 36%
127304703 1508899204 TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE- 108 DENVER TRL AZLE, TX 76020-3614 TARRANT 08/01/2017 35%
131036903 1396778064 TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE- 201 WALLS DR CLEBURNE, TX 76033-4007 JOHNSON 09/01/2017 29%
112677302 1336172105 TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH-
1301 PENNSYLVANIA AVE FORT WORTH, TX 76104-2122TARRANT 10/01/2017 27%
136326908 1104845015 TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST EULES-
1600 HOSPITAL PARKWAY BEDFORD, TX 76021-6913 TARRANT 11/01/2017 35%
120726804 1417980202 TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST 6100F-HARRIS PKWY FORT WORTH, TX 76132-4101TARRANT 09/01/2017 32%
121794503 1922031541 TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL-
411 N BELKNAP STEPHENVILLE, TX 76401-3415ERATH 11/01/2017 40%
314080801 1033120423 TEXAS HEALTH HUGULEY HOSPITAL-TEXAS HEALTH HUGLEY11801FORT
SOUTH
WORTH
FWY SOUTH BURLESON, TX 76028-7021 JOHNSON 01/01/2018 31%
020982701 1548291883 TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN- 1105 CENTRAL EXPY N ALLEN, TX 75013-3103 COLLIN 01/01/2018 45%
020967802 1003883158 TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON- 3000 I 35 NORTH DENTON, TX 76201-5119 DENTON 05/01/2017 29%
094140302 1457382798 TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN- 850 ED HALL DR KAUFMAN, TX 75142-1861 KAUFMAN 01/01/2018 48%
094207002 1770514077 TEXAS HEALTH PRESBYTERIAN HOSPTAL PLANO- 6200 W PARKER RD PLANO, TX 75093-7939 COLLIN 01/01/2018 31%
094205403 1730278417 TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH- 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104-2122TARRANT 09/01/2006 30%
185556101 1962504340 TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP-THE HEART
1100 ALLIED
HOSPITAL
DRIVE
BAYLOR PLANOPLANO, TX 75093-5348 COLLIN 01/01/2018 30%
173574801 1245201656 TEXAS INSTITUTE FOR SURGERY LLP-TEXAS INSTITUTE FOR
7115SURGERY
GREENVILLE
AT TEXAS
AVENUEHEALTH
STEDALLAS,
100
PRESBYTX 75231-3623 DALLAS 05/01/2012 100%
333086201 1578809505 TEXAS OAKS PSYCHIATRIC HOSPITAL LP-AUSTIN OAKS HOSPITAL
1407 W STASSNEY LN AUSTIN, TX 78745-2947 TRAVIS 09/12/2013 50%
020908201 1396779948 TEXAS PRESBYTERIAN HOSPITAL OF DALLAS 8200 WALNUT HILL LN DALLAS, TX 75231-4426 DALLAS 01/01/2018 29%
209719801 1255579389 TEXAS REGIONAL MEDICAL CENTER LTD-TEXAS REGIONAL 231
MEDICAL
S COLLINS
CENTER
RD AT SUNNYVALE
SUNNYVALE, TX 75182-4624 DALLAS 12/01/2017 25%
315440301 1760628184 TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN-
2222 WELBORN ST DALLAS, TX 75219-3924 DALLAS 10/01/2017 69%
162459501 1942292255 TEXAS SPINE AND JOINT HOSPITAL LTD 1814 ROSELAND BLVD TYLER, TX 75701-4262 SMITH 01/01/2018 15%
021017102 1700955796 THC HOUSTON INC- 4801 E SAM HOUSTON PKWY SPASADENA, TX 77505-3955 HARRIS 09/01/2012 20%
021017101 1043389034 THC HOUSTON INC-KINDRED HOSPITAL HOUSTON NORTHWEST
11297 FALLBROOK DR HOUSTON, TX 77065-4230 HARRIS 08/01/2008 20%
178795401 1043328198 THE HOSPITAL AT WESTLAKE MEDICAL CENTER 5656 BEE CAVES RD STE M302 WEST LAKE HILLS, TX 78746-5814
TRAVIS 12/01/2014 52%
163925401 1861467573 THE MEDICAL CENTER OF SOUTHEAST TEXAS LP- 2555 JIMMY JOHNSON BLVD PORT ARTHUR, TX 77640-2007 JEFFERSON 12/01/2017 20%

Prepared by HHSC Hospital Rate Analysis Department 10 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
137949705 1548387418 THE METHODIST HOSPITAL 6565 FANNIN HOUSTON, TX 77030-2703 HARRIS 01/01/2018 23%
112672402 1174582050 THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER-MD
1515 HOLCOMBE
ANDERSON BLVD
HOSPITAL HOUSTON, TX 77030-4009 HARRIS 09/01/2017 48%
330388501 1194753590 THHBP MANAGEMENT COMPANY LLC-THE HEART HOSPITAL 2801BAYLOR
S MAYHILL
DENTON
RD DENTON, TX 76208-5910 DENTON 01/01/2017 83%
088189803 1356418974 THROCKMORTON COUNTY MEMORIAL HOSPITAL- 802 N MINTER AVE THROCKMORTON, TX 76483-5357THROCKMORTON 01/01/2017 100%
094379704 1871566018 TIMBERLAWN MENTAL HEALTH SYSTEM 4600 SAMUELL BLVD DALLAS, TX 75228-6827 DALLAS 06/01/2006 28%
138913209 1174526529 TITUS COUNTY MEM HOSP DIST-TITUS REGIONAL MEDICAL 2001
CENTER
N JEFFERSON MT PLEASANT, TX 75455-2341TITUS 10/01/2017 64%
340639901 1144651514 TOMBALL EXPRESS MEDICAL CENTER, LLC-EMERUS COMMUNITY
24429 STATE
HOSPITAL
HIGHWAY 249 TOMBALL, TX 77375-7877 HARRIS 07/18/2014 50%
094208803 1144203662 TOPS SPECIALTY HOSPITAL, LTD- 17080 RED OAK DRIVE HOUSTON, TX 77090-2602 HARRIS 12/01/2013 38%
021011402 1174692156 TRANSITIONAL HOSPITALS CORPORATION OF TEXAS INC-KINDRED
1000 N COOPER
HOSPITAL
ST - TARRANTARLINGTON,
COUNTY TX 76011-5540 TARRANT 06/01/2008 43%
021011401 1659440634 TRANSITIONAL HOSPITALS CORPORATION OF TEXAS INC-KINDRED
1000 N COOPER
HOSPITAL-
ST TARRANTARLINGTON,
COUNTY TX 76011-5540 TARRANT 06/01/2008 43%
184505902 1316911068 TRINITY MOTHER FRANCES REHABILITATION HOSPITAL-CHRISTUS
3131 TROUP TRINITY
HWY MOTHER FRANCESTYLER,REHABILATION
TX 75701-8350 HOSPISMITH 03/01/2016 73%
149047601 1609876309 TRIUMPH HOSPITAL OF EAST HOUSTON LP-KINDRED HOSPITAL
350 BLOSSOM
CLEAR LAKE
ST WEBSTER, TX 77598-4206 HARRIS 11/01/2011 24%
094354003 1285626028 TRIUMPH HOSPITAL OF NORTH HOUSTON LP-KINDRED HOSPITAL
505 GRAHAMTOMBALL
DR TOMBALL, TX 77375-3368 HARRIS 11/01/2011 39%
322878502 1417225434 TRIUMPH REHABILIATION HOSPITAL OF NORTHEAST HOUSTO-KINDRED
18839 MCKAY DR REHABILITATIONHUMBLE,
HOSPITALTXNORTHEAST
77338-5721 HOUSTON
HARRIS 09/01/2013 50%
157203401 1720088412 TRIUMPH SOUTHWEST LP-KINDRED HOSPITAL SUGAR LAND 1550 FIRST COLONY BLVD SUGAR LAND, TX 77479-4000FORT BEND 04/01/2017 13%
172620001 1982609558 TROPHY CLUB MEDICAL CENTER LP 2850 EAST STATE HWY 114 TROPHY CLUB, TX 76262-1168 DENTON 01/01/2016 100%
136381405 1447259627 TYLER COUNTY HOSPITAL 1100 W BLUFF WOODVILLE, TX 75979-4738 TYLER 06/01/2017 59%
194997601 1851390967 UHS OF TEXOMA INC-TEXOMA MEDICAL CENTER 5016 S US HIGHWAY 75 DENISON, TX 75020-4584 GRAYSON 01/01/2018 29%
135237906 1023013448 UNITED REGIONAL HEALTHCARE 1600 11TH STREET WICHITA FALLS, TX 76301-4388
WICHITA 01/01/2018 32%
191968002 1386779304 UNIVERSITY BEHAVIORAL HEALTH OF EL PASO LLC 1900 DENVER AVE EL PASO, TX 79902-3008 EL PASO 03/05/2008 80%
137999206 1821087164 UNIVERSITY MEDICAL CENTER 602 INDIANA AVE LUBBOCK, TX 79415-3364 LUBBOCK 01/01/2018 26%
021187203 1578547667 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUST-HARRIS
2800 S MACGREGOR
COUNTY WAY
PSYCHIATRIC
HOUSTON,
CENTER TX 77021-1032 HARRIS 08/04/2013 50%
127278304 1417941295 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-UT
11937 USHEALTH
HIGHWAY
CENTER-TYLER
271 TYLER, TX 75708-3154 SMITH 09/01/2017 30%
094092602 1548226988 UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON-UNIVERSITY
301 UNIVERSITY OF BLVD
TEXASRT
MEDICAL
1076 GALVESTON,
BRANCH TX 77555-0001 GALVESTON 09/01/2017 37%
175287501 1285798918 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 6201
AT-UNIVERSITY
HARRY HINESOF TEXAS SOUTHWESTERN
DALLAS, TX 75390-0001
UNIVERSITYDALLAS
HOSPTI 09/01/2017 50%
175289101 1417010653 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 5151
AT-UTSOUTHWESTERN
HARRY HINES BLVD UNIVERSITY
DALLAS, HOSPITAL
TX 75390-9200
ZALE LIPSHY
DALLAS 09/01/2017 47%
162965101 1659352987 USMD HOSPITAL AT ARLINGTON LP 801 W INTERSTATE 20 ARLINGTON, TX 76017-5851 TARRANT 01/01/2018 36%
198248001 1568656502 USMD HOSPITAL AT FORT WORTH LP 5900 ALTAMESA BLVD FORT WORTH, TX 76132-5473TARRANT 01/01/2018 46%
121782006 1740288505 UVALDE COUNTY HOSPITAL AUTHORITY-UVALDE MEMORIAL 1025HOSPITAL
GARNER FIELD RD UVALDE, TX 78801-4809 UVALDE 12/01/2017 65%
119877204 1104830900 VAL VERDE HOSPITAL CORPORATION-VAL VERDE REGIONAL 801 NMEDICAL
BEDELLCENTER
AVE DEL RIO, TX 78840-4112 VAL VERDE 07/01/2017 52%
294543801 1184911877 VHS BROWNSVILLE HOSPITAL COMPANY LLC-VALLEY BAPTIST
1040 W MEDICAL
JEFFERSON
CENTER
ST BROWNSVILLE
BROWNSVILLE, TX 78520-6338 CAMERON 05/01/2017 16%
292096901 1154618742 VHS HARLINGEN HOSPITAL COMPANY LLC- 2101 PEASE ST HARLINGEN, TX 78550-8307 CAMERON 07/01/2017 19%
159156201 1598744856 VHS SAN ANTONIO PARTNERS LLC-BAPTIST HEALTH SYSTEM111 DALLAS ST SAN ANTONIO, TX 78205-1201BEXAR 07/01/2017 16%
334801301 1063844306 VIBRA HOSPITAL OF AMARILLO LLC-VIBRA HOSPITAL OF AMARILLO
7501 WALLACE BLVD AMARILLO, TX 79124-2150 POTTER 09/01/2013 24%
334224803 1750713012 VIBRA REHABILITATION HOSPITAL OF AMARILLO LLC-VIBRA
7200
REHABILITATION
SW 9TH AVE HOSPITAL OF AMARILLO,
AMARILLOTX 79106-1703 POTTER 01/01/2018 80%
357697701 1740693316 VIBRA REHABILITATION HOSPITAL OF EL PASO, LLC-HIGHLANDS
1395 GEORGE
REHABILITATION
DIETER DRHOSPITAL
EL PASO, TX 79936-7499 EL PASO 06/01/2016 82%
347495902 1194137364 VIBRA REHABILITATION HOSPITAL OF LAKE TRAVIS- 2000 MEDICAL DR LAKEWAY, TX 78734-4200 TRAVIS 01/16/2015 50%
197976701 1477507432 VIBRA SPECIALTY HOSPITAL OF DALLAS LLC- 2700 WALKER WAY DESOTO, TX 75115-2088 DALLAS 08/01/2007 50%
197976703 1053778860 VIBRA SPECIALTY HOSPITAL OF DALLAS LLC-VIBRA HOSPITAL
401 WOFCAMPBELL
RICHARDSONRD STE 300 RICHARDSON, TX 75080-3416DALLAS 07/06/2015 50%
020981901 1891718789 VISTA COMMUNITY MEDICAL CENTER HOSPITAL LLP-SURGERY
4301 VISTA
SPECIALTY
RD HOSPITAL OFPASADENA,
AMERICA SE TXHOUSTON
77504-2117 HARRIS 05/01/2011 41%
126667806 1104842475 W J MANGOLD MEMORIAL HOSPITAL 320 N MAIN ST LOCKNEY, TX 79241-0037 FLOYD 08/01/2017 100%
189791001 1144225699 WALKER COUNTY HOSPITAL CORPORATION-HUNTSVILLE 110 MEMORIAL
MEMORIALHOSPITAL
HOSPITAL DR HUNTSVILLE, TX 77342-4001 WALKER 07/01/2017 32%
341048201 1083056790 WALNUT HILL PHYSICIANS HOSPITAL LLC-WALNUT HILL MEDICAL
7502 GREENVILLE
CENTER AVE DALLAS, TX 75231-3802 DALLAS 03/01/2017 52%
347731701 1861818809 WARM SPRINGS REHABILITATION HOSPITAL OF KYLE LLC-5980 KYLE PKWY KYLE, TX 78640-2400 HAYS 09/08/2014 50%
350452401 1073952339 WARM SPRINGS REHABILITATION HOSPITAL OF VICTORIA101L-PAM
JAMES
REHABILITATION
COLEMAN DRHOSPITAL VICTORIA,
OF VICTORIA
TX 77904-3147 VICTORIA 02/26/2015 50%
326690001 1629037163 WARM SPRINGS SPECIALTY HOSPITAL OF SAN ANTONIO 7400 BARLITE BLVD SAN ANTONIO, TX 78224-1308BEXAR 09/01/2013 50%
184409401 1982781852 WEATHERFORD TEXAS HOSPITAL COMPANY LLC-WEATHERFORD713 E ANDERSON
REGIONAL STREET
MEDICAL CENTER
WEATHERFORD, TX 76086-5705 PARKER 12/01/2017 23%
359190101 1720407935 WEIMAR MEDICAL CENTER 400 YOUENS DR WEIMAR, TX 78962-3680 COLORADO 02/26/2016 50%
350453201 1538551791 WESLACO REGIONAL REHABILITATION HOSPITAL, LLC- 906 JAMES ST WESLACO, TX 78596-9840 HIDALGO 08/01/2016 100%
121829905 1598764359 WEST OAK HOSPITAL INC-TEXAS WEST OAKS HOSPITAL 6500 HORNWOOD DR HOUSTON, TX 77074-5008 HARRIS 10/01/2006 44%
344854001 1215354899 WESTPARK SPRINGS LLC- 6902 S PEEK RD RICHMOND, TX 77407-1741 FORT BEND 12/19/2014 50%

Prepared by HHSC Hospital Rate Analysis Department 11 of 12 1/24/2018

 Rate Effective Inpatient Rate
TPI NPI Provider Combined Name Provider Street Address City, State and Zip County Date (December)
112707808 1316931835 WILBARGER COUNTY HOSPITAL DISTRICT-WILBARGER GENERAL
920 HILLCREST
HOSPITAL
DRIVE VERNON, TX 76384-3132 WILBARGER 08/01/2017 38%
135151206 1871599829 WILSON COUNTY MEMORIAL HOSPITAL DISTRICT-CONNALLY
499 MEMORIAL
10TH STREET
MEDICAL CENTER
FLORESVILLE, TX 78114-3175WILSON 09/01/2017 36%
094204701 1730183658 WINKLER COUNTY MEMORIAL HOSP 821 JEFFEE DR KERMIT, TX 79745-4610 WINKLER 01/01/2018 100%
148698701 1295781227 WINNIE COMMUNITY HOSPITAL LLC 538 BROADWAY WINNIE, TX 77665 CHAMBERS 01/01/2017 55%
130606006 1124076401 WISE REGIONAL HEALTH SYSTEM-WISE HEALTH SYSTEM2000 SOUTH FM 51 DECATUR, TX 76234-3702 WISE 01/01/2018 46%
094164302 1487607792 WOODLAND HEIGHTS MEDICAL CENTER 505 S JOHN REDDITT DR LUFKIN, TX 75904-3159 ANGELINA 01/01/2017 18%
112673204 1881697878 YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DR YOAKUM, TX 77995-4868 LAVACA 08/01/2017 99%

Prepared by HHSC Hospital Rate Analysis Department 12 of 12 1/24/2018