TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(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 CENTER 1301 WONDER WORLD DR SAN MARCOS, TX 78666-7533HAYS 01/01/2018 41%

282322101 1407169196 AMH CATH LABS, LLC-TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON 811 WRIGHT 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-NORTHWEST HILLS SURGICAL HOSPITAL 6818 AUSTIN CTR BLVD #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 BAPTIST BEAUMONT HOSPITAL 3080 COLLEGE BEAUMONT, TX 77704-4606 JEFFERSON 01/01/2018 24%

020973601 1508810573 BAY AREA HEALTHCARE GROUP, LTD-CORPUS CHRISTI MEDICAL CENTER 7101 S PADRE ISLAND DR CORPUS CHRISTI, TX 78412-4913NUECES 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 & WHITE ALL SAINTS MEDICAL CENTER FOR1400 8TH AVE FORT WORTH, 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 MEDICAL CENTER-GRAPEVINE 1650 W COLLEGE ST GRAPEVINE, TX 76051-3565 TARRANT 07/01/2017 35%

344925801 1952509465 BAYLOR MEDICAL CENTER AT CARROLLTON-BAYLOR SCOTT & WHITE MEDICAL CENTER -CARROLLTON 4343 N JOSEY LN CARROLLTON, TX 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 35 E WAXAHACHIE, TX 75165-5240ELLIS 07/01/2017 46%

314161601 1124305065 BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY-BAYLOR SCOTT AND WHITE MEDICAL CENTER - MCKINNEY 5252 W UNIVERSITY DR MCKINNEY, TX 75071-7822 COLLIN 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 BEHAVIORAL HOSPITAL OF THE PERMIAN BASIN 3300 S FM 1788 MIDLAND, TX 79706-2601 MIDLAND 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 HOSPITAL 44 N CUMMINGS ST BELLVILLE, TX 77418-1347 AUSTIN 07/01/2017 100%

136141205 1821011248 BEXAR COUNTY HOSPITAL DISTRICT-UNIVERSITY HEALTH SYSTEM 4502 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-THE PHYSICIANS CENTRE HOSPITAL 3131 UNIVERSITY DRIVE EAST BRYAN, TX 77802-3473 BRAZOS 12/01/2014 56%

207311601 1114903523 BRIM HEALTHCARE OF TEXAS LLC-WADLEY REGIONAL MEDICAL CENTER 1000 PINE ST TEXARKANA, TX 75501-5100 BOWIE 01/01/2018 28%

020930601 1679526982 BROWNWOOD REGIONAL MEDICAL CENTER 1501 BURNET RD BROWNWOOD, TX 76801-8520BROWN 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 CENTER - WHITE ROCK 9440 POPPY DRIVE DALLAS, TX 75218-3652 DALLAS 08/01/2017 18%

362293801 1134127749 BT GARLAND JV LLP-BAYLOR SCOTT & WHITE MEDICAL CENTER - GARLAND 2300 MARIE CURIE DR GARLAND, TX 75042-5706 DALLAS 01/01/2018 29%

112725003 1750377289 BURLESON ST JOSEPH HEALTH CENTER-BURLESON ST. JOSEPH HEALTH CENTER 1101 WOODSON DRIVE 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 78414-2455NUECES 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-CENTRAL TEXAS REHABILITATION HOSPITAL 700 W 45TH ST 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%

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

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(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 CENTER 504 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 OF TEXAS 7600 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 HOUSTON-BELLAIRE 5314 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 CENTER 1935 MEDICAL DISTRICT DR DALLAS, TX 75235-7701 DALLAS 10/01/2017 27%

354178101 1720480627 CHILDRENS MEDICAL CENTER OF DALLAS-CHILDREN'S MEDICAL CENTER PLANO 7601 PRESTON RD PLANO, TX 75024-3214 COLLIN 01/01/2018 35%

133250406 1326079534 CHILDRESS COUNTY HOSPITAL DISTRICT-CHILDRESS REGIONAL MEDICAL CENTER 901 US HIGHWAY 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 HOSPITAL 2400 ST MICHAEL 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 FRANCES HOSPITAL - SULPHUR SPRINGS115 AIRPORT RD SULPHUR SPRINGS, TX 75482-2105HOPKINS 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 HOSPITAL OF SAN ANTONIO 333 N SANTA ROSA ST SAN ANTONIO, TX 78207-3108BEXAR 06/01/2017 34%

020844901 1194787218 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHRISTUS SANTA ROSA HOSPITAL 2827 BABCOCK RD 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 SPOHN HOSPITAL BEEVILLE 1500 E HOUSTON ST BEEVILLE, TX 78102-5312 BEE 07/01/2017 38%

121775403 1689641680 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI 600 ELIZABETH ST CORPUS CHRISTI, TX 78404-2235NUECES 07/01/2017 21%

136436606 1093783391 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL KLEBERG 1311 GENERAL CAVAZOS BLVD KINGSVILLE, 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 MEDICAL CENTER 2701 HOSPITAL DRIVE VICTORIA, TX 77901-5748 VICTORIA 06/01/2017 36%

112742503 1326015595 CLARITY CHILD GUIDANCE CENTER-SOUTHWEST MENTAL HEALTH 8535 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 HOSPITAL OF CLEAR LAKE 110 E MEDICAL CENTER BLVD WEBSTER, TX 77598-4301 HARRIS 08/20/2015 50%

179322602 1972540417 CLEAR LAKE REHABILITATION HOSPITAL LLC-KINDRED REHABILIT HOSPITAL CLEAR LAKE 655 E MEDICAL CENTER BLVD WEBSTER, TX 77598-4328 HARRIS 08/01/2005 80%

094349003 1689648339 CMS REHAB OF WF LP-HEALTHSOUTH REHABILITATION HOSPITAL OF WICHITA FAL3901 ARMORY RD WICHITA FALLS, TX 76302-2204WICHITA 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 77845-8395BRAZOS 09/01/2017 21%

020943901 1689628984 COLUMBIA HOSPITAL MEDICAL CITY DALLAS, SUBSIDIARY-MEDICAL CITY DALLAS HOSPITAL 7777 FOREST LN DALLAS, TX 75230-2505 DALLAS 07/01/2016 12%

020950401 1134172406 COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP-MEDICAL CENTER OF ARLINGTON 3301 MATLOCK RD ARLINGTON, TX 76015-2998 TARRANT 05/01/2017 15%

111905902 1306897277 COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP-DENTON REGIONAL MEDICAL CENTER 3535 S I-35 E DENTON, TX 76210-6850 DENTON 01/01/2018 12%

020979302 1902857766 COLUMBIA MEDICAL CENTER OF LAS COLINAS, INC-LAS COLINAS MEDICAL CENTER 6800 N MACARTHUR BLVD IRVING, TX 75039-2422 DALLAS 01/01/2018 18%

112698903 1437102639 COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP-MEDICAL CENTER OF MCKINNEY 4500 MEDICAL CENTER DR MCKINNEY, TX 75069-1650 COLLIN 07/01/2017 16%

127311205 1699726406 COLUMBIA MEDICAL CENTER OF PLANO LP-MEDICAL CENTER OF PLANO 3901 W 15TH ST PLANO, TX 75075-7738 COLLIN 04/01/2017 15%

094105602 1518911833 COLUMBIA NORTH HILLS HOSPITAL-COLUMBIA NORTH HILLS HOSPITA 4401 BOOTH CALLOWAY RD NORTH RICHLAND HILLS, TX 76180-7371TARRANT 05/01/2017 15%

094193202 1659323772 COLUMBIA PLAZA MED CTR OF FT WORTH SUBSIDIARY LP-PLAZA MEDICAL CENTER OF FORT WORTH 900 8TH AVE FORT WORTH, TX 76104-3902TARRANT 02/01/2017 15%

112716902 1619924719 COLUMBIA RIO GRANDE HEALTHCARE LP-RIO GRANDE REGIONAL HOSPITAL 101 E RIDGE RD MCALLEN, TX 78503-1847 HIDALGO 08/01/2017 12%

020947001 1043267701 COLUMBIA VALLEY HEALTHCARE SYSTEMS LP-VALLEY REGIONAL MEDICAL CENTER 100A E ALTON GLOOR BLVD BROWNSVILLE, TX 78526-3346CAMERON 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 COUNTY MEDICAL CENTER 10201 HIGHWAY 16 COMANCHE, TX 76442-4462 COMANCHE 01/01/2018 95%

112671602 1972581940 COMMUNITY HOSPITAL OF BRAZOSPORT-BRAZOSPORT REGIONAL HEALTH SYSTEM 100 MEDICAL DRIVE LAKE JACKSON, TX 77566-5674BRAZORIA 01/01/2018 38%

178396101 1174524466 CONTINUE CARE HOSPITAL OF TYLER INC-TYLER CONTINUE CARE HOSPITAL AT MOTHER FRANCES HOS800 EAST DAWSON 4TH FLOOR TYLER, TX 75701 SMITH 09/01/2011 10%

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

364396701 1992709661 CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER-CONTINUE CARE HOSPITAL AT HENDRICK MEDICAL CENTER 1900 PINE ST ABILENE, TX 79601 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 78414-4165NUECES 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 HOSPITAL 3815 20TH ST LUBBOCK, TX 79410-1235 LUBBOCK 06/01/2017 22%

358006001 1518348747 COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC-TRUSTPOINT REHABILITATION HOSPITAL OF LUBBOCK 4302 PRINCETON ST LUBBOCK, TX 79415-1304 LUBBOCK 01/01/2016 41%

358006003 1952784985 COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC-TRUSTPOINT REHABILITATION HOSPITAL OF LUBBOCK 4302 PRINCETON ST LUBBOCK, TX 79415-1304 LUBBOCK 08/01/2015 50%

303478701 1407010622 CR EMERGENCY ROOM LLC-BAYLOR EMERGENCY MEDICAL CENTER 26791 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 MEDICAL CENTER HOSPITAL 10655 STEEPLETOP DR 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 CENTRAL 8050 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 AT RENAISSANCE LTD 5501 S MCCOLL RD EDINBURG, TX 78539-9152 HIDALGO 01/01/2018 20%

133544006 1568454403 DEAF SMITH COUNTY HOSPITAL DISTRICT-HEREFORD REGIONAL MEDICAL CENTER 540 W 15TH ST 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 HOSPITAL 2813 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 78834-3836DIMMIT 08/01/2017 71%

112727605 1891741468 DOCTORS HOSPITAL 1997 LP-UNITED MEMORIAL MEDICAL CENTER 510 W TIDWELL RD HOUSTON, TX 77091-4339 HARRIS 02/01/2017 33%

132812205 1548286172 DRISCOLL CHILDRENS HOSPITAL 3533 S ALAMEDA ST CORPUS CHRISTI, TX 78411-1721NUECES 09/01/2017 29%

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 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 75766-2434CHEROKEE 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 HOSPITAL 304 S DAUGHERTY AVE EASTLAND, TX 76448-2609 EASTLAND 06/01/2017 50%

348928801 1679903967 EBD BEMC BURLESON, LLC-BAYLOR EMERGENCY MEDICAL CENTER 12500 SOUTH FWY STE 100 BURLESON, TX 76028 JOHNSON 03/19/2015 50%

343799801 1952732653 EBD BEMC ROCKWALL, LLC-BAYLOR EMERGENCY MEDICAL CENTER 1975 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 CENTER OF EL PASO 4815 ALAMEDA AVENUE EL PASO, TX 79905-2703 EL PASO 10/01/2017 37%

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

094109802 1770536120 EL PASO HEALTHCARE SYSTEM LTD-LAS PALMAS MEDICAL CENTER 1801 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 FLOOR EL PASO, TX 79902-3015 EL PASO 02/04/2007 50%

148322401 1366427130 EL PASO SPECIALTY HOSPITAL LTD-SURGICAL INSTITUTE OF EL PASO 1755 CURIE DR 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 HOSPITAL HAUSMAN 16088 SAN PEDRO 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 MEDICAL CTR AT CEDA900 E WHITESTONE BLVD CEDAR 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 PRESBYTERIAN HOSPITAL FLOWER MOUND 4400 LONG PRAIRIE RD FLOWER MOUND, TX 75028-1892DENTON 04/01/2017 43%

110803703 1770579591 FORT DUNCAN REGIONAL MEDICAL CENTER LP-FORT DUNCAN REGIONAL MEDICAL CENTER 3333 N FOSTER MALDONADO 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 MEDICAL CENTER - FRISCO 5601 WARREN PKWY FRISCO, TX 75034 DENTON 01/01/2018 46%

167364201 1871599183 FT WORTH SURGICARE PARTNERS, LTD-BAYLOR SURGICAL HOSPITAL AT FT WORTH 1800 PARK PLACE AVE FORT WORTH, TX 76110-1302TARRANT 01/01/2016 44%

121777003 1922009331 GAINESVILLE HOSPITAL DISTRICT-NORTH TEXAS MEDICAL CENTER 1900 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 78626-7541WILLIAMSON 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 HOSPITAL OF SAN ANTONIO 19126 STONEHUE SAN ANTONIO, TX 78258-3490BEXAR 04/06/2010 80%

121785303 1932108214 GONZALES HEALTHCARE SYSTEMS-MEMORIAL HOSPITAL 1110 N SARAH DEWITT DR GONZALES, TX 78629-3311 GONZALES 05/01/2017 96%

094095902 1689663007 GOOD SHEPHERD MEDICAL CTR-GOOD SHEPHERD MEDICAL CENTER 700 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 REGIONAL MEDICAL CENTER 1215 EAST COURT 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 HOSPITAL 707 SOUTH 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 SHEPHERD MEDICAL CENTER MARSHALL 811 S WASHINGTON AVE 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 HOSPITAL OF FRISCO 5680 FRISCO SQUARE BLVD STE 3000 FRISCO, TX 75034-3300 DENTON 01/09/2015 50%

021195501 1477669208 HEALTH AND HUMAN SERVICES COMMISSION-NORTH TEXAS STATE HOSPITAL 6515 KEMP BLVD WICHITA FALLS, TX 76308-5419WICHITA 05/01/2006 77%

021196301 1245344472 HEALTH AND HUMAN SERVICES COMMISSION-NORTH TEXAS STATE HOSPITAL 4730 COLLEGE DR VERNON, TX 76384-2231 WILBARGER 05/01/2006 84%

021219301 1821161167 HEALTH AND HUMAN SERVICES COMMISSION-RIO GRANDE STATE CENTER 1401 S RANGERVILLE RD HARLINGEN, TX 78552-7638 CAMERON 10/01/2006 100%

112751605 1720094550 HEALTH AND HUMAN SERVICES COMMISSION-TDMHMR-EL PASO PSYCHIATRIC CENTER 4615 ALAMEDA AVE EL PASO, TX 79905-2702 EL PASO 01/01/2006 41%

199329702 1699749341 HEALTH SOUTH CITY VIEW REHABILITATION HOSPITAL-HEALTHSOUTH CITY VIEW REHABILITATION HOSPITAL 6701 OAKMONT BLVD FORT WORTH, 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 CHILDRENS HOSPITAL 2929 WOODLAND PARK DR HOUSTON, TX 77082-2687 HARRIS 01/01/2018 37%

094347402 1144294893 HEALTHSOUTH PLANO REHABILITATION HOSPITAL LLC-HEALTHSOUTH PLANO REHABILITATION HOSPITAL 2800 W 15TH ST PLANO, TX 75075-7526 COLLIN 09/01/2006 80%

309446801 1548546088 HEALTHSOUTH REHAB HOSPITAL OF SOUTH AUSTIN LLC-HEALTHSOUTH REHABILITATION HOSPITAL OF AUSTIN 330 W BEN WHITE BLVD AUSTIN, TX 78704-8095 TRAVIS 06/29/2012 50%

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

288662403 1427374222 HEALTHSOUTH REHAB HOSPITAL OF THE MID-CITIES LLC-RELIANT REHABILITATION HOSPITAL MID CITIES 2304 HIGHWAY 121 BEDFORD, TX 76021-5985 TARRANT 11/05/2010 80%

021168201 1548233265 HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO (RIOSA-HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO 9119 CINNAMON HL SAN ANTONIO, TX 78240-5401BEXAR 09/01/2006 40%

021173202 1821062050 HEALTHSOUTH REHABILIATION HOSPITAL OF ARLINGTON 3200 MATLOCK RD ARLINGTON, TX 76015-2911 TARRANT 08/01/2009 58%

094352403 1194798801 HEALTHSOUTH REHABILITATION HOSPITAL THE WOODLANDS-HEALTHSOUTH REHAB HOSPITAL THE WOODLANDS 18550 INTERSTATE 45 S SHENANDOAH, TX 77384-4119MONTGOMERY 09/01/2004 50%

209804801 1477731156 HEALTHSOUTH REHABILITATION HOSPITAL NORTH HOUSTON-HEALTHSOUTH REHABILITATION HOSPITAL VISION PARK 117 VISION PARK BLVD SHENANDOAH, TX 77384-3001MONTGOMERY 07/01/2015 80%

313188001 1659539567 HEALTHSOUTH REHABILITATION HOSPITAL OF ABILENE LLC-HEALTHSOUTH REHABILITATION HOSPITAL OF ABILENE 6401 DIRECTORS PKWY ABILENE, TX 79606-5881 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 REHABILITATION HOSPITAL OF DALLAS 7930 NORTHAVEN RD DALLAS, TX 75230-3331 DALLAS 10/07/2010 50%

094343303 1851364558 HEALTHSOUTH REHABILITATION HOSPITAL OF FORT WORTH- 1212 W LANCASTER AVE # 1212 FORT WORTH, TX 76102-4510TARRANT 01/01/2011 100%

199238002 1720279342 HEALTHSOUTH REHABILITATION HOSPITAL OF RICHARDSON 3351 WATERVIEW PKWY RICHARDSON, TX 75080-1449DALLAS 02/01/2016 56%

209190201 1245422567 HEALTHSOUTH REHABILITATION HOSPITAL OF ROUND ROCK 1400 HESTERS CROSSING RD ROUND ROCK, TX 78681-8025WILLIAMSON 07/09/2008 50%

219907701 1518287721 HEALTHSOUTH REHABILITATION HOSPITAL OF SUGAR LAND-HEALTHSOUTH SUGAR LAND REHABILITATION HOSPITAL 1325 HIGHWAY 6 SUGAR LAND, TX 77478-4906FORT BEND 10/05/2010 50%

315341301 1376829812 HEALTHSOUTH REHABILITATION HOSPITAL OF VINTAGE PAR-HEALTHSOUTH REHABILITATION HOSPITAL THE VINTAGE 20180 CHASEWOOD PARK DR HOUSTON, TX 77070-1436 HARRIS 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 HOSPITAL OF MIDLAND/ODE1800 HERITAGE BLVD 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 SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN 3601 N CALAIS ST SHERMAN, TX 75090-1785 GRAYSON 12/22/2010 50%

312239201 1841562709 HH KILLEEN HEALTH SYSTEM LLC- 850 W CENTRAL TEXAS EXPY HARKER HEIGHTS, TX 76548-1890BELL 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 HOSP 1020 S STATE HIGHWAY 16 FREDERICKSBURG, TX 78624-0835GILLESPIE 01/01/2018 45%

138962907 1891882833 HILLCREST BAPTIST MEDICAL CENTER-BAYLOR SCOTT & WHITE MEDICAL CENTER-HILLCREST 100 HILLCREST MEDICAL 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 METHODIST ST CATHERINE HOSPITAL. 701 S FRY RD KATY, 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 NORTHWEST MEDICAL CENTER 710 CYPRESS CREEK PKWY HOUSTON, TX 77090-3402 HARRIS 05/01/2017 18%

131038504 1598750721 HUNT MEMORIAL HOSPITAL DISTRICT-HUNT REGIONAL MEDICAL CENTER 4215 JOE RAMSEY BLVD GREENVILLE, TX 75401-7852 HUNT 10/01/2017 41%

163936101 1669569984 IRVING COPPELL SURGICAL HOSPITAL LLP-IRVING-COPPELL SURGICAL HOSPITAL LLP 400 W INTERSTATE 635 STE 101 IRVING, 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 CENTER 1013 S WELLS ST EDNA, TX 77957-4045 JACKSON 08/01/2017 100%

136412710 1699772541 KARNES COUNTY HOSPITAL DISTRICT-OTTO KAISER MEMORIAL HOSPITAL 3349 S HWY 181 KENEDY, TX 78119-5240 KARNES 06/01/2017 90%

168648701 1669480323 KELL WEST REGIONAL HOSPITAL LLC-KELL WEST REGIONAL HOSPITAL 5420 KELL WEST BOULEVARD WICHITA FALLS, TX 76310-2542WICHITA 12/01/2017 68%

021004901 1922177997 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL - MANSFIELD 1802 HIGHWAY 157 N MANSFIELD, TX 76063-3923 TARRANT 12/01/2006 26%

021001501 1699844654 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL- DALLAS 9525 GREENVILLE AVE DALLAS, TX 75243-4116 DALLAS 12/01/2006 25%

164466801 1598834566 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-FORT WORTH 815 EIGHTH AVENUE FORT WORTH, TX 76104-2609TARRANT 11/01/2016 25%

021002301 1558430520 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITALS SAN ANTONIO 3636 MEDICAL DRIVE SAN ANTONIO, TX 78229-2183BEXAR 05/01/2014 42%

149633301 1821167818 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-WHITE ROCK 9440 POPPY DR -5TH FLOOR SOUTH DALLAS, TX 75218-3652 DALLAS 09/01/2004 50%

021008001 1942379912 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPTIAL HOUSTON MEDICAL CENTER 6441 MAIN STREET HOUSTON, 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 CENTRAL 111 DALLAS 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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(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 OF LAREDO 10700 MCPHERSON 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 77964-2021LAVACA 01/01/2018 94%

284333604 1154324952 LIBERTY COUNTY HOSPITAL DISTRICT NO 1-LIBERTY DAYTON REGIONAL MEDICAL CENTER 1353 N TRAVIS ST LIBERTY, TX 77575-3549 LIBERTY 10/01/2016 97%

121781205 1831140979 LILLIAN M HUDSPETH MEMORIAL ER PHYS-LILLIAN M HUDSPETH MEMORIAL HOSPITAL 308 HUDSPETH ST 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 CENTER 2901 N 4TH ST LONGVIEW, TX 75605-5128 GREGG 09/01/2017 17%

163219201 1922001775 LUBBOCK HEART HOSPITAL LLC-LUBBOCK HEART HOSPITAL 4810 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 MEDICAL CENTER 104 7TH ST 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 CENTER OF LEWISVILLE 500 WEST MAIN 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 WOODLANDS HOSPITAL 1635 NORTH 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 HOSPITAL 6411 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 CITY HOSPITAL 921 GESSNER RD HOUSTON, TX 77024-2315 HARRIS 07/01/2017 37%

192751901 1295843787 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS NORTHEAST HOSPITAL 18951 MEMORIAL NORTH HUMBLE, TX 77338-4217 HARRIS 01/01/2018 29%

146021401 1295788735 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS SUGAR LAND HOSPITAL 17500 WEST GRAND PARKWAY SOUTH SUGAR LAND, 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 LAND SURGICAL HOSPITAL 16906 SOUTHWEST FWY SUGAR LAND, TX 77479-2350FORT BEND 02/01/2012 36%

112697102 1689650616 MEMORIAL HOSP OF POLK COUNTY-MEMORIAL MEDICAL CENTER LIVINGSTON 1717 HIGHWAY 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 MED CTR OF EAST TX 1201 FRANK STREET LUFKIN, TX 75904-1447 ANGELINA 06/01/2017 29%

130734007 1578547345 MEMORIAL MEDICAL CENTER SAN AUGUSTINE 511 E HOSPITAL ST SAN AUGUSTINE, TX 75972-0658SAN 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-MESA HILLS SPECIALTY HOSPITAL 2311 N OREGON ST 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 WOODLANDS HOSPITAL 17201 INTERSTATE 45 S SHENANDOAH, TX 77385-3311MONTGOMERY 07/24/2017 50%

281028501 1083937593 METHODIST HEALTH CENTERS-METHODIST WEST HOUSTON HOSPITAL 18500 KATY FWY HOUSTON, TX 77094-1110 HARRIS 01/01/2018 37%

121820803 1871560003 METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP-METHODIST AMBULATORY SURGERY 9150 HUEBNER RD STE 100 SAN ANTONIO, TX 78240-1558BEXAR 01/01/2017 44%

204254101 1659525236 METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP-METHODIST STONE OAK HOSPITAL 1139 E SONTERRA BLVD 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 HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND, TX 79336 HOCKLEY 06/01/2017 54%

126679303 1275592131 METHODIST HOSPITAL OF DALLAS-METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND RD DALLAS, TX 75237-3460 DALLAS 06/01/2017 29%

186221101 1689629941 METHODIST HOSPITAL OF DALLAS-METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD 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 CENTER 1441 N BECKLEY AVE DALLAS, TX 75203-1201 DALLAS 06/01/2017 28%

209345201 1033165501 METHODIST HOSPITALS OF DALLAS-METHODIST RICHARDSON MEDICAL CENTER 2831 E PRESIDENT GEORGE BUSH HWY RICHARDSON, 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 SUGAR LAND HOSPITAL 16655 SOUTHWEST FWY SUGAR LAND, TX 77479-2329FORT BEND 01/01/2018 26%

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

140713201 1871619254 METHODIST WILLOWBROOK-HOUSTON METHODIST WILLOWBROOK HOSPITAL 18220 TOMBALL PKWY HOUSTON, TX 77070-4347 HARRIS 01/01/2018 25%

127319504 1437171568 METHODISTS CHILDRENS HOSPITAL-COVENANT CHILDRENS HOSPITAL 4015 22ND PL LUBBOCK, TX 79410-1119 LUBBOCK 09/01/2017 23%

094119702 1629089966 METROPLEX ADVENTIST HOSPITAL INC-METROPLEX HOSPITAL 2201 SOUTH CLEAR CREEK RD KILLEEN, TX 76549-4110 BELL 08/01/2017 36%

149073203 1750392916 METROPLEX ADVENTIST HOSPITAL INC-ROLLINS BROOK COMMUNITY HOSPITAL 608 N KEY AVE 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 HOSPITAL 400 ROSALIND REDFERN GROVER PKWY MIDLAND, 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 COUNTY HOSPITAL 997 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 75766-5822CHEROKEE 06/01/2017 42%

094108002 1679578439 MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER-MOTHER FRANCES HOSPITAL 800 E DAWSON ST 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 HOSPITAL 1204 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 78130-2779COMAL 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 MED CTR 10655 STEEPLETOP DR HOUSTON, TX 77065-4222 HARRIS 02/01/2017 21%

329623801 1942643804 NEW SAN ANTONIO SPECIALTY HOSPITAL LLC-LIFE CARE HOSPITALS OF SAN ANTONIO 8902 FLOYD CURL DR 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 78336-4536SAN PATRICIO 01/01/2018 31%

185964702 1548236524 NORTH CENTRAL SURGICAL CENTER LLP 9301 N CENTRAL EXPY STE 100 DALLAS, TX 75231-0802 DALLAS 09/01/2009 50%

189049301 1285681064 NORTH CYPRESS MEDICAL CENTER OPERATION COMPANY LTD-NORTH CYPRESS MEDICAL CENTER 21214 NORTHWEST FREEWAY CYPRESS, TX 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 ALLIANCE 3101 N TARRANT PKWY FORT WORTH, TX 76177-8601TARRANT 02/01/2017 43%

121787905 1396748471 NORTH WHEELER COUNTY HOSTPIAL DISTRICT-PARKVIEW HOSPITAL 901 SWEETWATER WHEELER, TX 79096-1030 WHEELER 01/01/2011 100%

137245009 1467442418 NORTHWEST TEXAS HEALTH CARE SYSTEM INC-NORTHWEST TEXAS HOSPITAL 1501 S COULTER ST AMARILLO, TX 79106-1770 POTTER 01/01/2018 20%

127303903 1700883196 OAK BEND MEDICAL CENTER-OAKBEND MEDICAL CENTER 1705 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 CENTER 520 EAST 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 HOSPITAL 7401 MAIN ST HOUSTON, TX 77030-4509 HARRIS 01/01/2018 11%

158914501 1295890093 ORTHOPEDIC AND SPINE SURGICAL HOSPITAL OF S TX LP-SOUTH TEXAS SPINE AND SURGICAL HOSPITAL LP 18600 HARDY OAK BLVD SAN ANTONIO, TX 78258-4206BEXAR 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 REGIONAL MEDICAL CENTER 2900 S LOOP 256 PALESTINE, TX 75801-6958 ANDERSON 01/01/2018 17%

138950412 1972590602 PALO PINTO GENERAL HOSPITAL 400 SW 25TH AVE MINERAL WELLS, TX 76067-8246PALO 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 HOSPITAL AT CORPUS CHRISTI NORTH 600 ELIZABETH ST FL 3 CORPUS 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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

357622501 1942601547 PAM SQUARED AT TEXARKANA, LLC-PAM SPECIALTY HOSPITAL OF TEXARKANA SOUTH 1000 PINE ST 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 CENTER FOR DIAGNOSTICS AND SURGERY PL6020 WEST PARKER ROAD PLANO, TX 75093-8171 COLLIN 12/01/2013 40%

165305701 1912948845 PHYSICIANS SURGICAL HOSPITALS LLC-QUAIL CREEK SURGICAL HOSPITAL 6819 PLUM 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-PINE VALLEY SPECIALTY HOSPITAL 6160 SOUTH LOOP E HOUSTON, TX 77087 HARRIS 01/01/2016 89%

136142011 1033118716 PLAINS MEMORIAL HOSPITAL DISTRICT-PLAINS MEMORIAL HOSPITAL 310 WEST HALSELL DIMMITT, TX 79027-1846 CASTRO 05/01/2016 67%

353871201 1689068355 PLANO SPECIALTY HOSPITAL OPERATOR LLC-PLANO SPECIALTY HOSPITAL 1621 COIT RD PLANO, TX 75075 COLLIN 04/01/2015 42%

352444901 1851785521 PLUM CREEK SPECIALTY HOSPITAL OPERATOR LLC-PLUM CREEK SPECIALTY HOSPITAL 5601 PLUM CREEK DR AMARILLO, TX 79124 POTTER 04/01/2015 56%

325177904 1043552177 POST ACUTE MEDICAL AT ALLEN LLC DBA WARM SPRINGS-WARM SPRINGS REHABILITATION HOSPITAL OF ALLEN 1001 RAINTREE CIR ALLEN, TX 75013-4912 COLLIN 04/08/2013 50%

199191101 1114962842 POST ACUTE MEDICAL AT LULING LLC-WARM SPRINGS SPECIALTY HOSPITAL OF LULING LLC 200 MEMORIAL DR LULING, TX 78648-3213 CALDWELL 12/01/2006 67%

199478201 1376588228 POST ACUTE MEDICAL AT SAN ANTONIO LLC-WARM SPRINGS REHABILITATION HOSPITAL OF SAN ANTONI5101 MEDICAL DR SAN ANTONIO, TX 78229-4801BEXAR 05/01/2017 32%

199183801 1659316115 POST ACUTE MEDICAL AT VICTORIA LLC-PAM SPECIALTY HOSPITAL OF VICTORIA NORTH 102 MEDICAL DR VICTORIA, TX 77904-3101 VICTORIA 08/01/2007 68%

317151401 1689795098 POST ACUTE MEDICAL OF NEW BRAUNFELS LLC-WARM SPRINGS SPECIALTY HOSPITAL OF NEW BRAUNFELS 1445 HANZ DR NEW BRAUNFELS, TX 78130-2567COMAL 09/01/2012 50%

329971101 1366874620 POST ACUTE SPECIALTY HOSPITAL OF CORPUS CHRISTI LL- 6226 SARATOGA BLVD CORPUS CHRISTI, TX 78414-3421NUECES 09/01/2013 25%

331384301 1417389784 POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC DBA-PAM SPECIALTY HOSPITAL OF VICTORIA SOUTH 506 E SAN ANTONIO ST FL 3 VICTORIA, TX 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 COUNTY MEDICAL CENTER 102 N US HIGHWAY 277 ELDORADO, TX 76936-4010 SCHLEICHER 12/01/2014 100%

200683501 1932379856 PREFERRED HOSPITAL LEASING HEMPHILL INC-SABINE COUNTY HOSPITAL 2301 HIGHWAY 83 WEST HEMPHILL, TX 75948-4159 SABINE 12/01/2014 100%

126840107 1477594299 PREFERRED HOSPITAL LEASING INC-COLLINGSWORTH GENERAL HOSPITAL 1013 15TH 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 AREA MEDICAL CENTER 708 S 1ST ST MULESHOE, TX 79347-3627 BAILEY 10/01/2016 100%

176354201 1013970862 PREFERRED HOSPITAL LEASING VAN HORN INC-CULBERSON HOSPITAL EISENHOWER 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 MEDICAL CENTER 1011 N GALLOWAY AVE MESQUITE, TX 75149 DALLAS 01/01/2017 13%

308032701 1386902138 PRIME HEALTHCARE SERVICES PAMPA LLC-PAMPA REGIONAL MEDICAL CENTER 1 MEDICAL PLAZA 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-PROVIDENCE HEALTHCARE NETWORK 6901 MEDICAL PARKWAY 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 HOSPITAL 1300 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 HOSPITAL ARLINGTON 2601 WEST RANDOL MILL ROAD STE 101 ARLINGTON, TX 76012-4216 TARRANT 02/24/2006 50%

212203801 1770740359 REHABILIATION INSTITUTE OF DENTON LLC-SELELCT REHABILITATIOIN HOSPITAL OF DENTON 2620 SCRIPTURE ST DENTON, TX 76201-4315 DENTON 04/03/2009 50%

218868201 1922321447 REHABILITATION HOSPITAL OF MESQUITE LLC-MESQUITE REHABILITATION INSTITUTE 1023 N BELT LINE 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 78626-7700WILLIAMSON 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 HOSPITAL ROCKWALL 3150 HORIZON RD ROCKWALL, TX 75032-7805 ROCKWALL 01/01/2018 36%

133244705 1275581852 ROLLING PLAINS MEMORIAL HOSPITAL 200 E ARIZONA AVE SWEETWATER, TX 79556-7120NOLAN 09/01/2017 100%

020957901 1649223645 ROUND ROCK HOSPITAL-ROUND ROCK MEDICAL CENTER 2400 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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

137962006 1891789772 SAN JACINTO METHODIST HOSPITAL-SAN JACINTO METHODIST HOSP 4401 GARTH 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 HOSPITAL FOR SPECIALIZED SURGERY 5445 LA BRANCH ST HOUSTON, TX 77004-6835 HARRIS 12/01/2005 100%

150967102 1013993559 SCCI HOSPITAL EL PASO INC-KINDRED HOSPITAL EL PASO 1740 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 WHITE MEDICAL CENTER BRENHAM 700 MEDICAL PKWY BRENHAM, TX 77833-5413 WASHINGTON 01/01/2018 100%

353712801 1396138970 SCOTT & WHITE HOSPITAL-MARBLE FALLS-BAYLOR SCOTT & WHITE MEDICAL CENTER-MARBLE FALLS 810 W HIGHWAY 71 MARBLE FALLS, TX 78654-8602BURNET 05/01/2017 86%

220798701 1326349986 SCOTT AND WHITE HOSPITAL - LLANO-BAYLOR SCOTT AND WHITE MEDICAL CENTER - LLANO 200 W OLLIE ST LLANO, TX 78643-2628 LLANO 09/01/2016 56%

326725404 1265772362 SCOTT AND WHITE HOSPITAL COLLEGE STATION-BAYLOR SCOTT & WHITE MEDICAL CENTER COLLEGE STATIO700 SCOTT AND WHITE DR COLLEGE STATION, TX 77845-6441BRAZOS 05/01/2017 39%

190123303 1265568638 SCOTT AND WHITE HOSPITAL ROUND ROCK-BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK 300 UNIVERSITY BLVD ROUND ROCK, TX 78665-1032WILLIAMSON 05/01/2017 39%

136327710 1962497800 SCOTT AND WHITE HOSPITAL TAYLOR-BAYLOR SCOTT AND WHITE MEDICAL CENTER TAYLOR 305 MALLARD LN TAYLOR, TX 76574-1208 WILLIAMSON 01/01/2017 51%

137249208 1477516466 SCOTT AND WHITE MEMORIAL HOSPITAL-SCOTT AND WHITE MEDICAL CENTER - TEMPLE 2401 S 31ST ST TEMPLE, TX 76508-0001 BELL 08/01/2017 33%

136330112 1578588463 SCURRY COUNTY HOSPITAL DISTRICT-D.M. COGDELL MEMORIAL HOSPITAL 1700 COGDELL BLVD 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 HOSPITAL DALLAS INC 2329 PARKER RD CARROLLTON, TX 75010-4713DENTON 09/01/2004 50%

197824901 1861492670 SELECT SPECIALTY HOSPITAL LONGVIEW INC-SELECT SPECIALTY HOSPITAL LONGVIEW 700 E MARSHALL AVE LONGVIEW, 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 AT THE UNIVERSITY OF TEX1500 RED RIVER ST 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 HOSPITAL 11113 RESEARCH BLVD AUSTIN, TX 78759-5297 TRAVIS 06/01/2017 22%

286326801 1154612638 SETON FAMILY OF HOSPITALS-SETON SMITHVILLE REGIONAL HOSPITAL 1201 HILL RD SMITHVILLE, TX 78957-9533 BASTROP 07/01/2016 81%

158977201 1750499273 SETON FAMILY OF HOSPITALS-SETON SOUTHWEST HOSPITAL 7900 FM 1826 AUSTIN, TX 78737-1407 HAYS 06/01/2017 20%

186599001 1447355771 SETON HEALTHCARE-DELL CHILDRENS MEDICAL CENTER OF CENTRAL TEXAS 4900 MUELLER 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 MEMORIAL CENTER 500 N HIGHLAND AVE 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 MEDICAL CENTER 551 HILL COUNTRY DR KERRVILLE, TX 78028-6085 KERR 06/01/2017 44%

133245406 1215969787 SIERRA MEDICAL CENTER-THE HOSPITAL OF PROVIDENCE SIERRA CAMPUS 1625 MEDICAL 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 CENTER 1021 HOLDEN 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 78526-3361CAMERON 06/01/2014 60%

171461001 1629064928 SOUTHLAKE SPECIALTY HOSPITAL LLC-TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE 1545 SOUTHLAKE BLVD SOUTHLAKE, TX 76092-6422 TARRANT 01/01/2018 48%

136491104 1912906298 SOUTHWEST GENERAL HOSPITAL LP-SOUTHWEST GENERAL HOSPITAL 7400 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 HEALTHCARE OF FORT WORTH 6200 OVERTON RIDGE BLVD FORT WORTH, TX 76132-3614TARRANT 09/18/2015 50%

362439701 1184014433 SRP OCEANS HOSPITAL OF SAN MARCOS LLC-OCEANS BEHAVIORAL HOSPITAL OF SAN MARCOS 1106 N INTERSTATE 35 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 HOSPITAL 901 W. BEN WHITE BLVD AUSTIN, TX 78704-6903 TRAVIS 11/01/2017 16%

094216103 1629021845 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP-ST DAVID'S NORTH AUSTIN MEDICAL CENTER 12221 N MO PAC EXPY AUSTIN, TX 78758-2401 TRAVIS 06/01/2017 16%

368423501 1932573417 ST JOSEPH HEALTHSOUTH REHABILITATION HOSPITAL LLC-CHI ST JOSEPEH REHABILITATION HOSPITAL WITH HEALTH1600 JOSEPH DR BRYAN, TX 77802 BRAZOS 09/01/2016 50%

160630301 1942208616 ST LUKES COMMUNITY HEALTH SERVICES-ST LUKES THE WOODLANDS HOSPITAL 17200 ST LUKE'S WAY THE WOODLANDS, TX 77384-8007MONTGOMERY 06/01/2017 28%

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(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 77384-8036MONTGOMERY 07/01/2016 41%

281219001 1407990088 ST LUKES PATIENTS MEDICAL CENTER- 4600 E SAM HOUSTON PKWY S PASADENA, 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. LUKE'S SUGAR LAND HOSPITAL 1317 LAKE POINTE PKWY SUGAR 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 78582-6211STARR 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-STONEWALL MEMORIAL HOSPITAL 821 N BROADWAY 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 77845-6399BRAZOS 06/10/2014 50%

335255101 1164665899 SUGAR LAND 24 HOUR HOSPITAL, LLC-EMERUS EMERGENCY HOSPITAL SUGAR LAND 16000 SOUTHWEST FWY 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 HOSPITAL 539 SE 2ND 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 EAST CAMPUS 3280 JOE BATTLE BLVD EL PASO, TX 79938-2622 EL PASO 01/01/2018 12%

130601104 1700801909 TENET HOSPITALS LIMITED-THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS 2001 NORTH OREGON EL PASO, TX 79902-3320 EL PASO 05/01/2017 13%

369162801 1538522412 TENET HOSPITALS LIMITED-THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS 2000 TRANS MOUNTAIN RD EL PASO, TX 79911-0000 EL PASO 02/06/2017 50%

130618504 1811916901 TERRY MEMORIAL HOSPITAL DISTRICT-BROWNFIELD REGIONAL MEDICAL CENTER 705 E FELT 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 75051-1017DALLAS 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 F- 6100 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 HUGLEY FORT WORTH SOUTH 11801 SOUTH FWY 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 HOSPITAL BAYLOR PLANO 1100 ALLIED DRIVE PLANO, TX 75093-5348 COLLIN 01/01/2018 30%

173574801 1245201656 TEXAS INSTITUTE FOR SURGERY LLP-TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBY7115 GREENVILLE AVENUE STE 100 DALLAS, TX 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 MEDICAL CENTER AT SUNNYVALE 231 S COLLINS RD 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 S PASADENA, 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 78746-5814TRAVIS 12/01/2014 52%

163925401 1861467573 THE MEDICAL CENTER OF SOUTHEAST TEXAS LP- 2555 JIMMY JOHNSON BLVD PORT ARTHUR, TX 77640-2007JEFFERSON 12/01/2017 20%

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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(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 ANDERSON HOSPITAL 1515 HOLCOMBE BLVD HOUSTON, TX 77030-4009 HARRIS 09/01/2017 48%

330388501 1194753590 THHBP MANAGEMENT COMPANY LLC-THE HEART HOSPITAL BAYLOR DENTON 2801 S MAYHILL 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 CENTER 2001 N JEFFERSON MT PLEASANT, TX 75455-2341TITUS 10/01/2017 64%

340639901 1144651514 TOMBALL EXPRESS MEDICAL CENTER, LLC-EMERUS COMMUNITY HOSPITAL 24429 STATE 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 HOSPITAL - TARRANT COUNTY 1000 N COOPER ST ARLINGTON, TX 76011-5540 TARRANT 06/01/2008 43%

021011401 1659440634 TRANSITIONAL HOSPITALS CORPORATION OF TEXAS INC-KINDRED HOSPITAL- TARRANT COUNTY 1000 N COOPER ST ARLINGTON, TX 76011-5540 TARRANT 06/01/2008 43%

184505902 1316911068 TRINITY MOTHER FRANCES REHABILITATION HOSPITAL-CHRISTUS TRINITY MOTHER FRANCES REHABILATION HOSPI3131 TROUP HWY TYLER, TX 75701-8350 SMITH 03/01/2016 73%

149047601 1609876309 TRIUMPH HOSPITAL OF EAST HOUSTON LP-KINDRED HOSPITAL CLEAR LAKE 350 BLOSSOM ST WEBSTER, TX 77598-4206 HARRIS 11/01/2011 24%

094354003 1285626028 TRIUMPH HOSPITAL OF NORTH HOUSTON LP-KINDRED HOSPITAL TOMBALL 505 GRAHAM DR TOMBALL, TX 77375-3368 HARRIS 11/01/2011 39%

322878502 1417225434 TRIUMPH REHABILIATION HOSPITAL OF NORTHEAST HOUSTO-KINDRED REHABILITATION HOSPITAL NORTHEAST HOUSTON 18839 MCKAY DR HUMBLE, TX 77338-5721 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 76262-1168DENTON 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 76301-4388WICHITA 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 COUNTY PSYCHIATRIC CENTER 2800 S MACGREGOR WAY HOUSTON, TX 77021-1032 HARRIS 08/04/2013 50%

127278304 1417941295 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-UT HEALTH CENTER-TYLER 11937 US HIGHWAY 271 TYLER, TX 75708-3154 SMITH 09/01/2017 30%

094092602 1548226988 UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON-UNIVERSITY OF TEXAS MEDICAL BRANCH 301 UNIVERSITY BLVD RT 1076 GALVESTON, TX 77555-0001 GALVESTON 09/01/2017 37%

175287501 1285798918 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT-UNIVERSITY OF TEXAS SOUTHWESTERN UNIVERSITY HOSPTI6201 HARRY HINES DALLAS, TX 75390-0001 DALLAS 09/01/2017 50%

175289101 1417010653 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT-UTSOUTHWESTERN UNIVERSITY HOSPITAL ZALE LIPSHY 5151 HARRY HINES BLVD DALLAS, TX 75390-9200 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 HOSPITAL 1025 GARNER FIELD RD UVALDE, TX 78801-4809 UVALDE 12/01/2017 65%

119877204 1104830900 VAL VERDE HOSPITAL CORPORATION-VAL VERDE REGIONAL MEDICAL CENTER 801 N BEDELL AVE DEL RIO, TX 78840-4112 VAL VERDE 07/01/2017 52%

294543801 1184911877 VHS BROWNSVILLE HOSPITAL COMPANY LLC-VALLEY BAPTIST MEDICAL CENTER BROWNSVILLE 1040 W JEFFERSON ST BROWNSVILLE, TX 78520-6338CAMERON 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 SYSTEM 111 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 REHABILITATION HOSPITAL OF AMARILLO 7200 SW 9TH AVE AMARILLO, TX 79106-1703 POTTER 01/01/2018 80%

357697701 1740693316 VIBRA REHABILITATION HOSPITAL OF EL PASO, LLC-HIGHLANDS REHABILITATION HOSPITAL 1395 GEORGE DIETER DR 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 OF RICHARDSON 401 W CAMPBELL RD STE 300 RICHARDSON, TX 75080-3416DALLAS 07/06/2015 50%

020981901 1891718789 VISTA COMMUNITY MEDICAL CENTER HOSPITAL LLP-SURGERY SPECIALTY HOSPITAL OF AMERICA SE HOUSTON 4301 VISTA RD PASADENA, TX 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 MEMORIAL HOSPITAL 110 MEMORIAL HOSPITAL DR HUNTSVILLE, TX 77342-4001 WALKER 07/01/2017 32%

341048201 1083056790 WALNUT HILL PHYSICIANS HOSPITAL LLC-WALNUT HILL MEDICAL CENTER 7502 GREENVILLE 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 VICTORIA L-PAM REHABILITATION HOSPITAL OF VICTORIA 101 JAMES COLEMAN DR 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-WEATHERFORD REGIONAL MEDICAL CENTER 713 E ANDERSON STREET WEATHERFORD, TX 76086-5705PARKER 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

TPI NPI Provider Combined Name Provider Street Address City, State and Zip County

Rate Effective

Date

Inpatient Rate

(December)

112707808 1316931835 WILBARGER COUNTY HOSPITAL DISTRICT-WILBARGER GENERAL HOSPITAL 920 HILLCREST DRIVE VERNON, TX 76384-3132 WILBARGER 08/01/2017 38%

135151206 1871599829 WILSON COUNTY MEMORIAL HOSPITAL DISTRICT-CONNALLY MEMORIAL MEDICAL CENTER 499 10TH STREET 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 SYSTEM 2000 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