inpatient ratio of cost to charges effective 4/1/2016 · 2016-05-18 · tpi provider npi provider...

TPIProvider

NPIProvider Combined Name Physical Street Address Physical City, State, Zip County

Rate

Effective

Date

Inpatient

Rate

(April)

112705203 1851344162 ABILENE REGIONAL MEDICAL CENTER 6250 US HIGHWAY 83 # 84 ABILENE, TX 79606-5215 TAYLOR 10/1/2015 14%

203965301 1235392192 ACUITY HOSPITAL OF SOUTH TEXAS LLC 718 LEXINGTON AVE SAN ANTONIO, TX 78212-4768 BEXAR 5/24/2008 63%

322463601 1770768285 ADVANCE HEALTH CENTER INC- 10161 HARWIN DR STE 106 HOUSTON, TX 77036-1621 HARRIS 9/26/2011 80%

121789503 1821009242 ADVENTIST HEALTH SYSTEM SUNBELT INC-CENTRAL TEXASMEDICAL CENTER 1301 WONDER WORLD DR SAN MARCOS, TX 78666-7533 HAYS 4/1/2016 36%

175925003 1386691046 ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW 2601 DIMMITT RD STE 400 PLAINVIEW, TX 79072-1833 HALE 3/3/2005 80%

212487701 1568600195 ALLEGIANCE HEALTH CENTER OF MIDLAND LLC 207 TRADEWINDS BLVD MIDLAND, TX 79706-2807 MIDLAND 4/1/2013 80%

198956801 1497925267 ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC 1612 S HENDERSON BLVD KILGORE, TX 75662-3518 GREGG 12/1/2014 42%

282322101 1407169196 AMH CATH LABS, LLC-TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON 811 WRIGHT ST ARLINGTON, TX 76012-4708 TARRANT 1/1/2016 26%

127298107 1174563779 ANDREWS COUNTY HOSPITAL DISTRICT 720 HOSPITAL DR ANDREWS, TX 79714-3617 ANDREWS 11/1/2015 100%

121805903 1669567715 ANGLETON DANBURY HOSPITAL DISTRICT-ANGLETON DANBURY MEDICAL CENTER 132 E HOSPITAL DR ANGLETON, TX 77515-4112 BRAZORIA 9/1/2014 57%

094104901 1457393571 ANSON GENERALHOSPITAL-ANSON GENERAL HOSPITAL 101 AVENUE J ANSON, TX 79501-2113 JONES 4/1/2016 69%

334284201 1295173664 ARISE HEALTHCARE SYSTEM, LLC- 3003 BEE CAVES RD AUSTIN, TX 78746-5542 TRAVIS 3/1/2016 24%

314665605 1093955296 ASPIRE HOSPITAL, LLC- 2006 S LOOP 336 W STE 500 CONROE, TX 77304-3315 MONTGOMERY 9/1/2011 50%

133255305 1073600136 ATLANTA HOSPITAL AUTHORITY-ATLANTA MEMORIAL HOSPITAL 1007 S WILLIAM ST ATLANTA, TX 75551-3245 CASS 1/1/2014 59%

282268601 1386882488 ATRIUM MEDICAL CENTER LP- 11929 W AIRPORT BLVD STE 110 STAFFORD, TX 77477-2454 FORT BEND 9/1/2009 50%

177870603 1760417646 ATTENTUS BONHAM LP-RED RIVER REGIONAL HOSPITAL 504 LIPSCOMB BLVD BONHAM, TX 75418-4028 FANNIN 6/1/2014 24%

348183001 1144625153 AUSTIN BEHAVIORAL HOSPITAL, LLC-CROSS CREEK HOSPITAL 8402 CROSS PARK DR AUSTIN, TX 78754-4595 TRAVIS 4/22/2015 50%

094215302 1245292630 AUSTIN CENTER FOR OUTPATIENT SURGERY LP-NORTHWEST HILLS SURGICAL HOSPITAL 6818 AUSTIN CENTER BLVD STE 100 AUSTIN, TX 78731-3199 TRAVIS 2/1/2014 16%

130089906 1225038938 BALLINGER MEMORIAL HOSPITAL 608 AVENUE B BALLINGER, TX 76821-2406 RUNNELS 2/1/2016 100%

094148602 1093744187 BAPTIST HOSPITALS OF SOUTHEAST TEXAS-MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL 3080 COLLEGE BEAUMONT, TX 77704-4606 JEFFERSON 9/1/2015 28%

136488705 1295764330 BAPTIST HOSPITALS OF SOUTHEAST TEXAS-MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL 608 STRICKLAND ORANGE, TX 77630-4717 ORANGE 9/1/2015 30%

214757101 1871739714 BASIN HEALTHCARE CENTER- 900 E 4TH ST ODESSA, TX 79761-5255 ECTOR 2/1/2016 42%

208397401 1881823151 BASTROP BLACKHAWK LLC-LAKESIDE HOSPITAL AT BASTROP 3201 HIGHWAY 71 E BASTROP, TX 78602-5126 BASTROP 1/1/2011 45%

020973601 1508810573 BAY AREA HEALTHCARE GROUP, LTD-CORPUS CHRISTI MEDICAL CENTER 7101 S PADRE ISLAND DR CORPUS CHRISTI, TX 78412-4913 NUECES 9/1/2015 17%

341698401 1336574904 BAY AREA REGIONAL MEDICAL CENTER LLC- 200 BLOSSOM ST WEBSTER, TX 77598-4204 HARRIS 8/27/2014 50%

135036506 1669472387 BAYLOR ALL SAINTS MEDICAL CENTER-BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FOR1400 8TH AVENUE FORT WORTH, TX 76104-4110 TARRANT 11/1/2015 41%

138353107 1194893263 BAYLOR COUNTY HOSPITAL DISTRICT-SEYMOUR HOSPITAL 200 STADIUM DRIVE SEYMOUR, TX 76380-2344 BAYLOR 6/1/2015 100%

288563403 1285930891 BAYLOR INSTITUTE FOR REHABILITATION AT FRISCO- 2990 LEGACY DR FRISCO, TX 75034-6066 DENTON 4/1/2011 50%

127262703 1073511762 BAYLOR MED CTR AT GRAPEVINE-BAYLOR SCOTT AND WHITE MEDICAL CENTER-GRAPEVINE 1650 W COLLEGE ST GRAPEVINE, TX 76051-3565 TARRANT 8/1/2015 39%

344925801 1952509465 BAYLOR MEDICAL CENTER AT CARROLLTON-BAYLOR SCOTT & WHITE MEDICAL CENTER -CARROLLTON 4343 N JOSEY LN CARROLLTON, TX 75010-4603 DENTON 6/1/2015 67%

121790303 1134127749 BAYLOR MEDICAL CENTER AT GARLAND-BAYLOR SCOTT AND WHITE MEDICAL CENTER-GARLAND 2300 MARIE CURIE GARLAND, TX 75040-5706 DALLAS 2/1/2016 35%

121776205 1992700983 BAYLOR MEDICAL CENTER AT IRVING- 1901 N MACARTHUR BLVD IRVING, TX 75061 DALLAS 8/1/2015 37%

135223905 1265430177 BAYLOR MEDICAL CENTER AT WAXAHACHIE 2400 N INTERSTATE HIGHWAY 35 E WAXAHACHIE, TX 75165-5240 ELLIS 11/1/2015 32%

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 8/1/2015 64%

171848805 1649273434 BAYLOR REGIONAL MEDICAL CENTER AT PLANO- 4700 ALLIANCE BLVD PLANO, TX 75093-5323 COLLIN 2/1/2016 36%

021003101 1851399406 BAYLOR SPECIALTY HOSPITAL 3504 SWISS AVE DALLAS, TX 75204-6224 DALLAS 7/1/2015 100%

139485012 1447250253 BAYLOR UNIVERSITY MEDICAL CENTER 3500 GASTON AVE DALLAS, TX 75246-2017 DALLAS 8/1/2015 37%

020993401 1174522494 BAYSIDE COMMUNITY HOSPITAL- 200 HOSPITAL DRIVE ANAHUAC, TX 77514-0398 CHAMBERS 11/1/2015 100%

199515101 1538317045 BCA OF TEXAS LLC-BCA PERMIAN BASIN 3300 S FM 1788 MIDLAND, TX 79706-2601 MIDLAND 3/12/2009 80%

182034201 1962486803 BEAUMONT BONE & JOINT INSTITUTE 3650 LAUREL ST BEAUMONT, TX 77707-2216 JEFFERSON 11/9/2005 50%

217547301 1093021719 BEHAVIORAL HEALTH MANAGEMENT, LLC- 5314 DASHWOOD DR STE 200 HOUSTON, TX 77081-4603 HARRIS 8/18/2010 80%

203501601 1467646455 BEHAVIORAL MEDICINE OF HOUSTON PA- 7900 WESTGLEN DR HOUSTON, TX 77063-6410 HARRIS 1/5/2009 80%

083290905 1477857332 BELLVILLE ST JOSEPH HEALTH CENTER-BELLVILLE GENERAL HOSPITAL 44 N CUMMINGS BELLVILLE, TX 77418-1347 AUSTIN 1/1/2015 100%

136141205 1821011248 BEXAR COUNTY HOSPITAL DISTRICT-UNIVERSITY HEALTH SYSTEM 4502 MEDICAL DR SAN ANTONIO, TX 78229-4493 BEXAR 1/1/2015 36%

094224503 1356312243 BIG BEND REGIONAL MEDICAL CENTER 2600 N HIGHWAY 118 ALPINE, TX 79830-2002 BREWSTER 11/1/2015 37%

127305405 1417942608 BOWIE MEMORIAL HOSPITAL 705 E GREENWOOD AVE BOWIE, TX 76230-3135 MONTAGUE 8/1/2015 35%

094226002 1801817135 BRAZOS VALLEY PHYSICIANS ORGANIZATION MSO LLC-THE PHYSICIANS CENTRE HOSPITAL 3131 UNIVERSITY DR EAST BRYAN, TX 77802-3473 BRAZOS 12/1/2014 56%

191537303 1417979204 BRENTWOOD ACQUISITION SHREVEPORT INC-UNIVERSAL HEALTH SERVICES INC 1006 HIGHLAND AVE SHREVEPORT, LA 71101-4103 OUTOFSTATE 3/1/2004 80%

207311601 1114903523 BRIM HEALTHCARE OF TEXAS LLC-WADLEY REGIONAL MEDICAL CENTER 1000 PINE ST TEXARKANA, TX 75501-5100 BOWIE 1/1/2015 31%

020983501 1346239753 BROWNSVILLE DOCTORS HOSPITAL LLC-BROWNSVILLE SURGICAL HOSPITAL 4750 N EXPRESSWAY BROWNSVILLE, TX 78526-0000 CAMERON 12/1/2012 25%

Inpatient Ratio of Cost to Charges Effective 4/1/2016

Created by HHSC Rate Analysis Division1 5/18/2016

TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

020930601 1679526982 BROWNWOOD REGIONAL MEDICAL CENTER 1501 BURNET RD BROWNWOOD, TX 76801-8520 BROWN 11/1/2015 23%

322879301 1407191984 BSA HOSPITAL LLC DBA BAPTIST ST ANTHONYS HOSPITAL- 1600 WALLACE BLVD AMARILLO, TX 79106-1799 POTTER 4/1/2016 31%

112725003 1750377289 BURLESON ST JOSEPH HEALTH CENTER-BURLESON ST. JOSEPH HEALTH CENTER 1101 WOODSON DRIVE CALDWELL, TX 77836-1052 BURLESON 1/1/2015 41%

212060201 1205164928 CAHRMC LLC-RICE MEDICAL CENTER 600 S AUSTIN RD EAGLE LAKE, TX 77434-3202 COLORADO 2/1/2016 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 75010-4711 DENTON 4/24/2012 50%

211970301 1013142553 CBSH,LLC- 6130 PARKWAY CORPUS CHRISTI, TX 78414-2455 NUECES 1/1/2016 26%

192622201 1376662296 CEDAR PARK REGIONAL MEDICAL CENTER 1401 MEDICAL PARKWAY CEDAR PARK, TX 78613-7464 WILLIAMSON 1/1/2016 22%

169553801 1801826839 CENTENNIAL MEDICAL CENTER 12505 LEBANON RD FRISCO, TX 75035-8298 COLLIN 1/1/2016 32%

121819002 1063450534 CENTRAL TEXAS HOSPITAL 806 NORTH CROCKETT CAMERON, TX 76520-2599 MILAM 12/1/2012 55%

190809701 1609091693 CENTRAL TEXAS REHABILITATION HOSPITAL LLC-CENTRAL TEXAS REHABILITATION HOSPITAL 700 W 45TH ST AUSTIN, TX 78751-2800 TRAVIS 1/1/2016 100%

020817501 1174576698 CHCA BAYSHORE LP-BAYSHORE MEDICAL CENTER 4000 SPENCER HWY PASADENA, TX 77504-1202 HARRIS 1/1/2016 17%

121807504 1063466035 CHCA CLEAR LAKE LP-CLEAR LAKE REGIONAL MEDICAL CENTER 500 W MEDICAL CENTER BLVD WEBSTER, TX 77598-4220 HARRIS 1/1/2016 12%

020841501 1962455816 CHCA CONROE LP-CONROE REGIONAL MEDICAL CENTER 504 MEDICAL CENTER BLVD CONROE, TX 77304-2808 MONTGOMERY 2/1/2016 18%

349366001 1609275585 CHCA PEARLAND, LP-PEARLAND MEDICAL CENTER 11100 SHADOW CREEK PKWY PEARLAND, TX 77584-7285 BRAZORIA 3/17/2015 50%

094187402 1275580938 CHCA WEST HOUSTON LP-WEST HOUSTON MEDICAL CENTER 12141 RICHMOND AVE HOUSTON, TX 77082-2408 HARRIS 1/1/2016 23%

112712802 1023065794 CHCA WOMANS HOSPITAL LP-THE WOMANS HOSPITAL OF TEXAS 7600 FANNIN ST HOUSTON, TX 77054-1906 HARRIS 3/1/2016 10%

182073001 1508810722 CHG CORNERSTONE HOSPITAL OF AUSTIN, L.P.-CORNERSTONE HOSPITAL OF AUSTIN 4207 BURNET ROAD AUSTIN, TX 78756-3316 TRAVIS 7/15/2005 50%

021013001 1083668685 CHG CORNERSTONE HOSPITAL OF HOUSTON LP-CORNERSTONE HOSPITAL OF HOUSTON CLEARLAKE 709 W MEDICAL CENTER BLVD WEBSTER, TX 77598-4005 HARRIS 11/1/2010 7%

325532501 1235416801 CHG CORNERSTONE HOSPITAL OF SOUTH HOUSTON LP- 2001 HERMANN DR HOUSTON, TX 77004-7643 HARRIS 1/12/2012 50%

293849001 1902164684 CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.- 2402 CANYON LAKE DR LUBBOCK, TX 79415-2000 LUBBOCK 5/22/2011 50%

109196903 1164426896 CHILDRENS HOSPITAL OF PITTSBURGH 4401 PENN AVE PITTSBURGH, PA 15224-1334 OUTOFSTATE 4/12/2011 65%

138910807 1194743013 CHILDRENS MEDICAL CENTER OF DALLAS-CHILDRENS MEDICAL CENTER 1935 MEDICAL DISTRICT DR DALLAS, TX 75235-7701 DALLAS 4/1/2016 30%

133250406 1326079534 CHILDRESS COUNTY HOSPITAL DISTRICT-CHILDRESS REGIONAL MEDICAL CENTER 901 US HIGHWAY 83 N CHILDRESS, TX 79201-2320 CHILDRESS 11/1/2015 41%

154632701 1548269590 CHILLICOTHE HOSPITAL DISTRICT 303 AVENUE I CHILLICOTHE, TX 79225-0370 HARDEMAN 10/1/2011 100%

127300503 1184622847 CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MED 6720 BERTNER AVE HOUSTON, TX 77030-2604 HARRIS 7/1/2015 32%

211468801 1932334125 CHRISTUS CONTINUING CARE-CHRISTUS DUBUIS HOSPITAL OF BEAUMONT 2830 CALDER ST FL 4 BEAUMONT, TX 77702-1809 JEFFERSON 7/1/2009 56%

211487801 1669607859 CHRISTUS CONTINUING CARE-CHRISTUS DUBUIS HOSPITAL OF HOUSTON 1919 LA BRANCH ST FL 7 GWS HOUSTON, TX 77002-8321 HARRIS 7/1/2009 50%

211454801 1548495740 CHRISTUS CONTINUING CARE-DUBUIS HOSPITAL OF PARIS 865 DESHONG DR 5TH FL PARIS, TX 75460-9313 LAMAR 7/1/2009 50%

020976901 1295736734 CHRISTUS HEALTH ARK LATEX-CHRISTUS ST MICHAEL HEALTH SYSTEMS 2600 ST MICHAEL DR TEXARKANA, TX 75503-2372 BOWIE 8/1/2015 26%

094353202 1467453902 CHRISTUS HEALTH ARK LA TEX-CHRISTUS ST MICHAEL REHABILITATION HOSPITAL 2400 ST MICHAEL DR TEXARKANA, TX 75503-2374 BOWIE 8/1/2015 31%

138296208 1679557888 CHRISTUS HEALTH SE TX-CHRISTUS HOSPITAL 2830 CALDER ST BEAUMONT, TX 77702-1809 JEFFERSON 7/1/2015 28%

112706003 1598749707 CHRISTUS JASPER MEMORIAL HOSPITAL- 1275 MARVIN HANCOCK DR JASPER, TX 75951-4935 JASPER 7/1/2015 47%

020844903 1821004151 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHILDRENS HOSPITAL OF SAN ANTONIO 333 N SANTA ROSA ST SAN ANTONIO, TX 78207-3108 BEXAR 3/1/2016 33%

020844901 1194787218 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION-CHRISTUS SANTA ROSA 2827 BABCOCK RD SAN ANTONIO, TX 78229 BEXAR 12/1/2015 35%

094222902 1003885641 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL ALICE 2500 E MAIN ST ALICE, TX 78332-4169 JIM WELLS 7/1/2015 26%

020811801 1447228747 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL BEEVILLE 1500 E HOUSTON ST BEEVILLE, TX 78102-5312 BEE 7/1/2015 38%

121775403 1689641680 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI 2606 HOSPITAL BLVD CORPUS CHRISTI, TX 78405-1818 NUECES 7/1/2015 20%

136436606 1093783391 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION-CHRISTUS SPOHN HOSPITAL KLEBERG 1311 E GENERAL CAVAZOS BLVD KINGSVILLE, TX 78363-7197 KLEBERG 7/1/2015 23%

137907508 1124052162 CITIZENS MEDICAL CENTER COUNTY OF VICTORIA-CITIZENS MEDICAL CENTER 2701 HOSPITAL DRIVE VICTORIA, TX 77901-5748 VICTORIA 2/1/2016 29%

112742503 1326015595 CLARITY CHILD GUIDANCE CENTER-SOUTHWEST MENTAL HEALTH 8535 TOM SLICK SAN ANTONIO, TX 78229-3363 BEXAR 8/1/2015 53%

094138703 1437156361 CLAY COUNTY MEMORIAL HOSPITAL 310 W SOUTH STREET HENRIETTA, TX 76365-3346 CLAY 10/1/2015 92%

354076701 1861882532 CLEAR LAKE INSTITUTE FOR REHABILITATION, LLC-BAY AREA REHABILITATION HOSPITAL 110 E MEDICAL CENTER BLVD WEBSTER, TX 77598-4301 HARRIS 8/20/2015 80%

184632101 1972540532 CLEVELAND IMAGING & SURGICAL HOSPITAL LLC-DOCTORS DIAGNOSTIC HOSPITAL 1017 SOUTH TRAVIS CLEVELAND, TX 77327-5151 LIBERTY 1/1/2013 57%

137279905 1043281330 CLEVELAND REGIONAL MEDICAL CENTER LP-CLEVELAND REGIONAL MEDICAL CENTER 300 E CROCKETT ST CLEVELAND, TX 77327-4029 LIBERTY 3/1/2014 22%

094152803 1942314448 COCHRAN MEMORIAL HOSPITAL 201 E GRANT AVE MORTON, TX 79346-3444 COCHRAN 9/1/2008 90%

020860501 1467403477 COLLEGE STATION MEDICAL CENTER 1604 ROCK PRAIRIE RD COLLEGE STATION, TX 77845-8395 BRAZOS 11/1/2015 18%

020943901 1689628984 COLUMBIA HOSPITAL MEDICAL CITY DALLAS, SUBSIDIARY-MEDICAL CITY DALLAS HOSPITAL 7777 FOREST LANE DALLAS, TX 75230-2505 DALLAS 7/1/2015 14%

020950401 1134172406 COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP-MEDICAL CENTER OF ARLINGTON 3301 MATLOCK RD ARLINGTON, TX 76015-2908 TARRANT 5/1/2015 14%

111905902 1306897277 COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP-DENTON REGIONAL MEDICAL CENTER 3535 S INTERSTATE 35 E DENTON, TX 76210-6850 DENTON 1/1/2016 20%

112698903 1437102639 COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP-MEDICAL CENTER OF MCKINNEY 4500 MEDICAL CENTER DR MCKINNEY, TX 75069-1650 COLLIN 10/1/2015 19%

127311205 1699726406 COLUMBIA MEDICAL CENTER OF PLANO LP-MEDICAL CENTER OF PLANO 3901 W 15TH ST PLANO, TX 75075-7738 COLLIN 4/1/2016 16%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

094105602 1518911833 COLUMBIA NORTH HILLS HOSPITAL-COLUMBIA NORTH HILLS HOSPITA 4401 BOOTH CALLOWAY ROAD N RICHLAND HILLS, TX 76180-7371 TARRANT 4/1/2016 20%

094193202 1659323772 COLUMBIA PLAZA MED CTR OF FT WORTH SUBSIDIARY LP-PLAZA MEDICAL CENTER OF FORT WORTH 900 8TH AVE FORT WORTH, TX 76104-3902 TARRANT 2/1/2016 16%

112716902 1619924719 COLUMBIA RIO GRANDE HEALTHCARE LP-RIO GRANDE REGIONAL HOSPITAL 101 E RIDGE RD MCALLEN, TX 78503-1847 HIDALGO 10/1/2015 12%

020947001 1043267701 COLUMBIA VALLEY HEALTHCARE SYSTEMS LP-VALLEY REGIONAL MEDICAL CENTER 100A E ALTON GLOOR BLVD BROWNSVILLE, TX 78526-3346 CAMERON 4/1/2016 12%

281406304 1346544616 COMANCHE COUNTY MEDICAL CENTER COMPANY-COMANCHE COUNTY MEDICAL CENTER 10201 HIGHWAY 16 COMANCHE, TX 76442-4462 COMANCHE 10/1/2014 51%

020978501 1609814763 COMMUNITY GENERAL HOSPITAL 230 WEST MILLER DILLEY, TX 78017-3818 FRIO 1/1/2013 72%

112671602 1972581940 COMMUNITY HOSPITAL OF BRAZOSPORT-BRAZOSPORT REGIONAL HEALTH SYSTEM 100 MEDICAL DRIVE LAKE JACKSON, TX 77566-5674 BRAZORIA 1/1/2016 31%

091770005 1326025701 CONCHO COUNTY HOSPITAL 614 EAKER ST EDEN, TX 76837-0987 CONCHO 12/1/2015 100%

352064501 1588005888 CONTINUECARE HOSPITAL OF MIDLAND INC- 4214 ANDREWS HWY FL 3 MIDLAND, TX 79703-4822 MIDLAND 5/1/2014 50%

021184901 1891765178 COOK CHILDREN'S MEDICAL CENTER- 801 7TH AVE FORT WORTH, TX 76104-2733 TARRANT 11/1/2015 38%

196882804 1235299132 COOK CHILDRENS NORTHEAST HOSPITAL, LLC- 6316 PRECINCT LINE RD HURST, TX 76054-2766 TARRANT 1/1/2014 80%

130826407 1639176456 COON MEMORIAL HOSPITAL 1411 DENVER AVE DALHART, TX 79022-4809 DALLAM 8/1/2014 80%

313347201 1235374612 CORINTH INVESTOR HOLDINGS, LLC DBA ATRIUM MEDICAL- 3305 CORINTH PKWY CORINTH, TX 76208-5380 DENTON 12/1/2008 50%

094221102 1386652527 CORNERSTONE REGIONAL HOSPITAL 2302 CORNERSTONE BLVD EDINBURG, TX 78539-8471 HIDALGO 1/1/2016 31%

344945603 1821439183 CORPUS CHRISTI REHABILITATION HOSPITAL LLC 5726 ESPLANADE DR CORPUS CHRISTI, TX 78414-4165 NUECES 7/19/2013 50%

134772611 1780823021 CORYELL MEMORIAL HOSPITAL- 1507 WEST MAIN STREET GATESVILLE, TX 76528-1024 CORYELL 8/1/2014 57%

137227806 1790702371 COUNTY OF YOAKUM-YOAKUM COUNTY HOSPITAL 412 MUSTANG AVE DENVER CITY, TX 79323-2750 YOAKUM 1/1/2016 100%

139461107 1972517365 COVENANT HEALTH SYSTEM-COVENANT MEDICAL CENTER 3615 19TH ST LUBBOCK, TX 79410-1225 LUBBOCK 8/1/2015 17%

319209801 1013941780 COVENANT LONG TERM CARE LP-COVENANT SPECIALTY HOSPITAL 3815 20TH ST LUBBOCK, TX 79410-1235 LUBBOCK 3/28/2007 50%

199602701 1316197767 CRANE COUNTY HOSPITAL DISTRICT-CRANE MEMORIAL HOSPITAL 1310 SOUTH ALFORD STREET CRANE, TX 79731-3809 CRANE 9/1/2014 100%

303478701 1407010622 CR EMERGENCY ROOM LLC-BAYLOR EMERGENCY MEDICAL CENTER 26791 HIGHWAY 380 AUBREY, TX 76227-7654 DENTON 10/17/2009 50%

094141105 1063500270 CROSBYTON CLINIC HOSPITAL 710 W MAIN ST CROSBYTON, TX 79322-2143 CROSBY 1/1/2016 83%

349808101 1104252030 CROSSROADS REGIONAL HOSPITAL,LLC DBA LONGLEAF HOSP- 44 VERSAILLES BLVD ALEXANDRIA, LA 71303-3960 OUTOFSTATE 9/1/2011 50%

138911609 1437148020 CUERO COMMUNITY HOSPITAL 2550 N ESPLANADE ST CUERO, TX 77954-4736 DEWITT 9/1/2015 79%

021203701 1730187568 CYPRESS CREEK HOSPITAL INC 17750 CALI DR HOUSTON, TX 77090-2705 HARRIS 9/1/2006 51%

320384601 1356559991 DALLAS LTACH LLC- 8050 MEADOW RD DALLAS, TX 75231-3406 DALLAS 9/1/2013 50%

320384603 1356559991 DALLAS LTACH LLC-KINDRED HOSPITAL DALLAS CENTRAL 8050 MEADOW RD DALLAS, TX 75231-3406 DALLAS 9/1/2013 50%

219336901 1861690364 DALLAS MEDICAL CENTER LLC- 7 MEDICAL PKWY DALLAS, TX 75234-7823 DALLAS 1/1/2016 21%

189947801 1134108053 DAWSON COUNTY HOSPITAL DISTRICT-MEDICAL ARTS HOSPITAL 2200 N BRYAN AVE LAMESA, TX 79331-2451 DAWSON 4/1/2016 92%

341779201 1649504853 DAY STARS INC- 4611 S MAIN ST STAFFORD, TX 77477-4731 FORT BEND 9/9/2013 50%

133544006 1568454403 DEAF SMITH COUNTY HOSPITAL DISTRICT-HEREFORD REGIONAL MEDICAL CENTER 540 W 15TH ST HEREFORD, TX 79045-2820 DEAF SMITH 10/1/2015 98%

343108201 1033204342 DENTON TRANSITIONAL LTCH LP-INTEGRITY TRANSITIONAL HOSPITAL 2813 S MAYHILL RD DENTON, TX 76208 DENTON 6/1/2008 50%

094118902 1851343909 DETAR HOSPITAL-DETAR HOSPITAL NAVARRO 506 E SAN ANTONIO ST VICTORIA, TX 77901-6060 VICTORIA 11/1/2015 17%

094227802 1003939232 DICKERSON MEMORIAL HOSPITAL 1001 DICKERSON DR JASPER, TX 75951-5110 JASPER 5/1/2010 57%

217884001 1326134255 DIMMIT REGIONAL HOSPITAL 704 HOSPITAL DR CARRIZO SPRINGS, TX 78834-3836 DIMMIT 10/1/2015 67%

094194002 1699705426 DOCTORS HOSPITAL 9440 POPPY DRIVE DALLAS, TX 75218-3652 DALLAS 4/1/2016 21%

112727604 1891741468 DOCTORS HOSPITAL 1997 LP-DOCTORS HOSPITAL PARKWAY TIDWELL 510 W TIDWELL RD HOUSTON, TX 77091-4339 HARRIS 2/1/2016 43%

160709501 1053317362 DOCTORS HOSPITAL AT RENAISSANCE LTD 5501 S MCCOLL RD EDINBURG, TX 78539-9152 HIDALGO 1/1/2016 20%

132812205 1548286172 DRISCOLL CHILDRENS HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI, TX 78411-1785 NUECES 3/1/2016 29%

193783101 1629166129 DUBUIS HEALTH SYSTEM INC- 2400 ST MICHAEL DRIVE 2ND FLOOR TEXARKANA, TX 75503-2374 BOWIE 10/1/2011 34%

194187401 1982792552 DUBUIS HEALTH SYSTEM INC-DUBUIS HOSPITAL OF CORPUS CHRISTI 600 ELIZABETH STREET 3RD FLOOR CORPUS CHRISTI, TX 78404-2235 NUECES 4/1/2015 47%

072521002 1992703540 DUKE UNIVERSITY HEALTH SYSTEM INC-DUKE UNIVERSITY HOSPITAL 2301 ERWIN RD DURHAM, NC 27710-0001 OUTOFSTATE 1/1/2008 60%

199210901 1669655601 EAST EL PASO PHYSICIANS MEDICAL CENTER LLC-FOUNDATION SURGICAL HOSPITAL OF EL PASO 1416 GEORGE DIETER DR EL PASO, TX 79936-7601 EL PASO 12/1/2014 39%

137074409 1689650921 EASTLAND MEMORIAL HOSPITAL DISTRICT-EASTLAND MEMORIAL HOSPITAL 304 S DAUGHERTY AVE EASTLAND, TX 76448-2609 EASTLAND 7/1/2015 44%

020812601 1235256884 EAST TEXAS MEDICAL CENTER 1000 S BECKHAM AVE TYLER, TX 75701-1908 SMITH 1/1/2016 11%

139173209 1356320873 EAST TEXAS MEDICAL CENTER ATHENS 2000 S PALESTINE ST ATHENS, TX 75751-5610 HENDERSON 4/1/2016 18%

094127002 1801975107 EAST TEXAS MEDICAL CENTER CARTHAGE 409 COTTAGE RD CARTHAGE, TX 75633-1466 PANOLA 8/1/2015 23%

130862905 1679506174 EAST TEXAS MEDICAL CENTER CLARKSVILLE 3000 WEST MAIN CLARKSVILLE, TX 75426-1270 RED RIVER 2/1/2016 38%

137319306 1073500799 EAST TEXAS MEDICAL CENTER CROCKETT 1100 E LOOP 304 CROCKETT, TX 75835-1810 HOUSTON 3/1/2016 22%

094190802 1578542098 EAST TEXAS MEDICAL CENTER FAIRFIELD 125 NEWMAN ST FAIRFIELD, TX 75840-1419 FREESTONE 9/1/2015 29%

168447401 1295719227 EAST TEXAS MEDICAL CENTER GILMER 712 N WOOD ST GILMER, TX 75644-1751 UPSHUR 1/1/2016 32%

130612806 1285689133 EAST TEXAS MEDICAL CENTER JACKSONVILLE 501 S RAGSDALE ST JACKSONVILLE, TX 75766-2434 CHEROKEE 2/1/2016 17%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

136140407 1205821113 EAST TEXAS MEDICAL CENTER MOUNT VERNON-EAST TEXAS MEDICAL CENTER MT VERNON 500 SO STATE HWY 37 MOUNT VERNON, TX 75457-6550 FRANKLIN 12/1/2014 24%

138374715 1720037559 EAST TEXAS MEDICAL CENTER PITTSBURG- 2701 US HWY 271 N PITTSBURG, TX 75686-4289 CAMP 12/1/2015 29%

017624011 1396748430 EAST TEXAS MEDICAL CENTER QUITMAN- 117 N WINNSBORO ST QUITMAN, TX 75783-2144 WOOD 7/1/2015 33%

021177301 1700901873 EAST TEXAS MEDICAL CENTER RE 701 OLYMPIC PLAZA CIR TYLER, TX 75701-1950 SMITH 8/10/1995 80%

121817401 1821063553 EAST TEXAS MEDICAL CENTER TRINITY 317 PROSPECT DRIVE TRINITY, TX 75862-0317 TRINITY 3/1/2016 25%

348928801 1679903967 EBD BEMC BURLESON, LLC-BAYLOR EMERGENCY MEDICAL CENTER 12500 SOUTH FWY STE 100 BURLESON, TX 76028 JOHNSON 3/19/2015 50%

343799801 1952732653 EBD BEMC ROCKWALL, LLC-BAYLOR EMERGENCY MEDICAL CENTER 1975 ALPHA DR STE 100 ROCKWALL, TX 75087 ROCKWALL 10/1/2014 50%

135235306 1740273994 ECTOR COUNTY HOSPITAL DISTRICT-MEDICAL CENTER HOSPITAL 500 W 4TH ST ODESSA, TX 79761-5001 ECTOR 11/1/2015 39%

169893802 1780677971 ECTOR COUNTY HOSPITAL DISTRICT-MEDICAL CENTER HOSPITAL 500 W 4TH ST ODESSA, TX 79761-5001 ECTOR 6/1/2011 37%

311054601 1003192311 EL CAMPO MEMORIAL HOSPITAL- 303 SANDY CORNER RD EL CAMPO, TX 77437-9535 WHARTON 4/1/2016 100%

135034006 1811091903 ELECTRA HOSPITAL DISTRICT-ELECTRA MEMORIAL HOSPITAL 1207 S BAILEY ST ELECTRA, TX 76360-1112 WICHITA 11/1/2006 71%

135034009 1871583153 ELECTRA HOSPITAL DISTRICT-ELECTRA MEMORIAL HOSPITAL 1207 S BAILEY ST ELECTRA, TX 76360-3221 WICHITA 10/1/2015 54%

291854201 1558659714 EL PASO CHILDRENS HOSPITAL- 4845 ALAMEDA AVE EL PASO, TX 79905-2705 EL PASO 8/1/2014 50%

138951211 1316936990 EL PASO COUNTY HOSPITAL DISTRICT-UNIVERSITY MEDICAL CENTER OF EL PASO 4815 ALAMEDA EL PASO, TX 79905-2705 EL PASO 11/1/2015 40%

190248801 1194890103 EL PASO LTAC HOSPITAL 1221 N COTTON ST 3RD FLOOR EL PASO, TX 79902-3015 EL PASO 2/4/2007 50%

112751605 1720094550 EL PASO PSYCHIATRIC CENTER-TDMHMR-EL PASO PSYCHIATRIC CENTER 4615 ALAMEDA AVE EL PASO, TX 79905-2702 EL PASO 1/1/2006 41%

148322401 1366427130 EL PASO SPECIALTY HOSPITAL-SURGICAL INSTITUTE OF EL PASO 1755 CURIE STE A EL PASO, TX 79902-2920 EL PASO 1/1/2016 38%

309798201 1669752234 EMERUS BHS SA THOUSAND OAKS LLC-BAPTIST EMERGENCY HOSPITAL HAUSMAN 16088 SAN PEDRO AVE SAN ANTONIO, TX 78232-2249 BEXAR 1/1/2016 39%

282960802 1609008838 ENLIGHTENED BEHAVIORAL HEALTH SYSTEMS LLC- 4242 MEDICAL DR STE 1100 SAN ANTONIO, TX 78229-5329 BEXAR 9/28/2011 80%

343621401 1467588319 ER AMERICAN HEALTHCARE SERVICES, LLC- 2815 W T C JESTER BLVD STE 101 HOUSTON, TX 77080 HARRIS 11/10/2009 50%

325449201 1144566316 ESWCT CEDAR PARK, LLC-BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CTR AT CEDA900 E WHITESTONE BLVD CEDAR PARK, TX 78613-9093 WILLIAMSON 9/1/2013 50%

208843701 1770717167 ETMC HENDERSON- 300 WILSON ST HENDERSON, TX 75652-5956 RUSK 10/1/2015 28%

133367602 1841294246 FALLS COMMUNITY HOSPITAL AND CLINIC 322 COLEMAN ST MARLIN, TX 76661-2358 FALLS 4/1/2015 45%

330811601 1760417646 FANNIN COUNTY HOSPITAL AUTHORITY-TMC BONHAM HOSPITAL 504 LIPSCOMB ST BONHAM, TX 75418-4028 FANNIN 1/1/2015 35%

354160901 1336533595 FIRST TEXAS HOSPITAL CARROLLTON LLC- 1401 E TRINITY MILLS RD CARROLLTON, TX 75006 DALLAS 11/3/2015 50%

112692202 1598746703 FISHER COUNTY HOSPITAL 774 STATE HWY 70 NORTH ROTAN, TX 79546-6918 FISHER 2/1/2016 100%

217744601 1902047376 FLOWER MOUND HOSPITAL PARTNERS LLC-TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND 4400 LONG PRAIRIE RD FLOWER MOUND, TX 75028-1892 DENTON 4/1/2016 46%

110803703 1770579591 FORT DUNCAN REGIONAL MEDICAL CENTER 3333 N FOSTER MALDONADO BLVD EAGLE PASS, TX 78852-5893 MAVERICK 1/1/2016 28%

112688002 1952308132 FRIO HOSPITAL 200 S I H 35 PEARSALL, TX 78061-6601 FRIO 1/1/2015 93%

157144001 1922002674 FRISCO MEDICAL CENTER-FRISCO MEDICAL CENTER LLP 5601 WARREN PARKWAY FRISCO, TX 75034-4069 DENTON 1/1/2016 42%

167364201 1871599183 FT WORTH SURGICARE PARTNERS, LTD-BAYLOR SURGICAL HOSPITAL AT FT WORTH 1800 PARK PLACE AVE FORT WORTH, TX 76110-1302 TARRANT 1/1/2016 44%

121777003 1922009331 GAINESVILLE HOSPITAL DISTRICT-NORTH TEXAS MEDICAL CENTER 1900 HOSPITAL BLVD GAINESVILLE, TX 76240-2002 COOKE 1/1/2016 46%

309910301 1013910868 GCMC OF WHARTON COUNTY TEXAS LLC-GULF COAST MEDICAL CENTER 10141 US 59 HWY WHARTON, TX 77488-7224 WHARTON 1/1/2016 37%

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 76132-6108 TARRANT 11/19/2008 50%

310164401 1306011929 GLOBALREHAB LP- 1340 EMPIRE CENTRAL DR DALLAS, TX 75247-4022 DALLAS 11/19/2008 50%

121785303 1932108214 GONZALES HEALTHCARE SYSTEMS-MEMORIAL HOSPITAL 1110 N SARAH DEWITT DR GONZALES, TX 78629-3311 GONZALES 6/1/2015 100%

143026602 1912923988 GONZALES WARM SPRINGS REHABI-WARM SPRINGS REHABILITATION HOSPITAL 200 MEMORIAL DRIVE LULING, TX 78648-3213 CALDWELL 5/1/2009 19%

137075109 1962455832 GOODALL WITCHER HOSPITAL FOUNDATION-GOODALL WITCHER HEALTHCARE 101 POSEY AVE CLIFTON, TX 76634-1832 BOSQUE 7/1/2015 67%

131035105 1780649509 GOOD SHEPHERD MEDICAL CENTER LINDEN INC 404 N KAUFMAN ST LINDEN, TX 75563-5234 CASS 6/1/2015 83%

094095902 1689663007 GOOD SHEPHERD MEDICAL CTR-GOOD SHEPHERD MEDICAL CENTER 700 E MARSHALL AVE LONGVIEW, TX 75601-5580 GREGG 11/1/2015 23%

197063401 1841497153 GPCH LLC-GOLDEN PLAINS COMMUNITY HOSPITAL 100 MEDICAL DR BORGER, TX 79007-7579 HUTCHINSON 1/1/2016 51%

346945401 1881691061 GRAHAM HOSPITAL DISTRICT- 1301 MONTGOMERY RD GRAHAM, TX 76450 YOUNG 9/1/2014 100%

218647001 1114236304 GRAYSON COUNTY PHYSICIANS PROPERTY LLC-GRAYSON COUNTY PHYSICIANS PROPERTY, LLC 3601 N CALAIS ST SHERMAN, TX 75090-1785 GRAYSON 12/22/2010 50%

147918003 1154317774 GRIMES ST JOSEPH HEALTH CENTER 210 S. JUDSON NAVASOTA, TX 77868-1390 GRIMES 1/1/2016 65%

138411709 1720088123 GUADALUPE REGIONAL MEDICAL CENTER 1215 EAST COURT SEGUIN, TX 78155-5129 GUADALUPE 9/1/2015 47%

121792903 1326037607 HAMILTON GENERAL HOSPITAL 400 N BROWN HAMILTON, TX 76531-1518 HAMILTON 10/1/2015 49%

110856504 1134137466 HAMILTON HOSPITAL 901 WEST HAMILTON ST OLNEY, TX 76374-1745 YOUNG 3/1/2015 47%

094131202 1396739710 HAMLIN MEMORIAL HOSPITAL 632 NW SECOND HAMLIN, TX 79520-3808 JONES 9/1/2015 100%

094117105 1992707780 HANSFORD COUNTY HOSPITAL DISTRICT-HANSFORD COUNTY HOSPITAL 707 SOUTH ROLAND ST SPEARMAN, TX 79081-3441 HANSFORD 10/1/2015 100%

215330601 1649262528 HARBOR HOSPITAL OF SOUTHEAST TEXAS- 860 S 8TH ST BEAUMONT, TX 77701-4626 JEFFERSON 9/1/2009 50%

121692107 1861510521 HARDEMAN COUNTY MEMORIAL HOSPITAL 402 MERCER ST QUANAH, TX 79252 HARDEMAN 10/1/2012 100%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

154504801 1881688976 HARLINGEN MEDICAL CENTER LP- 5501 S EXPRESSWAY 77 HARLINGEN, TX 78550-3213 CAMERON 12/1/2014 52%

190422901 1063503399 HARMONY MENTAL HEALTH SERVICES INC-TEXAS HARMONY HOUSE 3734 GULF ST HOUSTON, TX 77017-3004 HARRIS 10/11/2005 80%

133355104 1205900370 HARRIS COUNTY HOSPITAL DISTRICT 1504 TAUB LOOP HOUSTON, TX 77030-1608 HARRIS 3/1/2016 56%

112667403 1124092036 HARRISON COUNTY HOSPITAL ASSOCIATION-GOOD SHEPHERD MEDICAL CENTER MARSHALL 811 SOUTH WASHINGTON MARSHALL, TX 75670-1599 HARRISON 11/1/2015 34%

112702904 1184607897 HASKELL MEMORIAL HOSPITAL 1 AVENUE N HASKELL, TX 79521 HASKELL 9/1/2014 100%

210433301 1710160296 HAVEN RED RIVER HOSPITAL LLC-RED RIVER HOSPITAL 1505 EIGHT STREET WICHITA FALLS, TX 76301-3106 WICHITA 1/29/2010 38%

210661901 1427048743 HAVEN RED RIVER HOSPITAL LLC-RED RIVER HOSPITAL 1505 EIGHTH STREET WICHITA FALLS, TX 76301-3106 WICHITA 1/29/2010 38%

021185601 1013968726 HEALTHBRIDGE CHILDRENS HOSPITAL- HOUSTON LTD-HEALTHBRIDGE CHILDRENS HOSPITAL 2929 WOODLAND PARK DR HOUSTON, TX 77082-2687 HARRIS 1/1/2015 37%

199329701 1699749341 HEALTH SOUTH CITY VIEW REHABILITATION HOSPITAL 6701 OAKMONT BLVD FORT WORTH, TX 76132-2957 TARRANT 9/1/2006 50%

094347402 1144294893 HEALTHSOUTH PLANO REHABILITAION HOSPITAL-HEALTHSOUTH PLANO REHABILITA 2800 W 15TH ST PLANO, TX 75075-7526 COLLIN 9/1/2006 80%

309446801 1548546088 HEALTHSOUTH REHAB HOSPITAL OF SOUTH AUSTIN LLC-HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTH AUST330 E BEN WHITE BLVD AUSTIN, TX 78704-7304 TRAVIS 6/29/2012 50%

288662403 1427374222 HEALTHSOUTH REHAB HOSPITAL OF THE MID-CITIES LLC-RELIANT REHABILITATION HOSPITAL MID CITIES 2304 HIGHWAY 121 BEDFORD, TX 76021-5985 TARRANT 11/5/2010 80%

021173201 1821062050 HEALTHSOUTH REHABILIATION HOSPITAL OF ARLINGTON-HEALTHSOUTH REHABILIATION HO 3200 MATLOCK RD ARLINGTON, TX 76015-2911 TARRANT 8/1/2009 58%

094351601 1821061532 HEALTHSOUTH REHABILITATION-HEALTHSOUTH REHABILITATION HOSPITAL OF MIDLAND/ODE1800 HERITAGE BLVD MIDLAND, TX 79707-9750 MIDLAND 9/1/2006 52%

209804801 1477731156 HEALTHSOUTH REHABILITATION HOSPITAL NORTH HOUSTON-HEALTHSOUTH REHABILITATION HOSPITAL VISION PARK 117 VISION PARK BLVD SHENANDOAH, TX 77384-3001 MONTGOMERY 1/23/2009 80%

094345801 1568435279 HEALTHSOUTH REHABILITATION HOSPITAL OF AUSTIN 1215 RED RIVER ST AUSTIN, TX 78701-1921 TRAVIS 6/1/2013 44%

301006801 1275813610 HEALTHSOUTH REHABILITATION HOSPITAL OF CYPRESS- 13031 WORTHAM CENTER DR HOUSTON, TX 77065-5662 HARRIS 9/1/2012 50%

314562501 1982920773 HEALTHSOUTH REHABILITATION HOSPITAL OF DALLAS LLC-HEALTHSOUTH REHABILITATION HOSPITAL OF DALLAS 7930 NORTHAVEN RD DALLAS, TX 75230-3331 DALLAS 10/7/2010 50%

094343302 1851364558 HEALTHSOUTH REHABILITATION HOSPITAL OF FORT WORTH-HEALTHSOUTH REHABILITATION HOPSITAL OF FORT WORTH 1212 W LANCASTER FORT WORTH, TX 76102-4510 TARRANT 1/1/2011 100%

337018101 1366871600 HEALTH SOUTH REHABILITATION HOSPITAL OF HUMBLE- 19002 MCKAY DR HUMBLE, TX 77338-5701 HARRIS 1/1/2014 83%

094352403 1194798801 HEALTHSOUTH REHABILITATION HOSPITAL THE WOODLANDS-HEALTHSOUTH REHAB HOSPITAL THE WOODLANDS 18550 IH 45S CONROE, TX 77384-4119 MONTGOMERY 9/1/2004 50%

021175701 1649243353 HEALTHSOUTH REHABILITATION OF TEXARKANA INC 515 W 12TH ST TEXARKANA, TX 75501-4416 BOWIE 9/1/2006 29%

209190201 1245422567 HEALTHSOUTH REHABILITATIOON HOSPITAL OF ROUND ROCK-HEALTHSOUTH REHABILITATION HOSPITAL OF ROUND ROCK 1400 HESTERS CROSSING RD ROUND ROCK, TX 78681-8025 WILLIAMSON 7/9/2008 50%

021168201 1548233265 HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO (RIOSA-HEALTHSOUTH REHAB INSTITUTUE OF SAN ANTONIO 9119 CINNAMON HL SAN ANTONIO, TX 78240-5401 BEXAR 9/1/2006 40%

219907701 1518287721 HEALTHSOUTH SUGAR LAND REHABILITATION HOSPITAL 1325 HIGHWAY 6 SUGAR LAND, TX 77478-4906 FORT BEND 10/5/2010 50%

322916301 1558349399 HEART OF TEXAS HEALTHCARE SYSTEM- 2008 NINE RD BRADY, TX 76825-7210 MCCULLOCH 4/1/2016 81%

109588703 1558354241 HEMPHILL COUNTY HOSPITAL 1020 S FOURTH ST CANADIAN, TX 79014-3315 HEMPHILL 11/1/2015 100%

021012201 1992709661 HENDRICK CENTER FOR EXTENDED CARE-CONTINUECARE HOSPITAL HENDRICK MEDICAL CENTER 1900 PINE ABILENE, TX 79601-2432 TAYLOR 7/1/2008 28%

138644310 1528064649 HENDRICK MEDICAL CENTER 1900 PINE ABILENE, TX 79601-2432 TAYLOR 10/1/2015 22%

312239201 1841562709 HH KILLEEN HEALTH SYSTEM LLC- 850 W CENTRAL TEXAS EXPY HARKER HEIGHTS, TX 76548-1890 BELL 4/1/2016 39%

184076101 1205999232 HICKORY TRAIL HOSPITAL LP 2000 OLD HICKORY TRL DESOTO, TX 75115-2242 DALLAS 7/1/2006 73%

021182301 1710976402 HIGHLANDS REGIONAL REHABILITATION HOSPITAL-HIGHLANDS REGIONAL REHABILIT 1395 GEORGE DIETER DRIVE EL PASO, TX 79936-7410 EL PASO 6/1/2015 81%

136430906 1497726343 HILL COUNTRY MEMORIAL-HILL COUNTRY MEMORIAL HOSP 1020 S STATE HIGHWAY 16 FREDERICKSBURG, TX 78624-4471 GILLESPIE 2/1/2016 59%

138962907 1891882833 HILLCREST BAPTIST MEDICAL CENTER-BAYLOR SCOTT & WHITE MEDICAL CENTER-HILLCREST 100 HILLCREST MEDICAL BLVD WACO, TX 76712-8897 MCLENNAN 2/1/2016 30%

342612401 1780022319 HOPEBRIDGE, LLC-HOPEBRIDGE HOSPITAL 5556 GASMER DR HOUSTON, TX 77035-4563 HARRIS 3/1/2015 71%

131037707 1598757775 HOPKINS COUNTY HOSPITAL DISTRICT- 115 AIRPORT RD SULPHUR SPRINGS, TX 75482-2105 HOPKINS 9/1/2012 62%

131037704 1184618548 HOPKINS COUNTY HOSPITAL DISTRICT-HOPKINS COUNTY MEMORIAL HOSPITAL 115 AIRPORT ROAD SULPHUR SPRINGS, TX 75482-2105 HOPKINS 10/1/2015 75%

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 3/25/2015 50%

342897101 1306268321 HOUSTON METHODIST ST CATHERINE HOSPITAL- 701 S FRY RD KATY, TX 77450 HARRIS 7/1/2014 56%

342897103 1306268321 HOUSTON METHODIST ST CATHERINE HOSPITAL-HOUSTON METHODIST ST CATHERINE HOSPITAL. 701 S FRY RD KATY, TX 77450-2237 HARRIS 9/1/2013 50%

336478801 1952723967 HOUSTON METHODIST ST JOHN HOSPITAL- 18300 SAINT JOHN DR HOUSTON, TX 77058-6302 HARRIS 1/1/2016 25%

193867201 1740450121 HOUSTON NORTHWEST OPERATING COMPANY LLC-HOUSTON NORTHWEST MEDICAL CENTER 710 CYPRESS CREEK PKWY HOUSTON, TX 77090-3402 HARRIS 4/1/2016 21%

020927202 1154316347 HUNT MEMORIAL HOSPITAL DISTRICT-HUNT REGIONAL COMMUNITY HOSPITAL 2900 STERLING HART DR COMMERCE, TX 75428-3912 HUNT 10/1/2015 100%

131038504 1598750721 HUNT MEMORIAL HOSPITAL DISTRICT-HUNT REGIONAL MEDICAL CENTER 4215 JOE RAMSEY BLVD GREENVILLE, TX 75401-7852 HUNT 10/1/2015 44%

212167501 1548406788 ICON HOSPITAL, LLP- 19211 MCKAY BLVD HUMBLE, TX 77338-5502 HARRIS 2/1/2009 50%

094232802 1215937966 IHS HOSPITAL AT EL PASO 2311 N OREGON EL PASO, TX 79902-3216 EL PASO 12/31/1997 80%

112730002 1851785521 IHS HOSPITAL OF AMARILLO 5601 PLUM CREEK DR AMARILLO, TX 79124-1801 POTTER 11/1/2010 53%

112728403 1083619712 IRAAN GENERAL HOSPITAL DISTRICT 600 HWY 349 N IRAAN, TX 79744-0665 PECOS 1/1/2016 100%

163936101 1669569984 IRVING COPPELL SURGICAL HOSPITAL LLP-IRVING-COPPELL SURGICAL HOSPITAL LLP 400 W INTERSTATE 635 STE 101 IRVING, TX 75063-1158 DALLAS 3/1/2012 50%

119874904 1790777696 JACK COUNTY HOSPITAL DISTRICT-FAITH COMMUNITY HOSPITAL 215 CHISHOLM TRL JACKSBORO, TX 76458-1403 JACK 2/1/2016 100%

121808305 1124061882 JACKSON COUNTY HOSPITAL DISTRICT-JACKSON HEALTHCARE CENTER 1013 S WELLS ST EDNA, TX 77957-4045 JACKSON 10/1/2015 100%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

136412710 1699772541 KARNES COUNTY HOSPITAL DISTRICT-OTTO KAISER MEMORIAL HOSPITAL 3349 S HWY 181 KENEDY, TX 78119-5240 KARNES 7/1/2014 84%

168648701 1669480323 KELL WEST REGIONAL HOSPITAL LLC-KELL WEST REGIONAL HOSPITAL 5420 KELL WEST BOULEVARD WICHITA FALLS, TX 76310-2542 WICHITA 1/1/2016 62%

164993103 1629147673 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL CORPUS CHRISTI 6226 SARATOGA BLVD CORPUS CHRISTI, TX 78414-3421 NUECES 8/1/2008 25%

164993101 1629147673 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-CORPUS CHRISTI 6226 SARATOGA BOULEVARD CORPUS CHRISTI, TX 78414-3421 NUECES 9/1/2006 50%

021001501 1699844654 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL- DALLAS 9525 GREENVILLE AVE DALLAS, TX 75243-4116 DALLAS 12/1/2006 25%

164466801 1598834566 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-FORT WORTH 815 EIGHTH AVENUE FORT WORTH, TX 76104-2609 TARRANT 8/1/2008 100%

021004901 1922177997 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL - MANSFIELD 1802 HIGHWAY 157 N MANSFIELD, TX 76063-3923 TARRANT 12/1/2006 26%

021002301 1558430520 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITALS SAN ANTONIO 3636 MEDICAL DRIVE SAN ANTONIO, TX 78229-2183 BEXAR 5/1/2014 42%

149633301 1821167818 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPITAL-WHITE ROCK 9440 POPPY DR -5TH FLOOR SOUTH DALLAS, TX 75218-3652 DALLAS 9/1/2004 50%

021008001 1942379912 KINDRED HOSPITALS LIMITED PARTNERSHIP-KINDRED HOSPTIAL HOUSTON MEDICAL CENTER 6441 MAIN STREET HOUSTON, TX 77030-1502 HARRIS 9/1/2010 50%

135035706 1861488579 KNAPP MEDICAL CENTER 1401 E 8TH ST WESLACO, TX 78596-6640 HIDALGO 8/1/2015 31%

121053602 1487639175 KNOX COUNTY HOSPITAL 701 S. FIFTH KNOX CITY, TX 79529-2107 KNOX 11/1/2015 100%

112724302 1811942238 KPH- CONSOLIDATION, INC.-KINGWOOD MEDICAL CENTER 22999 HIGHWAY 59 NORTH KINGWOOD, TX 77339-4438 HARRIS 11/1/2015 15%

094178302 1114998911 LAKE GRANBURY MEDICAL CENTER 1310 PALUXY RD GRANBURY, TX 76048-5655 HOOD 1/1/2016 20%

020966001 1205018439 LAKE POINTE MEDICAL CENTER 6800 SCENIC DR ROWLETT, TX 75088-4552 DALLAS 4/1/2016 21%

181544101 1851323240 LAKESIDE HOSPITAL AT BASTROP LTD 3201 HIGHWAY 71 EAST BASTROP, TX 78602-9100 BASTROP 6/1/2010 40%

310443201 1831471291 LAKEWAY REGIONAL MEDICAL CENTER LLC- 100 MEDICAL PKWY LAKEWAY, TX 78738-5621 TRAVIS 4/1/2016 100%

094136102 1003988114 LAKE WHITNEY MEMORIAL HOSP-LAKE WHITNEY MEDICAL CTR 200 N SAN JACINTO WHITNEY, TX 76692-2388 HILL 4/1/2013 59%

127313803 1700854288 LAMB HEALTHCARE CENTER 1500 S SUNSET LITTLEFIELD, TX 79339-4899 LAMB 10/1/2015 100%

331242301 1851632616 LANCASTER REGIONAL HOSPITAL LP- 2600 W PLEASANT RUN RD LANCASTER, TX 75146-1114 DALLAS 1/1/2016 100%

315109401 1063728855 LA PAZ BEHAVIORAL HEALTH RGV INC- 900 E REDBUD AVE STE F/G MCALLEN, TX 78504-2638 HIDALGO 9/26/2012 80%

021375301 1932186863 LAPAZ COMMUNITY HEALTH CENTER 530 SAN PEDRO AVE SAN ANTONIO, TX 78212-5006 BEXAR 9/1/2004 50%

162033801 1548232044 LAREDO MEDICAL CENTER 1700 E SAUNDERS STREET LAREDO, TX 78041-5401 WEBB 1/1/2016 13%

094186602 1396731105 LAREDO REGIONAL MEDICAL CENTER LP-DOCTORS HOSPITAL OF LAREDO 10700 MCPHERSON RD LAREDO, TX 78045-6268 WEBB 1/1/2016 21%

350658601 1710389929 LAREDO REHABILITATION HOSPITAL LLC- 2005A E BUSTAMANTE ST LAREDO, TX 78041-5470 WEBB 2/26/2015 50%

185051301 1316992878 LAREDO SPECIALTY HOSPITAL 2005 BUSTAMANIE LAREDO, TX 78041-5470 WEBB 7/7/2006 50%

020979301 1902857766 LAS COLINAS MEDICAL CENTER 6800 N MACARTHUR BLVD IRVING, TX 75039-2422 DALLAS 1/1/2016 26%

094109802 1770536120 LAS PALMAS MEDICAL CENTER 1801 N OREGON EL PASO, TX 79902-3524 EL PASO 9/1/2015 12%

135233809 1992767511 LAVACA MEDICAL CENTER HBP-LAVACA MEDICAL CENTER 1400 N TEXANA ST HALLETTSVILLE, TX 77964-2021 LAVACA 1/1/2016 61%

284333604 1154324952 LIBERTY COUNTY HOSPITAL DISTRICT NO 1-LIBERTY DAYTON REGIONAL MEDICAL CENTER 1353 N TRAVIS ST LIBERTY, TX 77575-3549 LIBERTY 11/4/2015 50%

121781205 1831140979 LILLIAN M HUDSPETH MEMORIAL ER PHYS-LILLIAN M HUDSPETH MEMORIAL HOSPITAL 308 HUDSPETH ST SONORA, TX 76950-8003 SUTTON 12/1/2014 82%

140714001 1861487779 LIMESTONE MEDICAL CENTER 701 MCCLINTIC GROESBECK, TX 76642-2128 LIMESTONE 10/1/2015 61%

342027501 1619303641 LITTLE RIVER HEALTHCARE CAMERON HOSPITAL- 806 N CROCKETT AVE CAMERON, TX 76520-2553 MILAM 7/19/2014 50%

020951201 1295777324 LONE STAR HMA LP-DALLAS REGIONAL MEDICAL CENTER 1011 N GALLOWAY AVE MESQUITE, TX 75149-2433 DALLAS 1/1/2016 12%

110839103 1528026267 LONGVIEW MEDICAL CENTER LP-LONGVIEW REGIONAL MEDICAL CENTER 2901 N 4TH ST LONGVIEW, TX 75605-5128 GREGG 11/1/2015 21%

213659001 1750523593 LTHM HOUSTON OPERATIONS LLC-ST ANTHONYS HOSPITAL 2807 LITTLE YORK RD HOUSTON, TX 77093-3405 HARRIS 1/1/2015 9%

163219201 1922001775 LUBBOCK HEART HOSPITAL LP-LUBBOCK HEART HOSPITAL 4810 N LOOP 289 LUBBOCK, TX 79416-3025 LUBBOCK 2/1/2016 42%

281514401 1225289499 LUBBOCK HERITAGE HOSPITAL LLC-GRACE MEDICAL CENTER 2412 50TH STREET LUBBOCK, TX 79412-2504 LUBBOCK 1/1/2016 39%

136492909 1265648513 LUBBOCK REGIONAL MHMR CENTER-SUD-LUBBOCK REGIONAL MHMR CENTER 1602 10TH ST LUBBOCK, TX 79401 LUBBOCK 9/1/2012 50%

071672202 1467442749 LUCILE PACKARD CHILDRENS HOSPITAL- 725 WELCH RD PALO ALTO, CA 94304-1601 OUTOFSTATE 3/10/2015 50%

094180903 1821066820 LYNN COUNTY HOSPITAL-LYNN COUNTY HOSPITAL DISTRICT 2600 LOCKWOOD TAHOKA, TX 79373 LYNN 10/1/2015 57%

020990001 1780731737 MADISON ST JOSEPH HEALTH CENTER 100 W CROSS ST MADISONVILLE, TX 77864-2432 MADISON 1/1/2015 40%

136145310 1679560866 MARTIN COUNTY HOSPITAL DISTRICT 600 EAST I 20 STANTON, TX 79782-0640 MARTIN 5/1/2015 100%

130959304 1679678767 MATAGORDA COUNTY HOSPITAL DISTRICT-MATAGORDA REGIONAL MEDICAL CENTER 104 7TH ST BAY CITY, TX 77414-4853 MATAGORDA 10/1/2015 60%

283280001 1871898478 MAYHILL BEHAVIORAL HEALTH LLC- 2809 S MAYHILL RD DENTON, TX 76208-5910 DENTON 12/1/2015 27%

094172602 1023013935 MCCAMEY HOSPITAL 2500 S HWY 305 MCCAMEY, TX 79752-1200 UPTON 9/1/2014 100%

112672402 1174582050 M.D. ANDERSON HOSP.-MD ANDERSON HOSPITAL 1515 HOLCOMBE BLVD HOUSTON, TX 77030-4009 HARRIS 9/1/2015 44%

094192402 1255384533 MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP-MEDICAL CENTER OF LEWISVILLE 500 WEST MAIN LEWISVILLE, TX 75057-3629 DENTON 6/1/2015 20%

212140201 1427048453 MEDINA COUNTY HOSPITAL DISTRICT- 3100 AVENUE E HONDO, TX 78861-3534 MEDINA 10/1/2015 69%

337433201 1710985098 MEMORIAL HERMANN HEALTH SYSTEM-TIRR MEMORIAL HERMANN 1333 MOURSUND ST HOUSTON, TX 77030-3405 HARRIS 1/1/2016 45%

137805107 1982666111 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS HERMANN HOSPITAL 6411 FANNIN ST HOUSTON, TX 77030-1501 HARRIS 11/1/2015 24%

146509801 1932152337 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS KATY HOSPITAL 23900 KATY FWY KATY, TX 77494-1323 FORT BEND 1/1/2015 37%


TPIProvider


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Date

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Rate

(April)

020934801 1740233782 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS MEMORIAL CITY HOSPITAL 921 GESSNER RD HOUSTON, TX 77024-2315 HARRIS 8/1/2015 41%

192751901 1295843787 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS NORTHEAST HOSPITAL 18951 MEMORIAL NORTH HUMBLE, TX 77338-4217 HARRIS 1/1/2016 29%

146021401 1295788735 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS SUGAR LAND HOSPITAL 17500 WEST GRAND PARKWAY SOUTH SUGAR LAND, TX 77479-2562 FORT BEND 12/1/2015 31%

020834001 1730132234 MEMORIAL HERMANN HOSPITAL SYSTEM-MHHS THE WOODLANDS HOSPITAL 1635 NORTH LOOP W HOUSTON, TX 77008-1532 HARRIS 3/1/2016 35%

220238402 1043457583 MEMORIAL HERMANN REHABILITATION HOSPITAL KATY- 21720 KINGSLAND BLVD STE 102 KATY, TX 77450-2551 HARRIS 9/1/2011 50%

202351701 1366532228 MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD LLC 300 KINGWOOD MEDICAL DR KINGWOOD, TX 77339-6400 HARRIS 12/1/2014 41%

201645301 1033114608 MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL LLP-SUGAR LAND SURGICAL HOSPITAL 16906 SOUTHWEST FWY SUGAR LAND, TX 77479-2350 FORT BEND 2/1/2012 36%

094121303 1821025990 MEMORIAL HOSPITAL 209 NW 8TH ST SEMINOLE, TX 79360-3447 GAINES 11/1/2015 100%

131030203 1801831748 MEMORIAL HOSPITAL 1204 MOUND NACOGDOCHES, TX 75961-4027 NACOGDOCHES 7/1/2015 53%

131030209 1780612754 MEMORIAL HOSPITAL- 1204 N MOUND ST NACOGDOCHES, TX 75961-4027 NACOGDOCHES 4/1/2012 46%

112697102 1689650616 MEMORIAL HOSP OF POLK COUNTY-MEMORIAL MEDICAL CENTER LIVINGSTON 1717 HIGHWAY 59 BYPASS LIVINGSTON, TX 77351-5703 POLK 1/1/2016 34%

137909111 1689630865 MEMORIAL MEDICAL CENTER 815 N VIRGINIA PORT LAVACA, TX 77979-0025 CALHOUN 2/1/2016 49%

139172412 1396746129 MEMORIAL MEDICAL CENTER OF EAST TEXAS-MEMORIAL MED CTR OF EAST TX 1201 W FRANK AVE LUFKIN, TX 75904-3357 ANGELINA 1/1/2016 25%

130734007 1578547345 MEMORIAL MEDICAL CENTER SAN AUGUSTINE 511 E HOSPITAL ST SAN AUGUSTINE, TX 75972-0658 SAN AUGUSTINE 1/1/2016 31%

121821603 1497731426 MEMORIAL SPECIALTY HOSPITAL 1201 FRANK AVE STE D5 LUFKIN, TX 75902-1447 ANGELINA 11/1/2014 45%

353570001 1285028951 MESA HILLS SPECIALTY HOSPITAL OPERATOR, LLC-MESA HILLS SPECIALTY HOSPITAL 2311 N OREGON ST EL PASO, TX 79902 EL PASO 4/1/2015 32%

218319601 1831146331 MESQUITE SPECIALTY HOSPITAL LP 1024 N GALLOWAY AVE MESQUITE, TX 75149-2434 DALLAS 9/1/2009 50%

121820803 1871560003 METHODIST AMBULATORY SURGERY 9150 HUEBNER RD #100 SAN ANTONIO, TX 78240-1558 BEXAR 12/1/2013 31%

204254101 1659525236 METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP-METHODIST STONE OAK HOSPITAL 1139 E SONTERRA BLVD SAN ANTONIO, TX 78258-3999 BEXAR 3/1/2015 23%

281028501 1083937593 METHODIST HEALTH CENTERS-METHODIST WEST HOUSTON HOSPITAL 18500 KATY FWY HOUSTON, TX 77094-1110 HARRIS 1/1/2016 41%

094154402 1124074273 METHODIST HOSPITAL 7700 FLOYD CURL DR SAN ANTONIO, TX 78229-3902 BEXAR 8/1/2015 20%

133258705 1225146400 METHODIST HOSPITAL LEVELLAND INC-COVENANT HOSPITAL LEVELLAND 1900 COLLEGE AVE LEVELLAND, TX 79336-6508 HOCKLEY 8/1/2015 51%

126679303 1275592131 METHODIST HOSPITAL OF DALLAS-METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND RD DALLAS, TX 75237-3460 DALLAS 10/1/2015 30%

186221101 1689629941 METHODIST HOSPITAL OF DALLAS-METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD ST MANSFIELD, TX 76063-5899 TARRANT 10/1/2015 28%

127263503 1073580726 METHODIST HOSPITAL PLAINVIEW-COVENANT HOSPITAL PLAINVIEW 2601 DIMMITT RD PLAINVIEW, TX 79072-1833 HALE 8/1/2015 33%

135032405 1528027786 METHODIST HOSPITALS OF DALLA-METHODIST DALLAS MEDICAL CENTER 1441 N BECKLEY AVE DALLAS, TX 75203-1201 DALLAS 10/1/2015 30%

328934001 1952538431 METHODIST MCKINNEY HOSPITAL LLC- 8000 ELDORADO PKWY MCKINNEY, TX 75070-5940 COLLIN 9/1/2013 50%

209345201 1033165501 METHODIST RICHARDSON MEDICAL CENTER- 2831 E PRESIDENT GEORGE BUSH HWY RICHARDSON, TX 75082-3561 DALLAS 10/1/2015 38%

127319504 1437171568 METHODISTS CHILDRENS HOSPITAL-COVENANT CHILDRENS HOSPITAL 4015 22ND PL LUBBOCK, TX 79410-1119 LUBBOCK 10/1/2015 22%

094219502 1497871628 METHODIST SUGAR LAND HOSPITAL-HOUSTON METHODIST SUGAR LAND HOSPITAL 16655 SOUTHWEST FWY SUGAR LAND, TX 77479-2329 FORT BEND 1/1/2016 26%

140713201 1871619254 METHODIST WILLOWBROOK-HOUSTON METHODIST WILLOWBROOK HOSPITAL 18220 TOMBALL PKY HOUSTON, TX 77070-4347 HARRIS 1/1/2016 23%

094119702 1629089966 METROPLEX ADVENTIST HOSPITAL INC-METROPLEX HOSPITAL 2201 SOUTH CLEAR CREEK RD KILLEEN, TX 76549-4110 BELL 11/1/2015 36%

149073203 1750392916 METROPLEX ADVENTIST HOSPITAL INC-ROLLINS BROOK COMMUNITY HOSPITAL 608 N KEY AVE LAMPASAS, TX 76550-1106 LAMPASAS 1/1/2016 49%

294295501 1831158328 MID JEFFERSON EXTEND CARE HOSPITAL LLC- 2600 HIGHWAY 365 NEDERLAND, TX 77627-6237 JEFFERSON 11/1/2011 67%

136143806 1255325817 MIDLAND MEMORIAL HOSPITAL 400 ROSALIND REDFERN GROVER PARKWAY MIDLAND, TX 79701-9980 MIDLAND 11/1/2015 41%

021189801 1023015120 MILLWOOD HOSPITAL 1011 NORTH COOPER STREET ARLINGTON, TX 76011-5517 TARRANT 9/1/2006 21%

112679902 1205833985 MISSION HOSPITAL INC-MISSION REGIONAL MEDICAL CENTER 900 SOUTH BRYAN ROAD MISSION, TX 78572-6613 HIDALGO 11/1/2015 32%

136325111 1184631673 MITCHELL COUNTY HOSPITAL DISTRICT-MITCHELL COUNTY HOSPITAL 997 W INTERSTATE 20 COLORADO CITY, TX 79512 MITCHELL 11/1/2015 97%

094129602 1700991700 MOORE COUNTY HOSPITAL-MEMORIAL HOSPITAL 224 E 2ND ST DUMAS, TX 79029-3808 MOORE 7/1/2015 66%

141858401 1952306672 MOTHER FRANCES HOSPITAL JACKSONVILLE 2026 S JACKSON ST JACKSONVILLE, TX 75766-5822 CHEROKEE 8/1/2015 21%

094108002 1679578439 MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER-MOTHER FRANCES HOSPITAL 800 E DAWSON ST TYLER, TX 75701-2036 SMITH 7/1/2015 18%

127301306 1659308948 MOTHER FRANCES HOSPITAL WINNSBORO 719 W COKE RD WINNSBORO, TX 75494-3011 WOOD 8/1/2015 31%

094159302 1386647717 MSH PARTNERS LLC-BAYLOR MEDICAL CENTER AT UPTOWN 2727 E LEMMON AVE DALLAS, TX 75204-2833 DALLAS 1/1/2016 47%

120745806 1699770149 MUENSTER HOSPITAL DISTRICT-MUENSTER MEMORIAL HOSPITAL 605 N MAPLE ST MUENSTER, TX 76252-2425 COOKE 7/1/2015 100%

130605205 1700885076 NACOGDOCHES MEDICAL CENTER 4920 NE STALLINGS DR NACOGDOCHES, TX 75965-1254 NACOGDOCHES 1/1/2016 16%

112701102 1144274226 NAVARRO REGIONAL HOSPITAL 3201 W STATE HIGHWAY 22 CORSICANA, TX 75110-2450 NAVARRO 4/1/2016 24%

147227601 1760482939 NEURO INSTITUTE OF AUSTIN LP-TEXAS NEUROREHAB CENTER 1106 W DITTMAR RD AUSTIN, TX 78745-6328 TRAVIS 9/1/2006 44%

147227603 1760482939 NEURO INSTITUTE OF AUSTIN LP-TEXAS NEUROREHAB CENTER 1106 W DITTMAR RD AUSTIN, TX 78745-6328 TRAVIS 1/1/2016 42%

291429301 1801191853 NEW BRAUNFELS REG REHAB HOSP INC- 2041 SUNDANCE PKWY NEW BRAUNFELS, TX 78130-2779 COMAL 8/26/2011 50%

331172201 1023451077 NEW LIFECARE HOSPITALS OF NORTH TEXAS LLC- 1950 RECORD CROSSING RD DALLAS, TX 75235-6223 DALLAS 5/31/2013 39%

330847001 1679916530 NEW LIFECARE HOSPITALS OF SOUTH TEXAS LLC- 2001 S M ST MCALLEN, TX 78503-1551 HIDALGO 5/31/2013 50%

112718503 1477583334 NEW MEDICAL HORIZONS II LTD-CYPRESS FAIRBANKS MED CTR 10655 STEEPLETOP DR HOUSTON, TX 77065-4222 HARRIS 1/1/2016 22%


TPIProvider


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Date

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(April)

329623801 1942643804 NEW SAN ANTONIO SPECIALTY HOSPITAL LLC-LIFE CARE HOSPITALS OF SAN ANTONIO 8902 FLOYD CURL DR SAN ANTONIO, TX 78240-1681 BEXAR 5/31/2013 50%

133252005 1093786204 NHCI OF HILLSBORO INC-HILL REGIONAL HOSPITAL 101 CIRCLE DR HILLSBORO, TX 76645-0000 HILL 4/1/2015 46%

331941001 1427390574 NIX COMMUNITY GENERAL HOSPITAL LLC-NIX GENERAL HOSPITAL 230 W MILLER ST DILLEY, TX 78017-3818 FRIO 8/8/2013 50%

297342201 1801168190 NIX HOSPITALS SYSTEM LLC- 414 NAVARRO ST STE 600 SAN ANTONIO, TX 78205-2541 BEXAR 1/1/2016 21%

127310404 1689655912 NOCONA GENERAL HOSPITAL 100 PARK RD NOCONA, TX 76255-3616 MONTAGUE 1/1/2016 53%

121845505 1245315647 NORTH BAY GENERAL HOSPITAL INC 1711 W WHEELER AVE ARANSAS PASS, TX 78336-4536 SAN PATRICIO 1/1/2016 27%

185964702 1548236524 NORTH CENTRAL SURGICAL CENTER LLP 9301 N CENTRAL EXPY STE 100 DALLAS, TX 75231-0802 DALLAS 9/1/2009 50%

189049301 1285681064 NORTH CYPRESS MEDICAL CENTER OPERATION COMPANY LTD-NORTH CYPRESS MEDICAL CENTER 21214 NORTHWEST FREEWAY CYPRESS, TX 77429-3373 HARRIS 1/1/2016 17%

198369403 1245402866 NORTH QUAKER HOSPITAL LP-TRUSTPOINT HOSPITAL 4302 PRINCETON ST LUBBOCK, TX 79415-1304 LUBBOCK 1/1/2016 41%

020989201 1205837770 NORTH RUNNELS COUNTY HOSPITAL DISTRICT- 7821 STATE HIGHWAY 153 WINTERS, TX 79567-7345 RUNNELS 4/1/2015 100%

350857401 1871911016 NORTH TEXAS - MCA, LLC-MEDICAL CENTER OF ALLIANCE 3101 N TARRANT PKWY FORT WORTH, TX 76177-8601 TARRANT 3/15/2015 50%

021196301 1245344472 NORTH TEXAS STATE HOSPITAL VERNON-NORTH TEXAS STATE HOSPITAL 4730 COLLEGE DR VERNON, TX 76384 WILBARGER 5/1/2006 84%

021195501 1477669208 NORTH TEXAS STATE HOSPITAL WICHITA FALLS-NORTH TEXAS STATE HOSPITAL 6515 KEMP BLVD WICHITA FALLS, TX 76308 WICHITA 5/1/2006 77%

137245009 1467442418 NORTHWEST TEXAS HEALTH CARE SYSTEM INC-NORTHWEST TEXAS HOSPITAL 1501 S COULTER ST AMARILLO, TX 79106-1770 POTTER 1/1/2016 20%

094211203 1003842212 NORTHWEST TEXAS SURGICAL CNT 3501 SONCY RD STE 118 AMARILLO, TX 79119-6407 RANDALL 12/1/2014 27%

127303903 1700883196 OAK BEND MEDICAL CENTER-OAKBEND MEDICAL CENTER 1705 JACKSON ST RICHMOND, TX 77469-3246 FORT BEND 1/1/2016 35%

333366801 1750620456 OCEANS BEHAVIORAL HOSPITAL OF ABILENE LLC- 6401 DIRECTORS PKWY ABILENE, TX 79606-5869 TAYLOR 11/7/2013 80%

341027602 1689004939 OCEANS BEHAVORIAL HOSPITAL OF LUFKIN LLC 302 GOBBLERS KNOB RD LUFKIN, TX 75904-5419 ANGELINA 3/19/2014 50%

112704504 1245237593 OCHILTREE GENERAL HOSPITAL 3101 GARRETT DR PERRYTON, TX 79070-5323 OCHILTREE 11/1/2015 100%

112711003 1801852736 ODESSA REGIONAL HOSPITAL LP-ODESSA REGIONAL MEDICAL CENTER 520 E 6TH ST ODESSA, TX 79760-4527 ECTOR 10/1/2015 21%

281929401 1669796777 OGLETHORPE OF LONGVIEW LLC- 22 BERMUDA LN LONGVIEW, TX 75605-2902 GREGG 5/11/2011 80%

158914501 1295890093 ORTHOPEDIC AND SPINE SURGICAL HOSPITAL OF S TX LP-SOUTH TEXAS SPINE AND SURGICAL HOSPITAL LP 18600 N HARDY OAK BLVD SAN ANTONIO, TX 78258-4206 BEXAR 11/1/2012 25%

020977701 1134166192 ORTHOPEDIC HOSPITAL LTD-TEXAS ORTHOPEDIC HOSPITAL 7401 S MAIN ST HOUSTON, TX 77030-4509 HARRIS 1/1/2016 14%

094357302 1053319798 OUR CHILDREN'S HOUSE AT BAYLOR-OUR CHILDRENS HOUSE AT BAYLOR 3301 SWISS AVE DALLAS, TX 75204-6224 DALLAS 1/1/2016 52%

021223501 1588661060 PADRE BEHAVIORAL HOSPITAL 6629 WOOLDRIDGE RD CORPUS CHRISTI, TX 78414-2909 NUECES 9/1/2006 45%

152686501 1780786699 PALACIOS COMMUNITY MEDICAL CENTER 311 GREEN AVE PALACIOS, TX 77465-3213 MATAGORDA 12/1/2014 100%

188654101 1750307377 PALADIN CMHC LLC 7901 CAMERON RD BLDG 2 STE 100 AUSTIN, TX 78754-3802 TRAVIS 8/6/2007 80%

121816602 1164510673 PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP-PALESTINE REGIONAL MEDICAL CENTER 2900 S LOOP 256 PALESTINE, TX 75801-6958 ANDERSON 3/1/2016 20%

094111402 1326113762 PALESTINE PRINCIPAL-MEMORIAL MOTHER FRANCES HOSP 4000 S LOOP 256 PALESTINE, TX 75801-8467 ANDERSON 12/1/2004 42%

159165301 1326113762 PALESTINE REGIONAL REHABILITATION HOSPITAL 2900 TX-256 LOOP PALESTINE, TX 75801-6958 ANDERSON 11/1/2011 63%

138950412 1972590602 PALO PINTO GENERAL HOSPITAL 400 SW 25TH AVE MINERAL WELLS, TX 76067-8246 PALO PINTO 10/1/2015 84%

308032701 1386902138 PAMPA REGIONAL MEDICAL CENTER- 1 MEDICAL PLAZA PAMPA, TX 79065-2819 GRAY 12/1/2014 47%

346300201 1467853051 PAM SQUARED AT CORPUS CHRISTI LLC-POST ACUTE MEDICAL SPECIALTY HOSPITAL OF CORPUS 600 ELIZABETH ST FL 3 CORPUS CHRISTI, TX 78404 NUECES 11/3/2014 47%

346138602 1225439821 PAM SQUARED AT TEXARKANA, LLC- 2400 SAINT MICHAEL DR FL 2 TEXARKANA, TX 75503 BOWIE 11/3/2014 34%

163111101 1063411767 PARIS REGIONAL MEDICAL CENTER 820 CLARKSVILLE ST PARIS, TX 75460-6027 LAMAR 9/1/2015 36%

165552401 1710986385 PARIS REGIONAL MEDICAL CENTER REHAB UNIT 820 CLARKSVILLE ST PARIS, TX 75461-6027 LAMAR 9/1/2004 50%

127295703 1932123247 PARKLAND MEMORIAL HOSPITAL 5200 HARRY HINES BLVD DALLAS, TX 75235-7709 DALLAS 11/1/2015 33%

121811703 1780615880 PARK PLAZA HOSPITAL 1313 HERMANN DRIVE HOUSTON, TX 77004-7005 HARRIS 1/1/2016 16%

121787905 1396748471 PARKVIEW HOSPITAL 901 SWEETWATER WHEELER, TX 79096-1030 WHEELER 1/1/2011 100%

111915801 1497708929 PARKVIEW REGIONAL HOSPITAL 600 SOUTH BONHAM STREET MEXIA, TX 76667-3603 LIMESTONE 4/1/2015 36%

137343308 1861475626 PARMER COUNTY COMMUNITY HOSPITAL 1307 CLEVELAND AVE FRIONA, TX 79035-1121 PARMER 10/1/2012 100%

130616905 1760598692 PECOS COUNTY MEMORIAL HOSP 387 WEST I-10 FORT STOCKTON, TX 79735-2700 PECOS 1/1/2016 58%

174662001 1316933609 PHYSICIANS MEDICAL CENTER LLC-TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY PL6020 WEST PARKER ROAD PLANO, TX 75093-8171 COLLIN 12/1/2013 40%

165305701 1912948845 PHYSICIANS SURGICAL HOSPITALS LLC-QUAIL CREEK SURGICAL HOSPITAL 6819 PLUM CREEK DR AMARILLO, TX 79124-1602 POTTER 1/1/2015 42%

343467201 1659374585 PINE CREEK MEDICAL CENTER, LLC- 9032 HARRY HINES BLVD DALLAS, TX 75235-1720 DALLAS 9/1/2012 50%

136142011 1033118716 PLAINS MEMORIAL HOSPITAL 310 WEST HALSELL DIMMITT, TX 79027-1846 CASTRO 3/1/2016 100%

021024701 1265431308 PLANO SPECIALTY HOSPITAL 1621 COIT RD PLANO, TX 75075-6141 COLLIN 2/1/2015 42%

353871201 1689068355 PLANO SPECIALTY HOSPITAL OPERATOR LLC-PLANO SPECIALTY HOSPITAL 1621 COIT RD PLANO, TX 75075 COLLIN 4/1/2015 42%

352444901 1851785521 PLUM CREEK SPECIALTY HOSPITAL OPERATOR LLC-PLUM CREEK SPECIALTY HOSPITAL 5601 PLUM CREEK DR AMARILLO, TX 79124 POTTER 4/1/2015 56%

199191101 1114962842 POST ACUTE MEDICAL AT LULING LLC-WARM SPRINGS SPECIALTY HOSPITAL OF LULING LLC 200 MEMORIAL DR LULING, TX 78648-3213 CALDWELL 12/1/2006 67%

199478201 1376588228 POST ACUTE MEDICAL AT SAN ANTONIO LLC-WARM SPRINGS REHABILITATION HOSPITAL OF SAN ANTONI5101 MEDICAL DR SAN ANTONIO, TX 78229-4801 BEXAR 6/1/2015 32%

199183801 1659316115 POST ACUTE MEDICAL AT VICTORIA LLC-WARM SPRINGS SPECIALTY HOSPITAL OF VICTORIA LLC 102 MEDICAL DR VICTORIA, TX 77904-3101 VICTORIA 8/1/2007 68%


TPIProvider


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Date

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Rate

(April)

317151401 1689795098 POST ACUTE MEDICAL OF NEW BRAUNFELS LLC-WARM SPRINGS SPECIALTY HOSPITAL OF NEW BRAUNFELS 1445 HANZ DR NEW BRAUNFELS, TX 78130-2567 COMAL 9/1/2012 50%

329971101 1366874620 POST ACUTE SPECIALTY HOSPITAL OF CORPUS CHRISTI LL- 6226 SARATOGA BLVD CORPUS CHRISTI, TX 78414-3421 NUECES 9/1/2013 25%

331384301 1417389784 POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC DBA-POST ACUTE SPECIALTY HOSPITAL OF VICTORIA 506 E SAN ANTONIO ST FL 3 VICTORIA, TX 77901-6060 VICTORIA 9/25/2013 50%

316360201 1407121189 PREFERRED HOSPITAL LEASING COLEMAN INC- 310 S PECOS ST COLEMAN, TX 76834-4159 COLEMAN 10/1/2015 68%

179272301 1295764553 PREFERRED HOSPITAL LEASING ELDORADO INC-SCHLEICHER COUNTY MEDICAL CENTER 102 N US HIGHWAY 277 ELDORADO, TX 76936-4010 SCHLEICHER 12/1/2014 100%

126840107 1477594299 PREFERRED HOSPITAL LEASING INC-COLLINGSWORTH GENERAL HOSPITAL 1013 15TH ST WELLINGTON, TX 79095 COLLINGSWORTH 10/1/2015 100%

206083201 1164688495 PREFERRED HOSPITAL LEASING JUNCTION INC-KIMBLE HOSPITAL 349 REID RD JUNCTION, TX 76849-3049 KIMBLE 4/1/2016 100%

350190001 1619368339 PREFERRED HOSPITAL LEASING MULESHOE INC-MULESHOE AREA MEDICAL CENTER 708 S 1ST ST MULESHOE, TX 79347-3627 BAILEY 10/1/2015 83%

176354201 1013970862 PREFERRED HOSPITAL LEASING VAN HORN INC-CULBERSON HOSPITAL EISENHOWER AND FM 2185 VAN HORN, TX 79855-0609 CULBERSON 3/1/2013 100%

121822403 1700805678 PRHC ENNIS LP-ENNIS REGIONAL MEDICAL CENTER 2201 WEST LAMPASAS STREET ENNIS, TX 75119-0000 ELLIS 5/1/2015 24%

354018901 1790174860 PRIME HEALTHCARE SERVICES MESQUITE LLC-DALLAS REGIONAL MEDICAL CENTER 1011 N GALLOWAY AVE MESQUITE, TX 75149 DALLAS 1/1/2016 12%

315452801 1356615595 PRISTINE HEALTHCARE, LLC-PRISTINE HOSPITAL OF PASADENA 1004 SEYMOUR ST PASADENA, TX 77506-2637 HARRIS 12/11/2012 50%

340716501 1902237431 PROMISE HOSPITAL OF DALLAS INC- 7955 HARRY HINES BLVD BLD DALLAS, TX 75235-3305 DALLAS 3/18/2014 52%

338789601 1720419260 PROMISE HOSPITAL OF HOUSTON INC- 6160 SOUTH LOOP E HOUSTON, TX 77087-1010 HARRIS 6/1/2014 100%

339884401 1346671849 PROMISE HOSPITAL OF WICHITA FALLS INC- 1103 GRACE ST WICHITA FALLS, TX 76301-4414 WICHITA 3/17/2014 80%

111829102 1093708679 PROVIDENCE HEALTH SERVICES OF WACO-PROVIDENCE HEALTHCARE NETWORK 6901 MEDICAL PKWY WACO, TX 76712-7910 MCLENNAN 8/1/2015 34%

130601104 1700801909 PROVIDENCE MEMORIAL HOSPITAL 2001 NORTH OREGON EL PASO, TX 79902-3320 EL PASO 4/1/2016 15%

121799406 1295739258 RANKIN COUNTY HOSPITAL DISTRICT 1105 ELIZABETH ST RANKIN, TX 79778-0000 UPTON 12/1/2013 100%

121806703 1881697316 REAGAN MEMORIAL HOSPITAL 805 N MAIN AVE BIG LAKE, TX 76932-3938 REAGAN 3/1/2012 100%

203656801 1578685277 RECOVERY BEHAVIORAL HEALTH OF SAN ANTONIO LLC 10515 GULFDALE ST STE 111 SAN ANTONIO, TX 78216-3668 BEXAR 8/19/2008 80%

112684904 1831170273 REEVES COUNTY HOSPITAL DISTRICT 2323 TEXAS ST PECOS, TX 79772-7338 REEVES 1/1/2016 86%

020991801 1942240189 REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT 107 SWIFT STREET REFUGIO, TX 78377-2425 REFUGIO 1/1/2015 100%

191816101 1205884491 REGENCY HOSPITAL OF FORT WORTH LLLP 6801 OAKMONT BLVD FORT WORTH, TX 76132-3918 TARRANT 7/23/2007 50%

190146401 1659373470 REGENCY HOSPITAL OF ODESSA LLLP-REGENCY HOSPITAL OF ODESSA 500 WEST 4TH STREET 6TH FLOOR WEST ODESSA, TX 79761-5001 ECTOR 11/1/2010 39%

188186401 1023062957 REHABCARE GROUP OF AMARILLO-KINDRED REHABILITATION HOSPITAL AMARILLO 7200 SW 9TH AVE AMARILLO, TX 79106-1703 POTTER 12/13/2006 50%

179884501 1518905025 REHABCARE GROUP OF ARLINGTON LP-KINDRED REHABILITATION HOSPITAL ARLINGTON 2601 WEST RANDOL MILL ROAD STE 101 ARLINGTON, TX 76012-4216 TARRANT 2/24/2006 50%

212203801 1770740359 REHABILIATION INSTITUTE OF DENTON LLC-SELELCT REHABILITATIOIN HOSPITAL OF DENTON 2620 SCRIPTURE ST DENTON, TX 76201-4315 DENTON 4/3/2009 50%

218868201 1922321447 REHABILITATION HOSPITAL OF MESQUITE LLC-MESQUITE REHABILITATION INSTITUTE 1023 N BELT LINE RD MESQUITE, TX 75149-1788 DALLAS 11/3/2010 50%

313188001 1659539567 RELIANT REHABILITATION HOSPITAL ABILENE 6401 DIRECTORS PKWY ABILENE, TX 79606-5869 TAYLOR 10/30/2009 50%

199238001 1720279342 RELIANT REHABILITATION HOSPITAL NORTH TEXAS LP 3351 WATERVIEW PKWY RICHARDSON, TX 77080-1449 HARRIS 2/1/2016 56%

315341301 1376829812 RELIANT REHABILITATION HOSPITAL NORTHWEST HOUSTON 20180 CHASEWOOD PARK DR HOUSTON, TX 77070-1436 HARRIS 5/14/2012 50%

343723801 1427472463 RESOLUTE HOSPITAL COMPANY LLC- 555 CREEKSIDE XING NEW BRAUNFELS, TX 78130-2594 COMAL 8/29/2014 50%

021170801 1891727475 RHSC EL PASO INC RIO VISTA 1740 CURIE DRIVE EL PASO, TX 79902-2901 EL PASO 6/1/2010 62%

201439101 1124279658 RH TERRELL MANAGEMENT LLC-RENAISSANCE HOSPITAL TERRELL 1551 STATE HIGHWAY 34 S TERRELL, TX 75160-4833 KAUFMAN 12/1/2012 31%

021219301 1821161167 RIO GRANDE STATE CENTER-RIO GRANDE STATE CENTER 1401 S RANGERVILLE RD HARLINGEN, TX 78551 CAMERON 10/1/2006 100%

112745802 1518937218 RIVER CREST HOSPITAL 1636 HUNTERS GLEN RD SAN ANGELO, TX 76901-5016 TOM GREEN 2/1/2006 25%

212468702 1417199225 RIVERVIEW BEHAVIORAL HEALTH LLC-VISTA HEALTH TEXARKANA 701 ARKANSAS BLVD TEXARKANA, AR 71854-2105 OUTOFSTATE 7/8/2010 80%

183086102 1306933692 ROCKDALE BLACKHAWK LLC-LITTLE RIVER HEALTHCARE 1700 BRAZOS AVE ROCKDALE, TX 76567-2517 MILAM 2/1/2016 88%

339869503 1184056954 ROCK SPRINGS, LLC- 700 SE INNER LOOP GEORGETOWN, TX 78626-7700 WILLIAMSON 6/25/2014 50%

193399601 1629138029 ROCKWALL REGIONAL HOSPITAL LLC-TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL 3150 HORIZON RD ROCKWALL, TX 75032-7805 ROCKWALL 1/1/2016 42%

133244705 1275581852 ROLLING PLAINS MEMORIAL HOSPITAL 200 E ARIZONA SWEETWATER, TX 79556-7120 NOLAN 12/1/2015 96%

301932503 1427278837 ROSEWOOD RANCH LP- 36075 S RINCON RD WICKENBURG, AZ 85390-2491 OUTOFSTATE 1/22/2012 50%

020957901 1649223645 ROUND ROCK HOSPITAL-ROUND ROCK MEDICAL CENTER 2400 ROUND ROCK AVE ROUND ROCK, TX 78681-4004 WILLIAMSON 2/1/2016 24%

127267603 1942294939 SAINT JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN, TX 77802-3867 BRAZOS 1/1/2015 25%

112693002 1194776104 SAN ANGELO COMMUNITY MEDICAL CENTER 3501 KNICKERBOCKER RD SAN ANGELO, TX 76904-7610 TOM GREEN 9/1/2015 23%

349059101 1871917971 SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL, LLC- 8550 HUEBNER RD SAN ANTONIO, TX 78240 BEXAR 1/22/2015 50%

137962006 1891789772 SAN JACINTO METHODIST HOSPITAL-SAN JACINTO METHODIST HOSP 4401 GARTH RD BAYTOWN, TX 77521-2122 HARRIS 1/1/2016 27%

354215101 1720411713 SAS HEALTHCARE INC-SUNDANCE HOSPITAL DALLAS 2696 W WALNUT ST GARLAND, TX 75042 DALLAS 1/8/2015 80%

330147501 1053652438 SBH EL PASO LLC-PEAK BEHAVIORAL SERVICES LLC 5055 MCNUTT RD SANTA TERESA, NM 88008-9442 OUTOFSTATE 5/20/2013 80%

094212002 1538117452 SCA HOUSTON HOSPITAL FOR SPECIALIZED SURGERY LP-HOUSTON HOSPITAL FOR SPECIALIZED SURGERY 5445 LA BRANCH ST HOUSTON, TX 77004-6835 HARRIS 12/1/2005 100%

021010602 1942286414 SCCI HOSPITAL HOUSTON-TRIUMPH HOSPITAL CENTRAL HOUSTON 105 DREW ST HOUSTON, TX 77006-1527 HARRIS 4/1/2013 24%

144752601 1881670339 SCCI HOSPITAL SAN ANGELO-TRIUMPH HOSPITAL SAN ANGELO 206 E. HARRIS SAN ANGELO, TX 76903-5904 TOM GREEN 9/1/2011 36%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

143840002 1336125806 SCCI HOSPITALS OF AMERICA INC-TRIUMPH HOSPITAL VICTORIA 506 E SAN ANTONIO 3RD FLOOR VICTORIA, TX 77903-6060 VICTORIA 1/1/2011 22%

131043506 1831160423 SCENIC MOUNTAIN MEDICAL CENTER 1601 W 11TH PL BIG SPRING, TX 79720-4114 HOWARD 2/1/2016 28%

135226205 1154315307 SCOTT AND WHITE HOSPITAL BRENHAM-BAYLOR SCOTT AND WHITE MEDICAL CENTER BRENHAM 700 MEDICAL PKWY BRENHAM, TX 77833-5413 WASHINGTON 1/1/2016 50%

326725404 1265772362 SCOTT AND WHITE HOSPITAL COLLEGE STATION-BAYLOR SCOTT & WHITE MEDICAL CENTER COLLEGE STATIO700 SCOTT AND WHITE BLVD COLLEGE STATION, TX 77840-5600 BRAZOS 6/1/2015 49%

220798701 1326349986 SCOTT AND WHITE HOSPITAL - LLANO-BAYLOR SCOTT AND WHITE MEDICAL CENTER - LLANO 200 W OLLIE ST LLANO, TX 78643-2628 LLANO 11/1/2015 100%

190123303 1265568638 SCOTT AND WHITE HOSPITAL ROUND ROCK-BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK 300 UNIVERSITY BLVD ROUND ROCK, TX 78665-1032 WILLIAMSON 10/4/2007 49%

136327710 1962497800 SCOTT AND WHITE HOSPITAL TAYLOR-BAYLOR SCOTT AND WHITE MEDICAL CENTER TAYLOR 305 MALLARD LN TAYLOR, TX 76574-1208 WILLIAMSON 4/1/2016 44%

137249208 1477516466 SCOTT AND WHITE MEMORIAL HOSPITAL 2401 S 31ST ST TEMPLE, TX 76508-0001 BELL 12/1/2015 34%

353712801 1396138970 SCOTT & WHITE HOSPITAL-MARBLE FALLS-BAYLOR SCOTT & WHITE MEDICAL CENTER-MARBLE FALLS 810 W HIGHWAY 71 MARBLE FALLS, TX 78654-8602 BURNET 9/17/2015 50%

136330112 1578588463 SCURRY COUNTY HOSPITAL DISTRICT-D.M. COGDELL MEMORIAL HOSPITAL 1700 COGDELL BLVD SNYDER, TX 79549-6162 SCURRY 2/1/2014 71%

021021301 1982603874 SELECT MEDICAL CORPORATION-SELECT SPECIALTY HOSPITAL HOUSTON 2130 W HOLCOMBE BLVD HOUSTON, TX 77030-3306 HARRIS 8/1/2013 36%

194036301 1063411239 SELECT SPECIALTY HOSPITAL DALLAS INC-DALLAS SPECIALTY HOSPITAL DALLAS INC 2329 PARKER RD CARROLLTON, TX 75010-4713 DENTON 9/1/2004 50%

197824901 1861492670 SELECT SPECIALTY HOSPITAL LONGVIEW INC-SELECT SPECIALTY HOSPITAL LONGVIEW 700 E MARSHALL AVE LONGVIEW, TX 75601-5580 GREGG 1/1/2004 50%

201782401 1902806540 SELECT SPECIALTY HOSPITAL MIDLAND INC 4214 ANDREWS HIGHWAY 3RD FLOOR STE 32MIDLAND, TX 79703-4811 MIDLAND 9/1/2007 50%

196690501 1063412666 SELECT SPECIALTY HOSPITAL - SAN ANTONIO-SELECT SPECIALTY HOSPITAL SAN ANTONIO INC 111 DALLAS ST FL 4 SAN ANTONIO, TX 78205-1201 BEXAR 9/1/2004 50%

200157001 1518967074 SELECT SPECIALTY HOSPITAL- SOUTH DALLAS- 800 KIRNWOOD DR DESOTO, TX 75115-2000 DALLAS 9/1/2006 50%

094153604 1356446686 SETON FAMILY OF HOSPITALS-SETON EDGAR B DAVIS HOSPITAL 130 HAYS STREET LULING, TX 78648-2707 CALDWELL 7/1/2015 42%

094151004 1003833013 SETON FAMILY OF HOSPITALS-SETON HIGHLAND LAKES 3201 S WATER ST BURNET, TX 78611-4510 BURNET 7/1/2015 30%

135225404 1164526786 SETON FAMILY OF HOSPITALS-SETON MEDICAL CENTER AUSTIN 1201 W 38TH ST AUSTIN, TX 78705-1006 TRAVIS 7/1/2015 21%

208013701 1619115383 SETON FAMILY OF HOSPITALS-SETON MEDICAL CENTER HAYS 6001 KYLE PKWY KYLE, TX 78640-6112 HAYS 7/1/2015 23%

194106401 1578780870 SETON FAMILY OF HOSPITALS-SETON MEDICAL CENTER WILLIAMSON 201 SETON PKWY ROUND ROCK, TX 78665-8000 WILLIAMSON 7/1/2015 26%

158980601 1124137054 SETON FAMILY OF HOSPITALS-SETON NORTHWEST HOSPITAL 11113 RESEARCH BLVD AUSTIN, TX 78759-5297 TRAVIS 7/1/2015 28%

286326801 1154612638 SETON FAMILY OF HOSPITALS-SETON SMITHVILLE REGIONAL HOSPITAL 800 HIGHWAY 71 E SMITHVILLE, TX 78957-1730 BASTROP 7/1/2015 84%

158977201 1750499273 SETON FAMILY OF HOSPITALS-SETON SOUTHWEST HOSPITAL 7900 FM 1826 AUSTIN, TX 78737-1407 HAYS 7/1/2015 46%

137265806 1093810327 SETON FAMILY OF HOSPITALS-UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE 601 E. 15TH ST AUSTIN, TX 78701-1930 TRAVIS 7/1/2015 31%

186599001 1447355771 SETON HEALTHCARE-DELL CHILDRENS MEDICAL CENTER OF CENTRAL TEXAS 4900 MUELLER BLVD AUSTIN, TX 78723-3079 TRAVIS 7/1/2015 24%

121193005 1538150370 SHAMROCK GENERAL HOSPITAL 1000 S MAIN ST SHAMROCK, TX 79079-2820 WHEELER 10/1/2014 100%

137226005 1992707228 SHANNON MEDICAL CENTER 120 E HARRIS AVE SAN ANGELO, TX 76903-5904 TOM GREEN 2/1/2016 35%

175965601 1861598633 SHC KPH LP-KINGWOOD PINES HOSPITAL 2001 LADBROOK, DR KINGWOOD, TX 77339-0000 HARRIS 10/1/2006 38%

190132401 1063600724 SHELBY HOSPITAL LLC-SHELBY REGIONAL MEDICAL CENTER 602 HURST ST CENTER, TX 75935-3414 SHELBY 6/1/2013 28%

220351501 1013957836 SHERMAN GRAYSON HOSPITAL LLC-WILSON N JONES REGIONAL MEMORIAL CENTER 500 N HIGHLAND AVE SHERMAN, TX 75092-7354 GRAYSON 2/1/2016 30%

298213401 1518000306 SHRINERS HOSPITAL FOR CHILDREN- 6977 MAIN ST HOUSTON, TX 77030-3701 HARRIS 1/1/2016 71%

293388901 1669513941 SHRINERS HOSPITALS FOR CHILDREN- 815 MARKET ST GALVESTON, TX 77550-2725 GALVESTON 1/1/2016 78%

127294003 1790782704 SID PETERSON MEMORIAL HOSPITAL-PETERSON REGIONAL MEDICAL CENTER 551 HILL COUNTRY DR KERRVILLE, TX 78028-6085 KERR 7/1/2015 51%

133245406 1215969787 SIERRA MEDICAL CENTER 1625 MEDICAL CENTER DR EL PASO, TX 79902-5005 EL PASO 4/1/2016 14%

353939702 1124136593 SINGING RIVER HEALTH SYSTEM-SINGING RIVER HOSPITAL 2809 DENNY AVE PASCAGOULA, MS 39581-5301 OUTOFSTATE 2/28/2015 50%

181706601 1154361475 SJ MEDICAL CENTER LLC-ST JOSEPH MEDICAL CENTER 1401 ST JOSEPH PKWY HOUSTON, TX 77002-8301 HARRIS 1/1/2016 17%

182967301 1124073150 SOLARA BEHAVORIAL HEALTH SAN ANTONIO LLP- 1975 BABCOCK RD SAN ANTONIO, TX 78229-4511 BEXAR 9/29/2006 80%

209075501 1821044850 SOLARA HOSPITAL CONROE LP-CHG CORNERSTONE-CONROE 1500 GRAND LAKE DR CONROE, TX 77304-2891 MONTGOMERY 9/1/2010 35%

190895601 1598710592 SOLARA HOSPITAL HARLINGEN 508 VICTORIA LN HARLINGEN, TX 78550-3225 CAMERON 1/4/2007 50%

179881101 1568417392 SOLARA HOSPITAL MCALLEN- 301 W EXPRESSWAY 8TH FLOOR MCALLEN, TX 78503-3045 HIDALGO 5/1/2011 23%

216719901 1700826575 SOMERVELL COUNTY HOSPITAL DISTRICT-GLEN ROSE MEDICAL CENTER 1021 HOLDEN ST GLEN ROSE, TX 76043-4937 SOMERVELL 10/1/2015 59%

347670702 1326485749 SOUTHERN REGIONAL MEDICAL CORPORATION-LEONARD J. CHABERT MEDICAL CENTER 1978 INDUSTRIAL BLVD HOUMA, LA 70363-7055 OUTOFSTATE 5/30/2015 50%

171461001 1629064928 SOUTHLAKE SPECIALTY HOSPITAL LLC-TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE 1545 SOUTHLAKE BLVD SOUTHLAKE, TX 76092-6422 TARRANT 1/1/2016 80%

094113001 1770573586 SOUTH TEXAS HEALTH SYSTEM 1102 WEST TRENTON RD EDINBURG, TX 78539-9105 HIDALGO 2/1/2016 15%

121780403 1184695785 SOUTH TEXAS REGIONAL MEDICAL CENTER 1905 HIGHWAY 97 E JOURDANTON, TX 78026-1504 ATASCOSA 8/1/2015 37%

173995501 1093712697 SOUTH TEXAS REHABILITATION HOSPITAL LP- 425 EAST ALTON GLOOR BROWNSVILLE, TX 78526-3361 CAMERON 6/1/2014 60%

209759401 1184853020 SOUTHWEST CLINIC PA- SOUTHWEST CLINIC PA 2626 S LOOP W STE 118 HOUSTON, TX 77054-2679 HARRIS 8/1/2009 80%

136491104 1912906298 SOUTHWEST GENERAL HOSPITAL LP-SOUTHWEST GENERAL HOSPITAL 7400 BARLITE BLVD SAN ANTONIO, TX 78224-1308 BEXAR 10/1/2015 20%

199027701 1780635425 SPECTRUM CARE PA- 6100 RICHMOND AVE STE 120 HOUSTON, TX 77057-6219 HARRIS 12/8/2005 80%

352075101 1891193868 SRP OCEANS HOSPITAL OF KATY, LLC- 455 PARK GROVE LN KATY, TX 77450-1572 HARRIS 5/21/2015 50%

352273201 1376954263 SRP OCEANS HOSPITAL OF PLANO, LLC- 4301 MAPLESHADE PLANO, TX 75093 COLLIN 11/5/2014 50%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

126842708 1649224825 STAMFORD MEMORIAL HOSPITAL- 1601 COLUMBIA ST STAMFORD, TX 79553-6863 JONES 12/1/2014 84%

136332705 1760567085 STARR COUNTY MEMORIAL HOSPITAL 128 N FM 3167 RIO GRANDE CITY, TX 78582-6211 STARR 11/1/2015 100%

094160102 1720033947 ST DAVIDS COMMUNITY HOSPITAL-ST DAVIDS HOSPITAL 919 EAST 32ND ST AUSTIN, TX 78741-2703 TRAVIS 1/1/2015 25%

094216102 1629021845 ST DAVID'S HEALTHCARE PARTNERSHIP LP, LLP-NORTH AUSTIN MEDICAL CENTER 12221 N MO PAC EXPY AUSTIN, TX 78758-2401 TRAVIS 7/1/2015 19%

112717702 1679528889 ST DAVIDS HEALTHCARE PARTNERSHIP-SOUTH AUSTIN HOSPITAL 901 W. BEN WHITE BLVD AUSTIN, TX 78704-6903 TRAVIS 1/1/2016 20%

337991901 1285065623 STEPHENS MEMORIAL HOSPITAL- 200 S GENEVA ST BRECKENRIDGE, TX 76424-4702 STEPHENS 10/1/2015 100%

108895703 1992727663 ST LOUIS CHILDRENS HOSPITAL 1 CHILDRENS PL SAINT LOUIS, MO 63110-1002 OUTOFSTATE 4/24/2009 60%

298019501 1659559573 ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION-SUGAR-ST. LUKE'S SUGAR LAND HOSPITAL 1317 LAKE POINTE PKWY SUGAR LAND, TX 77478-3997 FORT BEND 7/1/2015 33%

160630301 1942208616 ST LUKES COMMUNITY HEALTH SERVICES-ST LUKES THE WOODLANDS HOSPITAL 17200 ST LUKE'S WAY THE WOODLANDS, TX 77384-8007 MONTGOMERY 7/1/2015 27%

339153401 1710314141 ST LUKES HOSPITAL AT THE VINTAGE- 20171 CHASEWOOD PARK DR HOUSTON, TX 77070-1437 HARRIS 1/1/2015 50%

210274101 1184868879 ST LUKES LAKESIDE HOSPITAL LLC-ST LUKES LAKESIDE HOSPITAL 17400 ST LUKES WAY THE WOODLANDS, TX 77384-8036 MONTGOMERY 1/1/2013 44%

281219001 1407990088 ST LUKES PATIENTS MEDICAL CENTER- 4600 E SAM HOUSTON PKWY S PASADENA, TX 77505-3948 HARRIS 7/1/2015 27%

176692501 1659362630 ST MARKS MEDICAL CENTER ONE ST MARK'S PLACE LA GRANGE, TX 78945-0000 FAYETTE 1/1/2016 70%

020992601 1083612121 STONEWALL MEMORIAL HOSPITAL DISTRICT-STONEWALL MEMORIAL HOSPITAL 821 N BROADWAY ASPERMONT, TX 79502-9023 STONEWALL 2/1/2016 100%

338014903 1568885549 STRATEGIC BH-ROCK PRAIRIE BEHAVIORAL HEALTH 3550 NOMAND DR COLLEGE STATION, TX 77845-6399 BRAZOS 6/10/2014 50%

335255101 1164665899 SUGAR LAND 24 HOUR HOSPITAL, LLC-EMERUS EMERGENCY HOSPITAL SUGAR LAND 16000 SOUTHWEST FWY STE 100 SUGAR LAND, TX 77479-2674 FORT BEND 1/1/2016 87%

283761901 1578878245 SUNDANCE HOSPITAL- 7000 US 287 HWY ARLINGTON, TX 76001-2805 TARRANT 7/23/2011 80%

020988401 1023011657 SWEENY COMMUNITY HOSPITAL 305 N MCKINNEY SWEENY, TX 77480-2801 BRAZORIA 10/1/2015 100%

316076401 1518253194 SWISHER MEMORIAL HEALTHCARE SYSTEM-SWISHER MEMORIAL HOSPITAL 539 SE 2ND ST TULIA, TX 79088-2400 SWISHER 1/1/2016 100%

126675104 1992753222 TARRANT COUNTY HOSPITAL DISTRICT-JPS HEALTH NETWORK 1500 S MAIN ST FORT WORTH, TX 76104-4917 TARRANT 11/1/2015 33%

196829901 1972709970 TENET HOSPITALS LIMITED-SIERRA PROVIDENCE EAST MEDICAL CENTER 3280 JOE BATTLE BLVD EL PASO, TX 79938-2622 EL PASO 1/1/2016 15%

130618504 1811916901 TERRY MEMORIAL HOSPITAL DISTRICT-BROWNFIELD REGIONAL MEDICAL CENTER 705 E FELT BROWNFIELD, TX 79316-3439 TERRY 10/1/2015 85%

133257904 1841354677 TEXAS CENTER FOR INFECTIOUS 2303 SE MILITARY DR SAN ANTONIO, TX 78223-3542 BEXAR 9/1/2014 22%

139135109 1477643690 TEXAS CHILDRENS HOSPITAL 6621 FANNIN ST HOUSTON, TX 77030-2358 HARRIS 10/1/2015 34%

318137201 1245523372 TEXAS GENERAL HOSPITAL- 2709 HOSPITAL BLVD GRAND PRAIRIE, TX 75051-1017 DALLAS 2/1/2016 15%

130614405 1174533343 TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL- 800 WEST RANDOL MILL ROAD ARLINGTON, TX 76012-2504 TARRANT 1/1/2016 34%

316296801 1215296884 TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE- 10864 TEXAS HEALTH TRL FORT WORTH, TX 76244-4897 TARRANT 7/1/2015 48%

127304703 1508899204 TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE- 108 DENVER TRAIL AZLE, TX 76020-3614 TARRANT 11/1/2015 35%

131036903 1396778064 TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE- 201 WALLS DR CLEBURNE, TX 76031-4007 JOHNSON 11/1/2015 34%

112677302 1336172105 TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH- 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104-2122 TARRANT 11/1/2015 31%

136326908 1104845015 TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST EULES- 1600 HOSPITAL PARKWAY BEDFORD, TX 76022-6913 TARRANT 11/1/2015 40%

120726804 1417980202 TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F- 6100 HARRIS PKWY FORT WORTH, TX 76132-4101 TARRANT 12/1/2015 32%

121794503 1922031541 TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL- 411 N BELKNAP STEPHENVILLE, TX 76401-3415 ERATH 11/1/2015 43%

314080801 1033120423 TEXAS HEALTH HUGULEY HOSPITAL-TEXAS HEALTH HUGLEY FORT WORTH SOUTH 11801 SOUTH FWY BURLESON, TX 76028-7021 JOHNSON 4/1/2016 24%

020982701 1548291883 TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN- 1105 CENTRAL EXPY N STE 140 ALLEN, TX 75013-6102 COLLIN 2/1/2016 67%

020967801 1003883158 TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON- 3000 I 35 NORTH DENTON, TX 76201-5119 DENTON 4/1/2015 35%

094140302 1457382798 TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN- 850 ED HALL DR KAUFMAN, TX 75142-1861 KAUFMAN 2/1/2016 46%

094207002 1770514077 TEXAS HEALTH PRESBYTERIAN HOSPTAL PLANO- 6200 W PARKER RD PLANO, TX 75093-8185 COLLIN 2/1/2016 37%

094205401 1730278417 TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH- 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104-2122 TARRANT 9/1/2006 30%

185556101 1962504340 TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP-THE HEART HOSPITAL BAYLOR PLANO 1100 ALLIED DRIVE PLANO, TX 75093-5348 COLLIN 1/1/2016 33%

173574801 1245201656 TEXAS INSTITUTE FOR SURGERY LLP-TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBY7115 GREENVILLE AVENUE STE 100 DALLAS, TX 75231-3623 DALLAS 5/1/2012 100%

333086201 1578809505 TEXAS OAKS PSYCHIATRIC HOSPITAL LP-AUSTIN OAKS HOSPITAL 1407 W STASSNEY LN AUSTIN, TX 78745-2947 TRAVIS 9/12/2013 50%

020908201 1396779948 TEXAS PRESBYTERIAN HOSPITAL OF DALLAS 8200 WALNUT HILL LN DALLAS, TX 75231-4426 DALLAS 2/1/2016 32%

209719801 1255579389 TEXAS REGIONAL MEDICAL CENTER LTD-TEXAS REGIONAL MEDICAL CENTER AT SUNNYVALE 231 S COLLINS RD SUNNYVALE, TX 75182-4624 DALLAS 1/1/2016 32%

315440301 1760628184 TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN- 2222 WELBORN ST DALLAS, TX 75219-3924 DALLAS 11/1/2015 66%

164932901 1477640662 TEXAS SPECIALTY HOSPITAL AT WICHITA FALLS 1103 GRACE STREET WICHITA FALLS, TX 76301-4414 WICHITA 9/1/2006 80%

165656301 1578650768 TEXAS SPECIALTY HOSPITAL OF LUBBOCK-LLANO SPECIALTY HOSPITAL 1409 9TH STREET LUBBOCK, TX 79401-2601 LUBBOCK 9/1/2006 50%

162459501 1942292255 TEXAS SPINE AND JOINT HOSPITAL LTD 1814 ROSELAND BLVD TYLER, TX 75701-4262 SMITH 1/1/2015 26%

021017101 1043389034 THC HOUSTON INC-KINDRED HOSPITAL HOUSTON NORTHWEST 11297 FALLBROOK DR HOUSTON, TX 77065-4230 HARRIS 8/1/2008 20%

178795401 1043328198 THE HOSPITAL AT WESTLAKE MEDICAL CENTER 5656 BEE CAVES RD STE M302 WEST LAKE HILLS, TX 78746-5814 TRAVIS 12/1/2014 52%

127296503 1851347835 THE MEDICAL CENTER OF MESQUITE 1011 N GALLOWAY AVE MESQUITE, TX 75149-2433 DALLAS 11/1/2010 18%

163925401 1861467573 THE MEDICAL CENTER OF SOUTHEAST TEXAS LP- 2555 JIMMY JOHNSON BLVD PORT ARTHUR, TX 77640-2007 JEFFERSON 1/1/2016 20%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

137949705 1548387418 THE METHODIST HOSPITAL 6565 FANNIN HOUSTON, TX 77030-2703 HARRIS 1/1/2016 23%

072362902 1356307581 THE NEBRASKA HEALTH SYSTEM-NEBRASKA MEDICAL CENTER 600 S 42ND ST OMAHA, NE 68198-7250 OUTOFSTATE 1/1/2008 60%

330388501 1194753590 THHBP MANAGEMENT COMPANY LLC-THE HEART HOSPITAL BAYLOR DENTON 2801 S MAYHILL RD DENTON, TX 76208-5910 DENTON 5/31/2013 45%

088189803 1356418974 THROCKMORTON COUNTY MEMORIAL HOSPITAL- 802 N MINTER AVE THROCKMORTON, TX 76483-5357 THROCKMORTON 1/1/2016 100%

138913209 1174526529 TITUS COUNTY MEM HOSP DIST-TITUS REGIONAL MEDICAL CENTER 2001 N JEFFERSON MT PLEASANT, TX 75455-2341 TITUS 10/1/2015 65%

138913215 1942373782 TITUS COUNTY MEM HOSP DIST-TITUS REGIONAL MEDICAL CENTER REHABILITATION UNIT 2001 N JEFFERSON AVE MT PLEASANT, TX 75455-2371 TITUS 6/1/2009 48%

288051001 1407097231 TM VAN ZANDT HOSPITAL LLC-COZBY GERMANY HOSPITAL 707 N WALDRIP ST GRAND SALINE, TX 75140-1555 VAN ZANDT 11/1/2013 32%

340639901 1144651514 TOMBALL EXPRESS MEDICAL CENTER, LLC-EMERUS COMMUNITY HOSPITAL 24429 STATE HIGHWAY 249 TOMBALL, TX 77375-7877 HARRIS 7/18/2014 50%

288523801 1306126974 TOMBALL REGIONAL MEDICAL CENTER- 605 HOLDERRIETH BLVD TOMBALL, TX 77375-6445 HARRIS 10/1/2015 25%

094208802 1144203662 TOPS SURGICAL SPECIALTY HOSP-TOPS SURGICAL SPECIALTY 17080 RED OAK DR HOUSTON, TX 77090-2602 HARRIS 12/1/2013 38%

021011401 1659440634 TRANSITIONAL HOSPITALS CORP-KINDRED HOSPITAL- TARRANT COUNTY 1000 N COOPER ST ARLINGTON, TX 76011-5540 TARRANT 6/1/2008 43%

184505902 1316911068 TRINITY MOTHER FRANCES REHABILITATION HOSPITAL 3131 TROUP HIGHWAY TYLER, TX 75701-8350 SMITH 9/1/2004 50%

149047601 1609876309 TRIUMPH HOSPITAL OF EAST HOUSTON LP-KINDRED HOSPITAL CLEAR LAKE 350 BLOSSOM ST WEBSTER, TX 77598-4206 HARRIS 11/1/2011 24%

094354003 1285626028 TRIUMPH HOSPITAL OF NORTH HOUSTON LP-KINDRED HOSPITAL TOMBALL 505 GRAHAM DR TOMBALL, TX 77375-3368 HARRIS 11/1/2011 39%

157708201 1689861593 TRIUMPH NORTHWEST LP-TRIUMPH HOSPITAL NORTHWEST 7407 NORTH FWY HOUSTON, TX 77076-1314 HARRIS 12/1/2010 100%

322878502 1417225434 TRIUMPH REHABILIATION HOSPITAL OF NORTHEAST HOUSTO-KINDRED REHABILITATION HOSPITAL NORTHEAST HOUSTON 18839 MCKAY DR HUMBLE, TX 77338-5721 HARRIS 9/1/2013 50%

157203401 1720088412 TRIUMPH SOUTHWEST LP-KINDRED HOSPITAL SUGAR LAND 1550 FIRST COLONY BLVD SUGAR LAND, TX 77479-4000 FORT BEND 9/1/2011 18%

172620001 1982609558 TROPHY CLUB MEDICAL CENTER LP 2850 E STATE HWY 114 TROPHY CLUB, TX 76262-1168 DENTON 1/1/2016 100%

178396101 1174524466 TYLER CONTINUE CARE HOSPITAL AT MOTHER FRANCES-TYLER CONTINUE CARE HOSPITAL AT MOTHER FRANCES HOS800 EAST DAWSON 4TH FLOOR TYLER, TX 75701-2036 SMITH 9/1/2011 10%

136381405 1447259627 TYLER COUNTY HOSPITAL 1100 W BLUFF ST WOODVILLE, TX 75979-4738 TYLER 7/1/2015 64%

194997601 1851390967 UHS OF TEXOMA INC-TEXOMA MEDICAL CENTER 5016 S US HIGHWAY 75 DENISON, TX 75020-4584 GRAYSON 1/1/2016 35%

135237906 1023013448 UNITED REGIONAL HEALTHCARE 1600 11TH STREET WICHITA FALLS, TX 76301-4388 WICHITA 1/1/2016 31%

191968002 1386779304 UNIVERSITY BEHAVIORAL HEALTH OF EL PASO LLC 1900 DENVER AVE EL PASO, TX 79902-3008 EL PASO 3/5/2008 80%

192673501 1821045592 UNIVERSITY GENERAL HOSPITAL 7501 FANNIN HOUSTON, TX 77054-1938 HARRIS 3/1/2014 32%

137999206 1821087164 UNIVERSITY MEDICAL CENTER 602 INDIANA AVE LUBBOCK, TX 79415-3364 LUBBOCK 1/1/2016 27%

021187203 1578547667 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUST-HARRIS COUNTY PSYCHIATRIC CENTER 2800 S MACGREGOR WAY HOUSTON, TX 77021-1032 HARRIS 8/4/2013 50%

127278304 1417941295 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-UT HEALTH CENTER-TYLER 11937 US HIGHWAY 271 TYLER, TX 75708-3154 SMITH 9/1/2015 35%

175287501 1285798918 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT-UNIVERSITY OF TEXAS SOUTHWESTERN UNIVERSITY HOSPTI6201 HARRY HINES DALLAS, TX 75390-0001 DALLAS 10/1/2015 38%

175289101 1417010653 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT-UTSOUTHWESTERN UNIVERSITY HOSPITAL ZALE LIPSHY 5151 HARRY HINES BLVD DALLAS, TX 75235-9000 DALLAS 10/1/2015 32%

162965101 1659352987 USMD HOSPITAL AT ARLINGTON LP 801 WEST I-20 ARLINGTON, TX 76017-5851 TARRANT 1/1/2016 28%

198248001 1568656502 USMD HOSPITAL AT FORT WORTH LP 5900 DIRKS RD FORT WORTH, TX 76132-5473 TARRANT 1/1/2016 25%

121782006 1740288505 UVALDE COUNTY HOSPITAL AUTHORITY-UVALDE MEMORIAL HOSPITAL 1025 GARNER FIELD RD UVALDE, TX 78801-4809 UVALDE 4/1/2015 65%

119877204 1104830900 VAL VERDE REGIONAL MEDICAL CENTER 801 N BEDELL AVE DEL RIO, TX 78840-4112 VAL VERDE 8/1/2015 49%

294543801 1184911877 VHS BROWNSVILLE HOSPITAL COMPANY LLC-VALLEY BAPTIST MEDICAL CENTER BROWNSVILLE 1040 W JEFFERSON ST BROWNSVILLE, TX 78520-6338 CAMERON 5/1/2015 15%

292096901 1154618742 VHS HARLINGEN HOSPITAL COMPANY LLC- 2101 PEASE ST HARLINGEN, TX 78550-8307 CAMERON 9/1/2015 21%

292096904 1568759991 VHS HARLINGEN HOSPITAL COMPANY LLC-VALLEY BAPTIST MEDICAL CENTER HARLINGEN 2101 PEASE ST HARLINGEN, TX 78550-8307 CAMERON 9/1/2013 22%

159156201 1598744856 VHS SAN ANTONIO PARTNERS LLC-BAPTIST HEALTH SYSTEM 111 DALLAS ST SAN ANTONIO, TX 78205-1201 BEXAR 7/1/2015 17%

159156204 1124007240 VHS SAN ANTONIO PARTNERS LLC-VHS SAN ANTONIO PARTNERS LP 111 DALLAS STREET SAN ANTONIO, TX 78205-1201 BEXAR 2/1/2011 24%

334801301 1063844306 VIBRA HOSPITAL OF AMARILLO LLC DBA VIBRA HOSPITAL-VIBRA HOSPITAL OF AMARILLO 7501 WALLACE BLVD AMARILLO, TX 79124-2150 POTTER 9/1/2013 24%

334224803 1750713012 VIBRA REHABILITATION HOSPITAL OF AMARILLO LLC-VIBRA REHABILITATION HOSPITAL OF AMARILLO 7200 SW 9TH AVE AMARILLO, TX 79106-1703 POTTER 9/1/2013 50%

197976701 1477507432 VIBRA SPECIALTY HOSPITAL OF DALLAS LLC- 2700 WALKER WAY DESOTO, TX 75115-2088 DALLAS 8/1/2007 50%

020981901 1891718789 VISTA COMMUNITY MEDICAL CENTER HOSPITAL LLP-SURGERY SPECIALTY HOSPITAL OF AMERICA SE HOUSTON 4301 VISTA RD PASADENA, TX 77504-2117 HARRIS 5/1/2011 41%

189791001 1144225699 WALKER COUNTY HOSPITAL CORPORATION-HUNTSVILLE MEMORIAL HOSPITAL 110 MEMORIAL HOSPITAL DR HUNTSVILLE, TX 77342-4001 WALKER 7/1/2015 32%

341048201 1083056790 WALNUT HILL PHYSICIANS HOSPITAL LLC-WALNUT HILL MEDICAL CENTER 7502 GREENVILLE AVE DALLAS, TX 75231-3802 DALLAS 3/1/2016 73%

136331910 1720096019 WARD MEMORIAL HOSPITAL 406 S GARY MONAHANS, TX 79756-4799 WARD 1/1/2016 100%

347731701 1861818809 WARM SPRINGS REHABILITATION HOSPITAL OF KYLE LLC- 5980 KYLE PKWY KYLE, TX 78640-2400 HAYS 9/8/2014 50%

350452401 1073952339 WARM SPRINGS REHABILITATION HOSPITAL OF VICTORIA L- 101 JAMES COLEMAN DR VICTORIA, TX 77904-3147 VICTORIA 2/26/2015 50%

326690001 1629037163 WARM SPRINGS SPECIALTY HOSPITAL OF SAN ANTONIO 7400 BARLITE BLVD FL 2ND SAN ANTONIO, TX 78224-1308 BEXAR 9/1/2013 50%

184409401 1982781852 WEATHERFORD REGIONAL MEDICAL CENTER 713 E ANDERSON STREET WEATHERFORD, TX 76086-5705 PARKER 1/1/2016 28%

350453201 1538551791 WESLACO REGIONAL REHABILITATION HOSPITAL, LLC- 906 JAMES ST WESLACO, TX 78596-9840 HIDALGO 4/1/2012 68%

218857501 1689869216 WESTBURY COMMUNITY HOSPITAL LLC 5556 GASMER DR HOUSTON, TX 77035-4502 HARRIS 3/1/2015 71%

121829902 1598764359 WEST OAK HOSPITAL INC 6500 HORNWOOD DR HOUSTON, TX 77074-5008 HARRIS 10/1/2006 40%


TPIProvider


Rate

Effective

Date

Inpatient

Rate

(April)

344854001 1215354899 WESTPARK SPRINGS LLC- 6902 S PEEK RD RICHMOND, TX 77407-1741 FORT BEND 12/19/2014 50%

112707808 1316931835 WILBARGER COUNTY HOSPITAL DISTRICT-WILBARGER GENERAL HOSPITAL 920 HILLCREST DRIVE VERNON, TX 76384-3132 WILBARGER 10/1/2015 73%

135151206 1871599829 WILSON COUNTY MEMORIAL HOSPITAL DISTRICT-CONNALLY MEMORIAL MEDICAL CENTER 499 10TH STREET FLORESVILLE, TX 78114-3175 WILSON 11/1/2015 53%

094204701 1730183658 WINKLER COUNTY MEMORIAL HOSP 821 JEFFEE DR KERMIT, TX 79745-4610 WINKLER 12/1/2014 100%


inpatient ratio of cost to charges effective 4/1/2016 · 2016-05-18 · tpi provider npi provider...

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