Rural hospitals in Texas

149 listed hospitals. Critical access, rural emergency, and rural PPS — together in one place.

CMS snapshot: Q2 2026. Not a live status check.

Texas

Three types. One directory.

Critical access (CAH)

Small hospitals with inpatient beds and 24/7 emergency care. Medicare pays based on care costs.

Rural emergency (REH)

Emergency and outpatient care, without regular inpatient stays. Medicare uses a separate REH payment model.

Rural PPS

Rural hospitals in Medicare’s inpatient payment system. Medicare pays a set rate for each type of stay.

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149 hospitals in Texas

Rural hospital listings from CMS
Hospital	Type	State	Beds*
Advanced Dallas Hospitals And Clinics Dallas, TX 75231 CMS ID 670321	Rural PPS	TX	100
Adventhealth Rollins Brook Lampasas, TX 76550 CMS ID 451323	CAH	TX	25
Anson General Hospital Anson, TX 79501 CMS ID 670781	REH	TX	—
Ascension Seton Edgar B Davis Luling, TX 78648 CMS ID 451371	CAH	TX	24
Ascension Seton Highland Lakes Burnet, TX 78611 CMS ID 451365	CAH	TX	25
Ascension Seton Smithville Smithville, TX 78957 CMS ID 671304	CAH	TX	8
Ballinger Memorial Hospital Ballinger, TX 76821 CMS ID 451310	CAH	TX	25
Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX 78654 CMS ID 670108	Rural PPS	TX	46
Baylor Scott & White Medical Center -Taylor Taylor, TX 76574 CMS ID 451374	CAH	TX	25
Bayside Community Hospital Anahuac, TX 77514 CMS ID 451320	CAH	TX	14
Big Bend Regional Medical Center Alpine, TX 79830 CMS ID 451378	CAH	TX	25
Brownfield Regional Medical Center Brownfield, TX 79316 CMS ID 450399	Rural PPS	TX	48
Burleson St Joseph Health Center Caldwell, TX 77836 CMS ID 451305	CAH	TX	25
Chi St Lukes Health Memorial Livingston Livingston, TX 77351 CMS ID 450395	Rural PPS	TX	66
Chi St Lukes Health Memorial Lufkin Lufkin, TX 75901 CMS ID 450211	Rural PPS	TX	279
Chi St Lukes Health Memorial San Augustine San Augustine, TX 75972 CMS ID 670783	REH	TX	—
Childress Regional Medical Center Childress, TX 79201 CMS ID 450369	Rural PPS	TX	39
Christus Jasper Memorial Hospital Jasper, TX 75951 CMS ID 450573	Rural PPS	TX	59
Christus Mother Frances Hospital Sulphur Springs Sulphur Springs, TX 75482 CMS ID 450236	Rural PPS	TX	96
Christus Mother Frances Hospital- Jacksonville Jacksonville, TX 75766 CMS ID 451319	CAH	TX	25
Christus Mother Frances Hospital- Winnsboro Winnsboro, TX 75494 CMS ID 451381	CAH	TX	35
Christus Spohn Hospital Alice Alice, TX 78332 CMS ID 450828	Rural PPS	TX	135
Christus Spohn Hospital Beeville Beeville, TX 78102 CMS ID 450082	Rural PPS	TX	69
Christus Spohn Hospital Kleberg Kingsville, TX 78363 CMS ID 450163	Rural PPS	TX	96
Clay County Memorial Hospital Henrietta, TX 76365 CMS ID 451362	CAH	TX	25
Cochran Memorial Hospital Morton, TX 79346 CMS ID 451366	CAH	TX	18
Cogdell Memorial Hospital Snyder, TX 79549 CMS ID 451384	CAH	TX	25
Coleman County Medical Center Company Coleman, TX 76834 CMS ID 451347	CAH	TX	25
Collingsworth General Hospital Wellington, TX 79095 CMS ID 451355	CAH	TX	16
Columbus Community Hospital Columbus, TX 78934 CMS ID 450370	Rural PPS	TX	40
Comanche County Medical Center Comanche, TX 76442 CMS ID 451382	CAH	TX	38
Concho County Hospital Eden, TX 76837 CMS ID 451325	CAH	TX	16
Coon Memorial Hospital Dalhart, TX 79022 CMS ID 451331	CAH	TX	25
Coryell Memorial Hospital Gatesville, TX 76528 CMS ID 451379	CAH	TX	25
Covenant Hospital Levelland Levelland, TX 79336 CMS ID 450755	Rural PPS	TX	48
Covenant Hospital Plainview Plainview, TX 79072 CMS ID 450539	Rural PPS	TX	100
Crane County Hospital District Crane, TX 79731 CMS ID 451353	CAH	TX	25
Crockett Medical Center Crockett, TX 75835 CMS ID 451393	CAH	TX	25
Crosbyton Clinic Hospital Crosbyton, TX 79322 CMS ID 670779	REH	TX	—
Cuero Regional Hospital Cuero, TX 77954 CMS ID 450597	Rural PPS	TX	49
Culberson Hospital Van Horn, TX 79855 CMS ID 451338	CAH	TX	25
Dimmit Regional Hospital Carrizo Springs, TX 78834 CMS ID 451390	CAH	TX	25
Eastland Memorial Hospital Eastland, TX 76448 CMS ID 671303	CAH	TX	52
El Campo Memorial Hospital El Campo, TX 77437 CMS ID 450694	Rural PPS	TX	49
Electra Memorial Hospital Electra, TX 76360 CMS ID 451343	CAH	TX	25
Faith Community Hospital Jacksboro, TX 76458 CMS ID 450241	Rural PPS	TX	41
Falls Community Hospital And Clinic Marlin, TX 76661 CMS ID 670780	REH	TX	—
Fisher County Hospital District Rotan, TX 79546 CMS ID 451313	CAH	TX	14
Fort Duncan Medical Center Eagle Pass, TX 78852 CMS ID 450092	Rural PPS	TX	101
Freestone Medical Center Fairfield, TX 75840 CMS ID 450658	Rural PPS	TX	37

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*CMS reported total beds, not beds available today or the CAH acute-bed limit. REHs do not offer regular inpatient stays; their bed count is not shown.

About this list

CAH and REH labels come from CMS provider types. Rural PPS means an active short-term hospital marked rural in CMS POS, matched by CMS ID to the FY 2026 IPPS file. This does not include every hospital that may qualify for a rural program.

Some CAHs and REHs sit in metro counties and still hold their Medicare status. This list excludes urban PPS hospitals, unverified microhospitals, and standalone ERs without one of these CMS types.

Downloaded November 6, 2026. Different CMS files can have different counts and dates.

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