Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

Community Hospital Corporation

Lung screening gap across 37 counties in Colorado, Idaho, Kentucky, New Mexico, North Carolina and Texas

370,000to710,000adults in its service area qualify for lung cancer screening and are not being screened

About 5,100 people here are diagnosed with lung cancer each year, and 66% are found at a late stage, when it is hardest to treat.

Explore the screening network
TXLAAROK
37 counties11 acute care hospitalsService areaShowing the Texas region; all regions are mapped below.
420,000 to 810,000adults likely qualify under USPSTF 2021 criteria (estimate)
3,100lung cancer deaths a year in these counties, 2020 to 2024
12.8%of eligible adults screened in these states, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of Community Hospital Corporation's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Texas: Harris area

North Carolina

Texas: Ector area

Colorado

Texas: Taylor area

Kentucky

Plus 2 smaller areas listed in the table.

Adults likely eligible, per county

0+1,300+1,800+2,700+4,600+6,600+18,100+

Acute care hospital in this system

Counties in the service area

CountyStateAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Harris CountyTexas169,600 to 333,40023.52,976
Dallas CountyTexas88,000 to 187,00026.52,029
Mecklenburg CountyNorth Carolina35,600 to 79,30025.42,487
Denton CountyTexas29,100 to 59,40023.769
Jefferson CountyTexas12,500 to 19,50033.1280
Smith CountyTexas10,700 to 18,10030.71,272
Ector CountyTexas5,800 to 11,30037.0None billed locally
Grayson CountyTexas7,400 to 10,90041.0325
Taylor CountyTexas5,300 to 9,60030.5None billed locally
Henderson CountyTexas5,400 to 7,80049.9None billed locally
Orange CountyTexas4,300 to 6,60042.9None billed locally
Liberty CountyTexas5,400 to 6,40043.719
Harrison CountyTexas3,600 to 5,40037.1None billed locally
Hopkins CountyKentucky3,500 to 5,20052.066
Nacogdoches CountyTexas2,800 to 4,70034.474
Hardin CountyTexas3,000 to 4,60041.1None billed locally
Montrose CountyColorado2,300 to 4,10025.359
Cooke CountyTexas2,200 to 3,60038.3None billed locally
Delta CountyColorado1,900 to 3,10025.1None billed locally
Jasper CountyTexas2,300 to 3,10043.7None billed locally
Chambers CountyTexas2,100 to 3,00034.7None billed locally
Fayette CountyTexas1,300 to 2,70031.0None billed locally
Montezuma CountyColorado1,500 to 2,40023.5None billed locally
Shelby CountyTexas1,500 to 2,10049.7None billed locally
Tyler CountyTexas1,500 to 1,90048.0None billed locally
DeWitt CountyTexas1,100 to 1,90030.5None billed locally
Montague CountyTexas1,300 to 1,80040.3None billed locally
Lavaca CountyTexas1,100 to 1,80035.0None billed locally
Otero CountyColorado960 to 1,70028.7None billed locally
Freestone CountyTexas1,200 to 1,70044.4None billed locally
Madison CountyIdaho580 to 1,300—None billed locally
Newton CountyTexas1,100 to 1,30046.9None billed locally
Sabine CountyTexas770 to 1,10040.3None billed locally
Fremont CountyIdaho590 to 99023.1None billed locally
San Augustine CountyTexas720 to 86052.6None billed locally
Union CountyNew Mexico220 to 420—None billed locally
Dolores CountyColorado150 to 220—None billed locally

26 of the 37 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 12.8% to the national rate of 18.2%, about 22,800 to 44,000 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 66% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

5,100new lung cancers
3,400found at a late stage
3,100lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at Community Hospital Corporation today

Clinicians at Community Hospital Corporation locations billed 128 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 290 to 920 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 291 primary care clinicians, 4 pulmonologists and 2 thoracic surgeons practicing at Community Hospital Corporation locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to Community Hospital Corporation by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (56%, CMS) and, at the high end, by the share of eligible adults under 65 (68%).

11 acute care hospitals

  • Baptist Beaumont HospitalBeaumont, TX
  • Nacogdoches Memorial HospitalNacogdoches, TX
  • Madison Memorial HospitalRexburg, ID
  • Montrose Memorial HospitalMontrose, CO
  • Freestone Medical CenterFairfield, TX
  • North Texas Medical CenterGainesville, TX
  • Union County Gen. HospitalClayton, NM
  • Yoakum Community HospitalYoakum, TX
  • Southwest Memorial HospitalCortez, CO
  • Arkansas Valley Regl Med CtrLa Junta, CO
  • St. Mark's Medical CenterLa Grange, TX

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of Community Hospital Corporation patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See Community Hospital Corporation's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.

Request a private screening review