Texas / Adventhealth Central Texas
CMS certification 450152 · Killeen, TX · 2 entries in CMS's price-transparency list
Adventhealth Central Texas: charges and Medicare payments
Adventhealth Central Texas reported 867 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 3.67 times what it was paid — among the lower ratios in Texas, number 158 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 131 stays at an average charge of $55,047, 39% below the national average. It also billed 695 outpatient services, charging 9.64 times what Medicare paid.
- 1Medicare inpatient stays 867
- 2Charge ÷ paid, inpatient 3.67×
- 3Rank in TX (highest ratio = 1) 158 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 31 DRGs that can be compared with the national average, Adventhealth Central Texas charged more than the national average in 1 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 131 | $55,047 | -39% | $14,792 |
| 291 Heart Failure and Shock with MCC | 109 | $35,845 | -36% | $10,465 |
| 193 Simple Pneumonia and Pleurisy with MCC | 70 | $38,511 | -36% | $10,636 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $27,153 | -55% | $10,748 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 34 | $30,814 | -39% | $8,647 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $45,607 | -40% | $11,935 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $32,851 | -36% | $9,656 |
| 885 Psychoses | 29 | $28,664 | -35% | $11,342 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $46,738 | -34% | $13,007 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $34,067 | -30% | $8,588 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $34,503 | -14% | $7,232 |
| 682 Renal Failure with MCC | 22 | $39,248 | -40% | $12,314 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $39,300 | -29% | $8,514 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $30,708 | -47% | $10,329 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $29,716 | -18% | $6,813 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $41,716 | -43% | $11,753 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 19 | $39,765 | -21% | $8,021 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $53,018 | -38% | $14,108 |
| 683 Renal Failure with CC | 19 | $26,917 | -34% | $7,937 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $27,160 | -28% | $7,239 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $32,456 | -12% | $7,185 |
| 603 Cellulitis without MCC | 15 | $23,299 | -38% | $7,874 |
| 637 Diabetes with MCC | 13 | $34,688 | -48% | $11,474 |
| 811 Red Blood Cell Disorders with MCC | 13 | $48,325 | -29% | $11,976 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $59,431 | -40% | $15,020 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $24,114 | -37% | $7,304 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $56,664 | 0% | $11,990 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $104,841 | +4% | $15,591 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $33,814 | -31% | $9,937 |
| 069 Transient Ischemia without Thrombolytic | 11 | $37,075 | -27% | $7,514 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 11 | $46,218 | -38% | $12,127 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 104 | $21,262 | $2,479 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 88 | $10,672 | $1,468 |
| Level 5 Musculoskeletal Procedures | 76 | $89,648 | $11,995 |
| Level 3 Vascular Procedures | 64 | $16,993 | $2,837 |
| Level 1 Endovascular Procedures | 63 | $25,744 | $2,927 |
| Level 3 Musculoskeletal Procedures | 51 | $29,890 | $2,918 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 26 | $14,016 | $2,593 |
| Level 2 Musculoskeletal Procedures | 24 | $17,391 | $1,467 |
| Level 2 Vascular Procedures | 24 | $9,311 | $1,462 |
| Level 1 Laparoscopy and Related Services | 24 | $35,380 | $4,947 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 21 | $24,632 | $3,158 |
| Level 4 Musculoskeletal Procedures | 20 | $55,748 | $6,529 |
| Level 4 Gynecologic Procedures | 18 | $28,916 | $2,853 |
| Level 1 Nerve Procedures | 18 | $17,791 | $1,762 |
| Level 2 Upper GI Procedures | 17 | $13,423 | $1,737 |
| Level 3 Endovascular Procedures | 16 | $69,288 | $10,032 |
| Level 3 Urology and Related Services | 15 | $15,131 | $1,611 |
| Level 3 Airway Endoscopy | 13 | $14,079 | $1,549 |
| Level 2 Endovascular Procedures | 13 | $41,084 | $5,216 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Central Texas charged $55,047 on average, 50% less than the Texas average of $111,133, and was paid $14,792 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Central Texas charged $35,845 on average, 47% less than the Texas average of $67,944, and was paid $10,465 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth Central Texas charged $38,511 on average, 48% less than the Texas average of $73,756, and was paid $10,636 against a state average of $11,597. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Adventhealth Central Texas charged $27,153 on average, 60% less than the Texas average of $68,203, and was paid $10,748 against a state average of $12,119. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,262 was 24% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,672 was 24% below the state average of $14,089. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $89,648 was 9% below the state average of $98,771. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $16,993 was 40% below the state average of $28,214.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Central Texas in Killeen, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-07 (CMS case 1102)
- Met Requirements — 2025-07-16 (CMS case 5804)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.