Texas / Carrollton Regional Medical Center
CMS certification 450730 · Carrollton, TX · 3 entries in CMS's price-transparency list
Carrollton Regional Medical Center: charges and Medicare payments
Carrollton Regional Medical Center reported 212 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.66 times what it was paid — among the lower ratios in Texas, number 159 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: 41 stays at an average charge of $50,373, 44% below the national average. It also billed 219 outpatient services, charging 6.8 times what Medicare paid.
- 1Medicare inpatient stays 212
- 2Charge ÷ paid, inpatient 3.66×
- 3Rank in TX (highest ratio = 1) 159 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 12 DRGs that can be compared with the national average, Carrollton Regional Medical Center charged more than the national average in 0 (0%). 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 | 41 | $50,373 | -44% | $13,726 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $42,697 | -29% | $9,214 |
| 291 Heart Failure and Shock with MCC | 23 | $26,554 | -53% | $8,827 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $37,995 | -46% | $10,842 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $25,676 | -50% | $8,070 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $25,403 | -33% | $6,241 |
| 467 Revision of Hip or Knee Replacement with CC | 13 | $86,466 | -45% | $22,885 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $23,963 | -35% | $6,698 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $49,257 | -35% | $11,129 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $58,273 | -37% | $13,064 |
| 603 Cellulitis without MCC | 11 | $22,771 | -39% | $6,350 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $22,324 | -71% | $12,122 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 69 | $17,705 | $2,436 |
| Level 5 Musculoskeletal Procedures | 33 | $49,056 | $11,509 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 26 | $10,687 | $1,454 |
| Level 3 Musculoskeletal Procedures | 24 | $19,974 | $2,902 |
| Level 4 Urology and Related Services | 24 | $21,505 | $2,954 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $17,828 | $2,554 |
| Level 5 Urology and Related Services | 14 | $22,593 | $4,655 |
| Level 4 Musculoskeletal Procedures | 13 | $29,372 | $6,399 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carrollton Regional Medical Center charged $50,373 on average, 55% less than the Texas average of $111,133, and was paid $13,726 against a state average of $16,694. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Carrollton Regional Medical Center charged $42,697 on average, 42% less than the Texas average of $73,756, and was paid $9,214 against a state average of $11,597. For Heart Failure and Shock with MCC (DRG 291), Carrollton Regional Medical Center charged $26,554 on average, 61% less than the Texas average of $67,944, and was paid $8,827 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Carrollton Regional Medical Center charged $37,995 on average, 54% less than the Texas average of $81,715, and was paid $10,842 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,705 was 37% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,056 was 50% below the state average of $98,771. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,687 was 24% below the state average of $14,089. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $19,974 was 35% below the state average of $30,502.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Carrollton Regional Medical Center in Carrollton, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-05 (CMS case 6627)
- CAP Request — 2026-04-08 (CMS case 6627)
- Closure Notice — 2026-05-27 (CMS case 6627)
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.