Texas / CHI St Lukes Health Memorial Livingston
CMS certification 450395 · Livingston, TX · 4 entries in CMS's price-transparency list
CHI St Lukes Health Memorial Livingston: charges and Medicare payments
CHI St Lukes Health Memorial Livingston reported 92 Medicare inpatient stays across 4 DRGs in 2024. Across them it charged 3.61 times what it was paid. Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 38 stays at an average charge of $50,997, 10% below the national average. It also billed 191 outpatient services, charging 11.19 times what Medicare paid.
- 1Medicare inpatient stays 92
- 2Charge ÷ paid, inpatient 3.61×
- 3Rank in TX (highest ratio = 1) –
- 4CMS price-transparency actions 4
Inpatient stays
For the 4 DRGs that can be compared with the national average, CHI St Lukes Health Memorial Livingston 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 38 | $50,997 | -10% | $14,736 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 20 | $71,604 | -21% | $19,007 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $62,978 | -11% | $17,263 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $55,629 | -7% | $15,108 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 35 | $125,362 | $12,723 |
| Level 4 Musculoskeletal Procedures | 34 | $75,051 | $6,938 |
| Comprehensive Observation Services | 26 | $35,475 | $2,718 |
| Level 4 Airway Endoscopy | 21 | $20,330 | $3,719 |
| Level 1 Nerve Procedures | 20 | $15,252 | $1,917 |
| Level 3 Vascular Procedures | 19 | $32,618 | $3,166 |
| Level 3 Musculoskeletal Procedures | 14 | $25,929 | $3,214 |
| Level 2 Musculoskeletal Procedures | 11 | $15,668 | $1,480 |
| Level 6 Musculoskeletal Procedures | 11 | $136,916 | $18,465 |
Against the Texas average
For Heart Failure and Shock with MCC (DRG 291), CHI St Lukes Health Memorial Livingston charged $50,997 on average, 25% less than the Texas average of $67,944, and was paid $14,736 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI St Lukes Health Memorial Livingston charged $71,604 on average, 36% less than the Texas average of $111,133, and was paid $19,007 against a state average of $16,694. For Respiratory Infections and Inflammations with MCC (DRG 177), CHI St Lukes Health Memorial Livingston charged $62,978 on average, 23% less than the Texas average of $81,715, and was paid $17,263 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHI St Lukes Health Memorial Livingston charged $55,629 on average, 25% less than the Texas average of $73,756, and was paid $15,108 against a state average of $11,597. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $125,362 was 27% above the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $75,051 was 28% above the state average of $58,833. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,475 was 27% above the state average of $27,955. For Level 4 Airway Endoscopy (outpatient APC 5154), its average charge of $20,330 was 35% below the state average of $31,323.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI St Lukes Health Memorial Livingston in Livingston, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 150)
- CAP Request — 2021-10-27 (CMS case 150)
- Closure Notice — 2022-03-07 (CMS case 150)
- Met Requirements — 2025-05-29 (CMS case 4762)
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.