CHRISTUS Good Shepherd Medical Center: charges and Medicare payments

CHRISTUS Good Shepherd Medical Center reported 2,784 Medicare inpatient stays across 67 DRGs in 2024. Across them it charged 5.18 times what it was paid — mid-range in Texas, number 102 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: 531 stays at an average charge of $69,426, 23% below the national average. It also billed 4,101 outpatient services, charging 12.46 times what Medicare paid.

1Medicare inpatient stays 2,784
2Charge ÷ paid, inpatient 5.18×
3Rank in TX (highest ratio = 1) 102 of 190
4CMS price-transparency actions 0

Average charge per stay at CHRISTUS Good Shepherd Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 67 DRGs that can be compared with the national average, CHRISTUS Good Shepherd Medical Center charged more than the national average in 18 (27%). 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	531	$69,426	-23%	$15,843
291 Heart Failure and Shock with MCC	197	$45,005	-20%	$11,143
193 Simple Pneumonia and Pleurisy with MCC	148	$49,583	-17%	$11,585
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	113	$43,234	-12%	$9,563
189 Pulmonary Edema and Respiratory Failure	91	$49,047	-15%	$11,163
698 Other Kidney and Urinary Tract Diagnoses with MCC	80	$63,345	-14%	$13,593
853 Infectious and Parasitic Diseases with O.R. Procedures with...	77	$190,436	-17%	$32,748
683 Renal Failure with CC	69	$36,520	-10%	$8,726
689 Kidney and Urinary Tract Infections with MCC	68	$37,422	-27%	$10,164
177 Respiratory Infections and Inflammations with MCC	63	$51,617	-27%	$13,514
274 Percutaneous and Other Intracardiac Procedures without MCC	53	$200,146	+28%	$25,486
481 Hip and Femur Procedures except Major Joint with CC	53	$125,680	+25%	$17,095
690 Kidney and Urinary Tract Infections without MCC	53	$35,292	-7%	$7,939
682 Renal Failure with MCC	52	$44,818	-32%	$12,514
194 Simple Pneumonia and Pleurisy with CC	48	$38,781	+1%	$8,141
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$31,230	-16%	$7,977
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	45	$47,594	-15%	$9,606
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	45	$37,133	-8%	$8,055
312 Syncope and Collapse	44	$37,142	-18%	$8,506
190 Chronic Obstructive Pulmonary Disease with MCC	40	$43,166	-15%	$10,019
280 Acute Myocardial Infarction, Discharged Alive with MCC	38	$72,263	-5%	$13,415
378 Gastrointestinal Hemorrhage with CC	35	$55,620	+15%	$9,236
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	31	$146,474	+43%	$17,285
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$42,568	-29%	$11,707
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	29	$66,053	-34%	$14,178
603 Cellulitis without MCC	28	$39,050	+5%	$7,971
309 Cardiac Arrhythmia and Conduction Disorders with CC	27	$34,150	-5%	$7,789
377 Gastrointestinal Hemorrhage with MCC	27	$81,709	-4%	$14,707
854 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$85,462	-13%	$15,942
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$141,216	+23%	$14,905
330 Major Small and Large Bowel Procedures with CC	25	$152,644	+28%	$19,674
208 Respiratory System Diagnosis with Ventilator Support <=96...	24	$96,252	-29%	$21,960
286 Circulatory Disorders except AMI, with Cardiac...	24	$100,888	-10%	$17,597
308 Cardiac Arrhythmia and Conduction Disorders with MCC	24	$51,156	-10%	$11,137
071 Other Cerebrovascular Disorders with CC	21	$47,428	-6%	$9,196
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	18	$79,093	+21%	$12,999
314 Other Circulatory System Diagnoses with MCC	18	$81,077	-15%	$19,345
321 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$164,416	0%	$23,040
812 Red Blood Cell Disorders without MCC	18	$40,259	-9%	$9,021
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$57,885	+15%	$9,060
305 Hypertension without MCC	16	$30,978	-23%	$7,370
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$68,927	+13%	$11,681
480 Hip and Femur Procedures except Major Joint with MCC	16	$122,763	-12%	$20,655
644 Endocrine Disorders with CC	16	$32,767	-32%	$9,824
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$63,111	-6%	$12,134
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$34,765	-27%	$9,508
070 Other Cerebrovascular Disorders with MCC	15	$62,846	-17%	$12,700
163 Major Chest Procedures with MCC	15	$200,881	-5%	$35,644
304 Hypertension with MCC	15	$47,498	-17%	$10,630
267 Endovascular Cardiac Valve Replacement and Supplement...	14	$415,582	+88%	$37,766
388 Gastrointestinal Obstruction with MCC	14	$57,548	-16%	$12,097
389 Gastrointestinal Obstruction with CC	14	$32,409	-17%	$8,256
460 Spinal Fusion except Cervical without MCC	14	$262,603	+54%	$29,130
287 Circulatory Disorders except AMI, with Cardiac...	13	$82,658	+29%	$10,292
482 Hip and Femur Procedures except Major Joint without CC/MCC	13	$93,183	+20%	$12,598
638 Diabetes with CC	13	$36,435	-13%	$8,827
025 Craniotomy and Endovascular Intracranial Procedures with MCC	12	$147,971	-36%	$29,299
062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia...	12	$78,595	-22%	$14,497
270 Other Major Cardiovascular Procedures with MCC	12	$208,667	-19%	$38,530
432 Cirrhosis and Alcoholic Hepatitis with MCC	12	$64,196	-33%	$15,308

Showing the 60 most frequent of 67 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,042	$26,006	$2,406
Level 2 Urology and Related Services	263	$1,251	$608
Level 3 Urology and Related Services	259	$6,124	$1,812
Level 1 Intraocular Procedures	230	$24,487	$2,039
Level 5 Musculoskeletal Procedures	216	$123,306	$11,507
Level 1 Endovascular Procedures	167	$50,452	$2,891
Level 1 Nerve Procedures	160	$15,727	$1,718
Level 2 Excision/ Biopsy/ Incision and Drainage	159	$14,562	$1,428
Level 2 Upper GI Procedures	137	$16,615	$1,669
Level 4 Musculoskeletal Procedures	135	$78,573	$6,289
Level 1 Laparoscopy and Related Services	131	$58,697	$5,133
Level 4 Urology and Related Services	121	$34,924	$3,101
Level 2 Musculoskeletal Procedures	106	$12,685	$1,365
Level 3 Vascular Procedures	98	$34,962	$2,807
Level 3 Musculoskeletal Procedures	84	$32,740	$2,811
Level 5 Urology and Related Services	77	$53,857	$4,603
Level 3 Electrophysiologic Procedures	75	$173,044	$21,076
Level 3 Endovascular Procedures	62	$85,755	$9,780
Level 4 Endovascular Procedures	49	$139,866	$15,251
Level 6 Musculoskeletal Procedures	47	$220,040	$16,544
Level 2 Laparoscopy and Related Services	46	$119,187	$9,153
Level 3 Excision/ Biopsy/ Incision and Drainage	42	$25,874	$2,528
Level 2 Vascular Procedures	38	$13,062	$1,376
Level 2 Neurostimulator and Related Procedures	37	$29,028	$6,084
Level 2 Endovascular Procedures	33	$39,905	$5,085

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHRISTUS Good Shepherd Medical Center charged $69,426 on average, 38% less than the Texas average of $111,133, and was paid $15,843 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHRISTUS Good Shepherd Medical Center charged $45,005 on average, 34% less than the Texas average of $67,944, and was paid $11,143 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHRISTUS Good Shepherd Medical Center charged $49,583 on average, 33% less than the Texas average of $73,756, and was paid $11,585 against a state average of $11,597. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHRISTUS Good Shepherd Medical Center charged $43,234 on average, 26% less than the Texas average of $58,253, and was paid $9,563 against a state average of $10,103. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,006 was 7% below the state average of $27,955. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,251 was 66% below the state average of $3,679. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,124 was 66% below the state average of $17,781. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $24,487 was 49% above the state average of $16,442.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.