Texas / CHRISTUS Mother Frances Hospital

CMS certification 450102 · Tyler, TX

CHRISTUS Mother Frances Hospital: charges and Medicare payments

CHRISTUS Mother Frances Hospital reported 5,966 Medicare inpatient stays across 147 DRGs in 2024. Across them it charged 8.86 times what it was paid — among the higher ratios in Texas, number 47 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: 631 stays at an average charge of $118,449, 31% above the national average. It also billed 10,380 outpatient services, charging 13.31 times what Medicare paid.

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  1. 1Medicare inpatient stays 5,966
  2. 2Charge ÷ paid, inpatient 8.86×
  3. 3Rank in TX (highest ratio = 1) 47 of 190
  4. 4CMS price-transparency actions 0
DRG 871$118,449DRG 291$81,445DRG 193$79,535DRG 177$98,506DRG 853$250,232DRG 689$66,880DRG 065$66,119DRG 274$214,659DRG 872$62,128DRG 378$77,209
Average charge per stay at CHRISTUS Mother Frances Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 147 DRGs that can be compared with the national average, CHRISTUS Mother Frances Hospital charged more than the national average in 133 (90%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC631$118,449+31%$13,845
291 Heart Failure and Shock with MCC415$81,445+44%$9,420
193 Simple Pneumonia and Pleurisy with MCC216$79,535+33%$9,721
177 Respiratory Infections and Inflammations with MCC168$98,506+40%$11,744
853 Infectious and Parasitic Diseases with O.R. Procedures with...122$250,232+9%$30,531
689 Kidney and Urinary Tract Infections with MCC121$66,880+30%$8,804
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...116$66,119+19%$7,517
274 Percutaneous and Other Intracardiac Procedures without MCC112$214,659+37%$23,242
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC103$62,128+27%$7,990
378 Gastrointestinal Hemorrhage with CC102$77,209+59%$7,657
064 Intracranial Hemorrhage or Cerebral Infarction with MCC86$116,249+16%$13,444
377 Gastrointestinal Hemorrhage with MCC85$112,011+31%$12,398
690 Kidney and Urinary Tract Infections without MCC84$47,882+27%$6,456
189 Pulmonary Edema and Respiratory Failure82$83,013+44%$9,401
481 Hip and Femur Procedures except Major Joint with CC82$152,864+52%$14,234
682 Renal Failure with MCC80$85,596+30%$10,411
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...76$50,845+27%$6,490
683 Renal Failure with CC74$46,887+15%$7,103
322 Percutaneous Cardiovascular Procedures with Intraluminal...71$129,739+13%$13,355
190 Chronic Obstructive Pulmonary Disease with MCC69$62,605+24%$8,303
308 Cardiac Arrhythmia and Conduction Disorders with MCC67$79,176+40%$9,067
522 Hip Replacement with Principal Diagnosis of Hip Fracture...64$160,179+57%$14,893
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...63$95,346+58%$9,707
698 Other Kidney and Urinary Tract Diagnoses with MCC63$88,137+20%$11,418
234 Coronary Bypass with Cardiac Catheterization or Open...61$355,132+32%$35,176
603 Cellulitis without MCC56$49,451+33%$7,000
280 Acute Myocardial Infarction, Discharged Alive with MCC53$109,439+44%$11,491
194 Simple Pneumonia and Pleurisy with CC51$56,365+47%$6,553
309 Cardiac Arrhythmia and Conduction Disorders with CC46$47,597+32%$6,226
330 Major Small and Large Bowel Procedures with CC45$193,119+62%$16,665
208 Respiratory System Diagnosis with Ventilator Support <=96...44$179,321+32%$19,081
389 Gastrointestinal Obstruction with CC44$46,321+19%$6,491
164 Major Chest Procedures with CC41$175,515+38%$17,987
321 Percutaneous Cardiovascular Procedures with Intraluminal...40$198,770+21%$20,169
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...40$97,584+60%$9,891
163 Major Chest Procedures with MCC38$278,671+32%$30,541
070 Other Cerebrovascular Disorders with MCC36$99,741+31%$12,320
418 Laparoscopic Cholecystectomy without C.D.E. with CC36$143,602+54%$12,112
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...36$42,494+15%$6,387
233 Coronary Bypass with Cardiac Catheterization or Open...35$464,501+21%$47,434
329 Major Small and Large Bowel Procedures with MCC35$244,166+14%$30,265
100 Seizures with MCC34$217,983+131%$15,485
252 Other Vascular Procedures with MCC34$177,811+4%$23,075
480 Hip and Femur Procedures except Major Joint with MCC34$203,942+47%$19,513
071 Other Cerebrovascular Disorders with CC33$72,948+45%$8,097
870 Septicemia or Severe Sepsis with MV >96 Hours33$359,283+11%$42,264
312 Syncope and Collapse32$76,734+69%$6,975
552 Medical Back Problems without MCC32$51,383+5%$7,518
637 Diabetes with MCC32$87,956+32%$10,693
066 Intracranial Hemorrhage or Cerebral Infarction without...31$62,361+47%$5,834
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale31$88,217+35%$9,826
314 Other Circulatory System Diagnoses with MCC31$129,366+36%$14,217
024 Craniotomy with Major Device Implant or Acute Complex Cns...30$199,125+3%$26,803
253 Other Vascular Procedures with CC30$133,810+1%$18,016
267 Endovascular Cardiac Valve Replacement and Supplement...30$383,919+74%$33,032
393 Other Digestive System Diagnoses with MCC30$93,809+22%$11,951
023 Craniotomy with Major Device Implant or Acute Complex Cns...29$267,999-5%$38,221
236 Coronary Bypass without Cardiac Catheterization without MCC29$282,532+34%$27,832
266 Endovascular Cardiac Valve Replacement and Supplement...29$393,241+38%$41,456
811 Red Blood Cell Disorders with MCC29$98,028+44%$10,547

Showing the 60 most frequent of 147 DRGs.

Outpatient services

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHRISTUS Mother Frances Hospital charged $118,449 on average, 7% more than the Texas average of $111,133, and was paid $13,845 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHRISTUS Mother Frances Hospital charged $81,445 on average, 20% more than the Texas average of $67,944, and was paid $9,420 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHRISTUS Mother Frances Hospital charged $79,535 on average, 8% more than the Texas average of $73,756, and was paid $9,721 against a state average of $11,597. For Respiratory Infections and Inflammations with MCC (DRG 177), CHRISTUS Mother Frances Hospital charged $98,506 on average, 21% more than the Texas average of $81,715, and was paid $11,744 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,483 was 31% above the state average of $27,955. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $28,529 was 74% above the state average of $16,442. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $208,517 was 6% below the state average of $221,522. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $20,460 was 26% above the state average of $16,236.

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.