Texas / CHRISTUS Santa Rosa Hospital-San Marcos
CMS certification 450272 · San Marcos, TX · 1 entry in CMS's price-transparency list
CHRISTUS Santa Rosa Hospital-San Marcos: charges and Medicare payments
CHRISTUS Santa Rosa Hospital-San Marcos reported 522 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 5.3 times what it was paid — mid-range in Texas, number 97 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: 80 stays at an average charge of $69,733, 23% below the national average. It also billed 836 outpatient services, charging 17.2 times what Medicare paid.
- 1Medicare inpatient stays 522
- 2Charge ÷ paid, inpatient 5.3×
- 3Rank in TX (highest ratio = 1) 97 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 25 DRGs that can be compared with the national average, CHRISTUS Santa Rosa Hospital-San Marcos charged more than the national average in 9 (36%). 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 | 80 | $69,733 | -23% | $14,577 |
| 291 Heart Failure and Shock with MCC | 76 | $42,826 | -24% | $10,446 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $50,740 | -15% | $10,731 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $52,293 | +3% | $9,763 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $39,430 | -20% | $9,179 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $64,396 | -9% | $12,609 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $48,031 | -17% | $9,996 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $66,462 | -41% | $17,180 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $58,099 | -4% | $11,008 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $42,296 | -24% | $8,475 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $60,241 | +6% | $10,027 |
| 683 Renal Failure with CC | 16 | $35,598 | -13% | $7,772 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $34,291 | -9% | $7,347 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $35,077 | -3% | $6,935 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $85,611 | -25% | $14,695 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $54,279 | -26% | $12,922 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $81,217 | +7% | $12,412 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $90,222 | -10% | $14,354 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $44,671 | +11% | $7,234 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $148,991 | +46% | $16,563 |
| 603 Cellulitis without MCC | 12 | $40,020 | +7% | $7,962 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $41,977 | +13% | $7,277 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $237,618 | +4% | $32,161 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $27,878 | -3% | $5,724 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $146,942 | +46% | $14,782 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 297 | $40,387 | $2,377 |
| Level 1 Endovascular Procedures | 80 | $25,434 | $2,873 |
| Level 1 Laparoscopy and Related Services | 61 | $97,828 | $5,079 |
| Level 5 Musculoskeletal Procedures | 59 | $131,856 | $11,401 |
| Level 2 Upper GI Procedures | 47 | $39,426 | $1,675 |
| Level 5 Urology and Related Services | 42 | $64,531 | $4,554 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 40 | $17,541 | $1,427 |
| Level 3 Endovascular Procedures | 31 | $68,978 | $9,417 |
| Level 2 Laparoscopy and Related Services | 29 | $146,442 | $9,056 |
| Level 4 Urology and Related Services | 29 | $48,760 | $3,068 |
| Level 3 Vascular Procedures | 19 | $38,311 | $2,806 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $34,452 | $2,501 |
| Level 3 Urology and Related Services | 15 | $36,611 | $1,793 |
| Level 3 Pacemaker and Similar Procedures | 13 | $54,536 | $8,796 |
| Level 2 Musculoskeletal Procedures | 12 | $25,571 | $1,415 |
| Level 3 Musculoskeletal Procedures | 12 | $42,383 | $2,849 |
| Level 4 Musculoskeletal Procedures | 12 | $63,315 | $6,297 |
| Level 4 Gynecologic Procedures | 11 | $43,945 | $2,752 |
| Level 1 Nerve Procedures | 11 | $35,353 | $1,699 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHRISTUS Santa Rosa Hospital-San Marcos charged $69,733 on average, 37% less than the Texas average of $111,133, and was paid $14,577 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHRISTUS Santa Rosa Hospital-San Marcos charged $42,826 on average, 37% less than the Texas average of $67,944, and was paid $10,446 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHRISTUS Santa Rosa Hospital-San Marcos charged $50,740 on average, 31% less than the Texas average of $73,756, and was paid $10,731 against a state average of $11,597. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), CHRISTUS Santa Rosa Hospital-San Marcos charged $52,293 on average, 4% less than the Texas average of $54,757, and was paid $9,763 against a state average of $10,898. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $40,387 was 44% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,434 was 30% below the state average of $36,220. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $97,828 was 92% above the state average of $50,995. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $131,856 was 33% above the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHRISTUS Santa Rosa Hospital-San Marcos in San Marcos, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-06 (CMS case 6186)
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.