Texas / CHRISTUS St Michael Health System
CMS certification 450801 · Texarkana, TX · 4 entries in CMS's price-transparency list
CHRISTUS St Michael Health System: charges and Medicare payments
CHRISTUS St Michael Health System reported 3,268 Medicare inpatient stays across 91 DRGs in 2024. Across them it charged 6.45 times what it was paid — mid-range in Texas, number 77 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: 398 stays at an average charge of $89,269, 1% below the national average. It also billed 3,072 outpatient services, charging 9.71 times what Medicare paid.
- 1Medicare inpatient stays 3,268
- 2Charge ÷ paid, inpatient 6.45×
- 3Rank in TX (highest ratio = 1) 77 of 190
- 4CMS price-transparency actions 4
Inpatient stays
For the 91 DRGs that can be compared with the national average, CHRISTUS St Michael Health System charged more than the national average in 41 (45%). 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 | 398 | $89,269 | -1% | $13,765 |
| 291 Heart Failure and Shock with MCC | 214 | $54,377 | -4% | $9,360 |
| 193 Simple Pneumonia and Pleurisy with MCC | 177 | $65,682 | +10% | $9,685 |
| 177 Respiratory Infections and Inflammations with MCC | 102 | $81,946 | +16% | $11,529 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 102 | $74,942 | -1% | $11,519 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 76 | $51,564 | +5% | $8,129 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 74 | $207,069 | -10% | $34,481 |
| 689 Kidney and Urinary Tract Infections with MCC | 69 | $56,102 | +9% | $8,739 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 66 | $89,993 | -10% | $14,044 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 64 | $83,292 | +13% | $12,472 |
| 481 Hip and Femur Procedures except Major Joint with CC | 60 | $109,555 | +9% | $14,662 |
| 378 Gastrointestinal Hemorrhage with CC | 58 | $63,240 | +30% | $7,679 |
| 189 Pulmonary Edema and Respiratory Failure | 57 | $56,974 | -1% | $9,209 |
| 683 Renal Failure with CC | 56 | $35,181 | -14% | $7,751 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 55 | $106,269 | +14% | $13,698 |
| 682 Renal Failure with MCC | 55 | $77,613 | +18% | $11,300 |
| 690 Kidney and Urinary Tract Infections without MCC | 55 | $40,399 | +7% | $6,354 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 54 | $46,763 | -16% | $7,514 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 52 | $48,901 | -3% | $8,168 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $53,126 | -12% | $9,565 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $48,149 | +20% | $6,451 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 45 | $107,831 | +5% | $15,026 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $36,727 | -1% | $6,140 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 39 | $158,238 | +17% | $20,099 |
| 603 Cellulitis without MCC | 38 | $39,883 | +7% | $6,912 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $121,739 | +43% | $14,369 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 35 | $62,663 | +11% | $9,252 |
| 194 Simple Pneumonia and Pleurisy with CC | 34 | $39,843 | +4% | $6,459 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $119,343 | +4% | $14,008 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $39,345 | +9% | $6,107 |
| 163 Major Chest Procedures with MCC | 31 | $145,979 | -31% | $32,433 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 29 | $95,087 | +22% | $12,562 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 28 | $264,135 | -2% | $37,600 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 24 | $171,798 | +7% | $24,645 |
| 252 Other Vascular Procedures with MCC | 24 | $103,661 | -39% | $25,233 |
| 811 Red Blood Cell Disorders with MCC | 24 | $64,513 | -5% | $10,446 |
| 312 Syncope and Collapse | 23 | $48,688 | +7% | $7,326 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $148,565 | -9% | $22,422 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $53,161 | +5% | $7,017 |
| 638 Diabetes with CC | 22 | $67,674 | +62% | $9,392 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 21 | $311,898 | -19% | $51,910 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $113,323 | +1% | $16,374 |
| 812 Red Blood Cell Disorders without MCC | 21 | $49,064 | +11% | $7,070 |
| 069 Transient Ischemia without Thrombolytic | 20 | $47,158 | -7% | $6,391 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $75,681 | +16% | $9,161 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $126,951 | -8% | $18,729 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $264,401 | -18% | $46,278 |
| 389 Gastrointestinal Obstruction with CC | 18 | $35,478 | -9% | $6,368 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 18 | $82,056 | -12% | $11,832 |
| 637 Diabetes with MCC | 18 | $66,072 | -1% | $9,757 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $116,168 | +23% | $14,853 |
| 329 Major Small and Large Bowel Procedures with MCC | 17 | $169,586 | -21% | $31,558 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $100,568 | -16% | $19,772 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 16 | $184,797 | -20% | $27,361 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 16 | $34,235 | -19% | $5,887 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $63,155 | -1% | $8,386 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 15 | $49,312 | +14% | $5,980 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 15 | $47,704 | 0% | $8,052 |
| 536 Fractures of Hip and Pelvis without MCC | 15 | $28,008 | -26% | $6,217 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $50,555 | +6% | $7,752 |
Showing the 60 most frequent of 91 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHRISTUS St Michael Health System charged $89,269 on average, 20% less than the Texas average of $111,133, and was paid $13,765 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHRISTUS St Michael Health System charged $54,377 on average, 20% less than the Texas average of $67,944, and was paid $9,360 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHRISTUS St Michael Health System charged $65,682 on average, 11% less than the Texas average of $73,756, and was paid $9,685 against a state average of $11,597. For Respiratory Infections and Inflammations with MCC (DRG 177), CHRISTUS St Michael Health System charged $81,946 on average, 0% less than the Texas average of $81,715, and was paid $11,529 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,471 was 2% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,018 was 20% below the state average of $36,220. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,315 was 27% below the state average of $14,089. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $39,310 was 33% below the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHRISTUS St Michael Health System in Texarkana, 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 121)
- CAP Request — 2021-10-27 (CMS case 121)
- Closure Notice — 2022-02-01 (CMS case 121)
- Met Requirements — 2025-07-28 (CMS case 5974)
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.