Texas / Citizens Medical Center
CMS certification 450023 · Victoria, TX · 2 entries in CMS's price-transparency list
Citizens Medical Center: charges and Medicare payments
Citizens Medical Center reported 1,215 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 3.1 times what it was paid — among the lower ratios in Texas, number 171 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 170 stays at an average charge of $26,422, 53% below the national average. It also billed 1,319 outpatient services, charging 5.05 times what Medicare paid.
- 1Medicare inpatient stays 1,215
- 2Charge ÷ paid, inpatient 3.1×
- 3Rank in TX (highest ratio = 1) 171 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 43 DRGs that can be compared with the national average, Citizens Medical Center 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 | 170 | $26,422 | -53% | $9,472 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 111 | $42,872 | -53% | $13,724 |
| 690 Kidney and Urinary Tract Infections without MCC | 50 | $15,540 | -59% | $6,483 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $38,413 | -46% | $11,537 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $34,759 | -42% | $9,702 |
| 638 Diabetes with CC | 35 | $18,522 | -56% | $7,160 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $16,094 | -55% | $6,103 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $14,473 | -61% | $6,355 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $24,382 | -60% | $9,681 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $32,618 | -43% | $9,344 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $51,575 | -49% | $14,548 |
| 194 Simple Pneumonia and Pleurisy with CC | 27 | $22,683 | -41% | $6,497 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $33,383 | -56% | $11,460 |
| 603 Cellulitis without MCC | 27 | $16,243 | -56% | $7,034 |
| 312 Syncope and Collapse | 26 | $17,163 | -62% | $6,915 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $16,894 | -58% | $6,371 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $29,656 | -42% | $8,895 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $27,080 | -52% | $9,152 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $25,676 | -47% | $7,600 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $25,523 | -65% | $11,230 |
| 683 Renal Failure with CC | 23 | $19,872 | -51% | $7,006 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $101,265 | -38% | $20,152 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $40,423 | -64% | $15,706 |
| 682 Renal Failure with MCC | 21 | $24,060 | -64% | $11,074 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $36,619 | -34% | $7,791 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 19 | $11,995 | -58% | $4,885 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $16,504 | -65% | $7,710 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $21,470 | -56% | $8,025 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 17 | $26,522 | -44% | $8,060 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $50,234 | -51% | $15,000 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $108,781 | -52% | $31,844 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $28,487 | -44% | $8,547 |
| 069 Transient Ischemia without Thrombolytic | 15 | $29,630 | -41% | $6,470 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $89,412 | -58% | $29,872 |
| 389 Gastrointestinal Obstruction with CC | 14 | $20,075 | -48% | $6,468 |
| 637 Diabetes with MCC | 14 | $22,703 | -66% | $10,413 |
| 812 Red Blood Cell Disorders without MCC | 14 | $19,948 | -55% | $7,159 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $22,345 | -56% | $7,247 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $23,775 | -63% | $8,371 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $74,726 | -37% | $16,746 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $71,608 | -37% | $13,380 |
| 394 Other Digestive System Diagnoses with CC | 11 | $19,074 | -59% | $7,374 |
| 552 Medical Back Problems without MCC | 11 | $20,152 | -59% | $7,400 |
Outpatient services
Against the Texas average
For Heart Failure and Shock with MCC (DRG 291), Citizens Medical Center charged $26,422 on average, 61% less than the Texas average of $67,944, and was paid $9,472 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Citizens Medical Center charged $42,872 on average, 61% less than the Texas average of $111,133, and was paid $13,724 against a state average of $16,694. For Kidney and Urinary Tract Infections without MCC (DRG 690), Citizens Medical Center charged $15,540 on average, 64% less than the Texas average of $42,965, and was paid $6,483 against a state average of $8,372. For Respiratory Infections and Inflammations with MCC (DRG 177), Citizens Medical Center charged $38,413 on average, 53% less than the Texas average of $81,715, and was paid $11,537 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,680 was 55% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,641 was 67% below the state average of $98,771. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,674 was 46% below the state average of $14,089. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $10,703 was 70% below the state average of $36,220.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Citizens Medical Center in Victoria, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-13 (CMS case 6260)
- Warning Notice — 2026-07-22 (CMS case 8297)
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.