Texas / Detar Healthcare System
CMS certification 450147 · Victoria, TX
Detar Healthcare System: charges and Medicare payments
Detar Healthcare System reported 1,021 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 10.98 times what it was paid — among the higher ratios in Texas, number 28 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: 160 stays at an average charge of $170,830, 89% above the national average. It also billed 804 outpatient services, charging 17.11 times what Medicare paid.
- 1Medicare inpatient stays 1,021
- 2Charge ÷ paid, inpatient 10.98×
- 3Rank in TX (highest ratio = 1) 28 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 38 DRGs that can be compared with the national average, Detar Healthcare System charged more than the national average in 37 (97%). 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 | 160 | $170,830 | +89% | $14,748 |
| 291 Heart Failure and Shock with MCC | 135 | $110,272 | +96% | $9,992 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $106,446 | +51% | $11,989 |
| 690 Kidney and Urinary Tract Infections without MCC | 36 | $75,929 | +101% | $6,789 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $74,086 | +84% | $6,968 |
| 683 Renal Failure with CC | 32 | $90,331 | +122% | $7,379 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $109,081 | +81% | $10,507 |
| 689 Kidney and Urinary Tract Infections with MCC | 31 | $90,730 | +77% | $9,135 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $133,908 | +133% | $10,647 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $136,839 | +80% | $10,747 |
| 813 Coagulation Disorders | 25 | $139,243 | +74% | $12,151 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $239,162 | +109% | $14,609 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $99,885 | +104% | $8,588 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $80,334 | +122% | $6,564 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $152,453 | +79% | $13,572 |
| 682 Renal Failure with MCC | 22 | $108,504 | +65% | $11,481 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $124,032 | +69% | $12,476 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $118,100 | +98% | $10,730 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $83,874 | +73% | $8,281 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $349,545 | +53% | $31,427 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 17 | $255,805 | +63% | $24,215 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $116,996 | +132% | $7,445 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $62,760 | +69% | $6,941 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $91,090 | +80% | $9,193 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $166,966 | +66% | $14,317 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 15 | $221,600 | +100% | $17,762 |
| 312 Syncope and Collapse | 15 | $97,450 | +114% | $6,870 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $72,144 | +52% | $8,222 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $111,242 | +100% | $7,354 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $96,572 | +152% | $7,252 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $263,188 | +22% | $45,869 |
| 603 Cellulitis without MCC | 13 | $100,209 | +169% | $8,718 |
| 389 Gastrointestinal Obstruction with CC | 12 | $80,184 | +106% | $7,044 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $49,352 | +72% | $5,152 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $302,724 | +85% | $21,466 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $108,653 | +78% | $10,416 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $143,350 | +40% | $15,170 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 11 | $171,256 | -1% | $28,420 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Detar Healthcare System charged $170,830 on average, 54% more than the Texas average of $111,133, and was paid $14,748 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Detar Healthcare System charged $110,272 on average, 62% more than the Texas average of $67,944, and was paid $9,992 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Detar Healthcare System charged $106,446 on average, 30% more than the Texas average of $81,715, and was paid $11,989 against a state average of $13,815. For Kidney and Urinary Tract Infections without MCC (DRG 690), Detar Healthcare System charged $75,929 on average, 77% more than the Texas average of $42,965, and was paid $6,789 against a state average of $8,372. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,898 was 75% above the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $107,099 was 8% above the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $72,557 was 23% above the state average of $58,833. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $32,592 was 131% above the state average of $14,089.
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.