Texas / Doctors Hosptal at Renaissance

CMS certification 450869 · Edinburg, TX

Doctors Hosptal at Renaissance: charges and Medicare payments

Doctors Hosptal at Renaissance reported 949 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.16 times what it was paid — among the lower ratios in Texas, number 143 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: 236 stays at an average charge of $75,782, 16% below the national average. It also billed 2,422 outpatient services, charging 9.19 times what Medicare paid.

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  1. 1Medicare inpatient stays 949
  2. 2Charge ÷ paid, inpatient 4.16×
  3. 3Rank in TX (highest ratio = 1) 143 of 190
  4. 4CMS price-transparency actions 0
DRG 871$75,782DRG 291$46,226DRG 872$40,176DRG 698$66,799DRG 280$73,604DRG 853$201,739DRG 064$98,181DRG 690$31,013DRG 683$41,834DRG 065$46,418
Average charge per stay at Doctors Hosptal at Renaissance, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 34 DRGs that can be compared with the national average, Doctors Hosptal at Renaissance charged more than the national average in 6 (18%). 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 MCC236$75,782-16%$18,529
291 Heart Failure and Shock with MCC71$46,226-18%$13,647
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC59$40,176-18%$11,233
698 Other Kidney and Urinary Tract Diagnoses with MCC55$66,799-9%$16,545
280 Acute Myocardial Infarction, Discharged Alive with MCC39$73,604-3%$15,563
853 Infectious and Parasitic Diseases with O.R. Procedures with...34$201,739-12%$46,540
064 Intracranial Hemorrhage or Cerebral Infarction with MCC30$98,181-2%$17,929
690 Kidney and Urinary Tract Infections without MCC23$31,013-18%$9,400
683 Renal Failure with CC22$41,834+3%$9,893
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...21$46,418-17%$11,053
189 Pulmonary Edema and Respiratory Failure20$54,871-5%$12,190
267 Endovascular Cardiac Valve Replacement and Supplement...20$243,013+10%$41,463
699 Other Kidney and Urinary Tract Diagnoses with CC19$56,167+18%$14,363
470 Major Hip and Knee Joint Replacement or Reattachment of...18$64,206-31%$17,945
682 Renal Failure with MCC18$68,474+4%$15,454
177 Respiratory Infections and Inflammations with MCC17$60,494-14%$15,122
252 Other Vascular Procedures with MCC17$106,846-37%$30,685
689 Kidney and Urinary Tract Infections with MCC17$34,931-32%$12,325
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...16$28,546-23%$8,944
271 Other Major Cardiovascular Procedures with CC15$153,109-12%$32,515
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...15$30,731-23%$9,055
393 Other Digestive System Diagnoses with MCC15$65,234-15%$14,362
481 Hip and Femur Procedures except Major Joint with CC15$90,335-10%$17,919
309 Cardiac Arrhythmia and Conduction Disorders with CC14$31,856-12%$8,674
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...14$28,773-40%$10,328
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...14$38,796-36%$12,838
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...13$68,219-21%$15,888
071 Other Cerebrovascular Disorders with CC12$35,350-30%$11,324
101 Seizures without MCC12$37,685-23%$10,472
193 Simple Pneumonia and Pleurisy with MCC12$54,518-9%$13,576
281 Acute Myocardial Infarction, Discharged Alive with CC12$36,786-27%$8,578
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...12$221,545+2%$57,159
432 Cirrhosis and Alcoholic Hepatitis with MCC11$110,647+16%$19,053
552 Medical Back Problems without MCC11$40,274-18%$10,701

Outpatient services

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Doctors Hosptal at Renaissance charged $75,782 on average, 32% less than the Texas average of $111,133, and was paid $18,529 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Doctors Hosptal at Renaissance charged $46,226 on average, 32% less than the Texas average of $67,944, and was paid $13,647 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Doctors Hosptal at Renaissance charged $40,176 on average, 31% less than the Texas average of $58,253, and was paid $11,233 against a state average of $10,103. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Doctors Hosptal at Renaissance charged $66,799 on average, 23% less than the Texas average of $86,874, and was paid $16,545 against a state average of $14,523. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $7,034 was 91% above the state average of $3,679. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,428 was 30% below the state average of $16,442. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $16,522 was 7% below the state average of $17,781. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,707 was 35% below the state average of $36,220.

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.