Texas / Guadalupe Regional Medical Center
CMS certification 450104 · Seguin, TX · 3 entries in CMS's price-transparency list
Guadalupe Regional Medical Center: charges and Medicare payments
Guadalupe Regional Medical Center reported 580 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 2.96 times what it was paid — among the lower ratios in Texas, number 175 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: 87 stays at an average charge of $28,308, 50% below the national average. It also billed 1,632 outpatient services, charging 5.55 times what Medicare paid.
- 1Medicare inpatient stays 580
- 2Charge ÷ paid, inpatient 2.96×
- 3Rank in TX (highest ratio = 1) 175 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 27 DRGs that can be compared with the national average, Guadalupe Regional 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 | 87 | $28,308 | -50% | $9,507 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 56 | $48,498 | -46% | $13,806 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $12,674 | -66% | $6,713 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $32,783 | -45% | $10,480 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $24,659 | -49% | $8,262 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $45,351 | -55% | $14,597 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $45,347 | -56% | $15,265 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $35,650 | -38% | $10,905 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $47,548 | -33% | $11,649 |
| 683 Renal Failure with CC | 22 | $15,609 | -62% | $7,229 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $17,500 | -66% | $8,382 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $36,775 | -61% | $14,042 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $29,502 | -42% | $8,260 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $34,994 | -54% | $10,738 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $23,064 | -59% | $7,791 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $16,798 | -53% | $6,524 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $21,440 | -53% | $8,106 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $18,483 | -52% | $6,719 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $35,664 | -37% | $8,936 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $16,043 | -60% | $6,809 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $20,052 | -67% | $9,939 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $13,308 | -72% | $7,940 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $35,966 | -54% | $12,090 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $9,632 | -74% | $6,746 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $40,057 | -60% | $12,464 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $44,179 | -48% | $13,330 |
| 682 Renal Failure with MCC | 11 | $19,165 | -71% | $10,849 |
Outpatient services
Against the Texas average
For Heart Failure and Shock with MCC (DRG 291), Guadalupe Regional Medical Center charged $28,308 on average, 58% less than the Texas average of $67,944, and was paid $9,507 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Guadalupe Regional Medical Center charged $48,498 on average, 56% less than the Texas average of $111,133, and was paid $13,806 against a state average of $16,694. For Kidney and Urinary Tract Infections without MCC (DRG 690), Guadalupe Regional Medical Center charged $12,674 on average, 71% less than the Texas average of $42,965, and was paid $6,713 against a state average of $8,372. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Guadalupe Regional Medical Center charged $32,783 on average, 56% less than the Texas average of $73,756, and was paid $10,480 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,431 was 56% below the state average of $27,955. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,543 was 42% below the state average of $16,442. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,403 was 68% below the state average of $98,771. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,433 was 57% below the state average of $31,008.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Guadalupe Regional Medical Center in Seguin, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-17 (CMS case 7034)
- CAP Request — 2026-05-20 (CMS case 7034)
- Closure Notice — 2026-05-29 (CMS case 7034)
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.