Texas / Hendrick Medical Center

CMS certification 450229 · Abilene, TX · 7 entries in CMS's price-transparency list

Hendrick Medical Center: charges and Medicare payments

Hendrick Medical Center reported 5,663 Medicare inpatient stays across 143 DRGs in 2024. Across them it charged 9.62 times what it was paid — among the higher ratios in Texas, number 39 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: 453 stays at an average charge of $128,983, 43% above the national average. It also billed 4,711 outpatient services, charging 14.44 times what Medicare paid.

1Medicare inpatient stays 5,663
2Charge ÷ paid, inpatient 9.62×
3Rank in TX (highest ratio = 1) 39 of 190
4CMS price-transparency actions 7

Average charge per stay at Hendrick Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 143 DRGs that can be compared with the national average, Hendrick Medical Center charged more than the national average in 139 (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	453	$128,983	+43%	$15,247
291 Heart Failure and Shock with MCC	204	$88,045	+56%	$10,143
193 Simple Pneumonia and Pleurisy with MCC	181	$92,417	+55%	$10,362
274 Percutaneous and Other Intracardiac Procedures without MCC	178	$364,241	+132%	$25,346
690 Kidney and Urinary Tract Infections without MCC	119	$52,990	+40%	$6,452
470 Major Hip and Knee Joint Replacement or Reattachment of...	105	$188,167	+102%	$16,290
378 Gastrointestinal Hemorrhage with CC	101	$74,431	+53%	$7,647
312 Syncope and Collapse	99	$65,725	+44%	$6,951
322 Percutaneous Cardiovascular Procedures with Intraluminal...	98	$206,502	+80%	$15,560
689 Kidney and Urinary Tract Infections with MCC	98	$77,477	+51%	$9,233
287 Circulatory Disorders except AMI, with Cardiac...	94	$83,712	+31%	$8,484
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	94	$67,992	+69%	$6,305
177 Respiratory Infections and Inflammations with MCC	92	$94,340	+34%	$12,896
190 Chronic Obstructive Pulmonary Disease with MCC	89	$75,248	+49%	$8,593
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	87	$54,696	+48%	$6,338
683 Renal Failure with CC	85	$60,621	+49%	$7,103
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	82	$89,162	+48%	$10,323
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	81	$80,327	+64%	$8,079
481 Hip and Femur Procedures except Major Joint with CC	80	$158,589	+57%	$16,274
309 Cardiac Arrhythmia and Conduction Disorders with CC	76	$50,365	+39%	$6,049
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	74	$81,752	+47%	$8,071
189 Pulmonary Edema and Respiratory Failure	69	$93,803	+63%	$9,675
313 Chest Pain	68	$54,005	+35%	$5,806
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	68	$157,589	+54%	$16,245
603 Cellulitis without MCC	68	$55,116	+48%	$6,986
698 Other Kidney and Urinary Tract Diagnoses with MCC	68	$107,290	+46%	$12,799
853 Infectious and Parasitic Diseases with O.R. Procedures with...	67	$331,019	+45%	$39,905
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	59	$37,955	+32%	$4,769
682 Renal Failure with MCC	59	$103,490	+57%	$11,647
267 Endovascular Cardiac Valve Replacement and Supplement...	56	$452,734	+105%	$39,202
308 Cardiac Arrhythmia and Conduction Disorders with MCC	56	$80,682	+42%	$9,509
069 Transient Ischemia without Thrombolytic	55	$68,424	+36%	$6,455
194 Simple Pneumonia and Pleurisy with CC	55	$62,909	+64%	$6,539
377 Gastrointestinal Hemorrhage with MCC	55	$137,660	+61%	$14,196
039 Extracranial Procedures without CC/MCC	54	$93,823	+47%	$9,208
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$147,401	+48%	$16,223
330 Major Small and Large Bowel Procedures with CC	50	$189,197	+59%	$20,796
286 Circulatory Disorders except AMI, with Cardiac...	48	$127,085	+13%	$16,859
280 Acute Myocardial Infarction, Discharged Alive with MCC	46	$104,613	+38%	$12,658
321 Percutaneous Cardiovascular Procedures with Intraluminal...	46	$277,780	+70%	$22,094
460 Spinal Fusion except Cervical without MCC	46	$339,120	+99%	$28,351
699 Other Kidney and Urinary Tract Diagnoses with CC	42	$69,891	+47%	$7,850
243 Permanent Cardiac Pacemaker Implant with CC	38	$207,352	+87%	$21,141
236 Coronary Bypass without Cardiac Catheterization without MCC	37	$300,924	+43%	$31,165
234 Coronary Bypass with Cardiac Catheterization or Open...	33	$396,990	+48%	$41,153
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$89,741	+47%	$9,813
552 Medical Back Problems without MCC	33	$64,378	+32%	$7,522
178 Respiratory Infections and Inflammations with CC	32	$70,168	+55%	$7,601
314 Other Circulatory System Diagnoses with MCC	32	$139,651	+47%	$16,254
638 Diabetes with CC	31	$57,909	+39%	$7,664
389 Gastrointestinal Obstruction with CC	30	$48,925	+26%	$6,415
394 Other Digestive System Diagnoses with CC	29	$74,608	+59%	$7,325
948 Signs and Symptoms without MCC	29	$72,036	+89%	$6,442
057 Degenerative Nervous System Disorders without MCC	28	$89,393	+58%	$10,433
101 Seizures without MCC	28	$61,542	+26%	$7,236
281 Acute Myocardial Infarction, Discharged Alive with CC	28	$71,105	+41%	$7,165
305 Hypertension without MCC	28	$46,734	+17%	$6,292
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	28	$292,955	+35%	$38,114
038 Extracranial Procedures with CC	27	$139,031	+59%	$12,324
176 Pulmonary Embolism without MCC	27	$53,385	+29%	$6,590

Showing the 60 most frequent of 143 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Nerve Procedures	424	$15,873	$1,626
Comprehensive Observation Services	386	$41,807	$2,518
Level 1 Endovascular Procedures	367	$40,516	$3,022
Level 5 Musculoskeletal Procedures	295	$147,112	$12,163
Level 2 Upper GI Procedures	271	$19,042	$1,649
Level 2 Excision/ Biopsy/ Incision and Drainage	247	$20,713	$1,486
Level 3 Urology and Related Services	203	$21,741	$1,887
Level 4 Musculoskeletal Procedures	186	$80,372	$6,289
Level 3 Vascular Procedures	182	$41,576	$2,941
Level 3 Endovascular Procedures	164	$140,099	$10,105
Level 1 Intraocular Procedures	154	$34,120	$1,048
Level 1 Laparoscopy and Related Services	147	$57,618	$5,189
Level 3 Pacemaker and Similar Procedures	144	$113,804	$9,901
Level 4 Urology and Related Services	132	$44,952	$3,214
Level 5 Urology and Related Services	104	$61,641	$4,708
Level 3 Excision/ Biopsy/ Incision and Drainage	103	$33,501	$2,582
Level 3 Electrophysiologic Procedures	85	$196,345	$22,235
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	84	$48,386	$3,175
Level 2 Endovascular Procedures	73	$59,167	$5,248
Level 2 Laparoscopy and Related Services	70	$98,328	$9,426
Level 2 Breast/Lymphatic Surgery and Related Procedures	59	$68,449	$6,038
Level 2 Vascular Procedures	56	$26,184	$1,464
Level 3 Musculoskeletal Procedures	52	$39,672	$2,443
Level 4 Endovascular Procedures	50	$210,562	$15,833
Level 3 Extraocular, Repair, and Plastic Eye Procedures	49	$27,822	$1,632

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hendrick Medical Center charged $128,983 on average, 16% more than the Texas average of $111,133, and was paid $15,247 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Hendrick Medical Center charged $88,045 on average, 30% more than the Texas average of $67,944, and was paid $10,143 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hendrick Medical Center charged $92,417 on average, 25% more than the Texas average of $73,756, and was paid $10,362 against a state average of $11,597. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Hendrick Medical Center charged $364,241 on average, 53% more than the Texas average of $237,571, and was paid $25,346 against a state average of $25,777. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $15,873 was 12% below the state average of $18,063. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,807 was 50% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $40,516 was 12% above the state average of $36,220. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $147,112 was 49% above the state average of $98,771.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Hendrick Medical Center in Abilene, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-04-19 (CMS case 70)
CAP Request — 2021-09-30 (CMS case 70)
Closure Notice — 2022-01-11 (CMS case 70)
CAP Request — 2023-12-11 (CMS case 1979)
Closure Notice — 2024-04-03 (CMS case 1979)
Warning Notice — 2025-05-23 (CMS case 4676)
Closure Notice — 2025-06-11 (CMS case 4676)

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.