Texas / Hill Country Memorial Hospital
CMS certification 450604 · Fredericksburg, TX
Hill Country Memorial Hospital: charges and Medicare payments
Hill Country Memorial Hospital reported 408 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 4.83 times what it was paid — mid-range in Texas, number 111 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: 127 stays at an average charge of $80,633, 11% below the national average. It also billed 2,005 outpatient services, charging 10.7 times what Medicare paid.
- 1Medicare inpatient stays 408
- 2Charge ÷ paid, inpatient 4.83×
- 3Rank in TX (highest ratio = 1) 111 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Hill Country Memorial Hospital charged more than the national average in 11 (65%). 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 | 127 | $80,633 | -11% | $18,806 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $67,103 | +37% | $10,897 |
| 291 Heart Failure and Shock with MCC | 26 | $63,496 | +13% | $11,746 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $60,928 | -14% | $13,357 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $82,683 | +38% | $14,760 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $81,000 | +60% | $14,102 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $107,459 | -10% | $25,730 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $94,806 | -6% | $19,007 |
| 603 Cellulitis without MCC | 15 | $37,856 | +2% | $8,478 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $57,474 | +50% | $8,211 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 14 | $76,178 | -2% | $17,292 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $105,600 | +3% | $24,196 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $52,712 | +39% | $8,278 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $118,510 | +21% | $23,896 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $59,621 | +7% | $10,072 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $53,117 | +9% | $9,279 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $32,235 | -20% | $7,827 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hill Country Memorial Hospital charged $80,633 on average, 27% less than the Texas average of $111,133, and was paid $18,806 against a state average of $16,694. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Hill Country Memorial Hospital charged $67,103 on average, 15% more than the Texas average of $58,253, and was paid $10,897 against a state average of $10,103. For Heart Failure and Shock with MCC (DRG 291), Hill Country Memorial Hospital charged $63,496 on average, 7% less than the Texas average of $67,944, and was paid $11,746 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Hill Country Memorial Hospital charged $60,928 on average, 25% less than the Texas average of $81,715, and was paid $13,357 against a state average of $13,815. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,133 was 20% below the state average of $16,442. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $95,645 was 3% below the state average of $98,771. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $38,773 was 39% above the state average of $27,955. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,732 was 15% above the state average of $16,236.
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.