Texas / Kell West Regional Hospital
CMS certification 450827 · Wichita Falls, TX · 6 entries in CMS's price-transparency list
Kell West Regional Hospital: charges and Medicare payments
Kell West Regional Hospital reported 99 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 1.74 times what it was paid. Its most frequent stay was DRG 455, Combined Anterior and Posterior Spinal Fusion without CC/MCC: 31 stays at an average charge of $48,883, 76% below the national average. It also billed 725 outpatient services, charging 3 times what Medicare paid.
- 1Medicare inpatient stays 99
- 2Charge ÷ paid, inpatient 1.74×
- 3Rank in TX (highest ratio = 1) –
- 4CMS price-transparency actions 6
Inpatient stays
For the 5 DRGs that can be compared with the national average, Kell West Regional Hospital 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 |
|---|---|---|---|---|
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 31 | $48,883 | -76% | $30,173 |
| 472 Cervical Spinal Fusion with CC | 27 | $34,654 | -76% | $18,559 |
| 460 Spinal Fusion except Cervical without MCC | 16 | $40,747 | -76% | $23,116 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 13 | $31,722 | -74% | $16,927 |
| 451 Single Level Spinal Fusion except Cervical without MCC | 12 | $35,359 | -76% | $20,255 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 168 | $27,776 | $11,236 |
| Level 4 Urology and Related Services | 152 | $6,875 | $2,980 |
| Level 3 Urology and Related Services | 74 | $5,606 | $1,705 |
| Comprehensive Observation Services | 72 | $7,295 | $2,314 |
| Level 5 Urology and Related Services | 65 | $10,278 | $4,423 |
| Level 4 Musculoskeletal Procedures | 55 | $12,463 | $6,115 |
| Level 2 Musculoskeletal Procedures | 22 | $5,563 | $1,374 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 22 | $5,059 | $1,997 |
| Level 6 Urology and Related Services | 16 | $17,379 | $7,874 |
| Level 6 Musculoskeletal Procedures | 15 | $31,691 | $15,896 |
| Level 3 Musculoskeletal Procedures | 14 | $6,858 | $2,767 |
| Level 1 Nerve Procedures | 14 | $4,759 | $1,650 |
| Level 2 Laparoscopy and Related Services | 13 | $30,261 | $7,730 |
| Level 1 Laparoscopy and Related Services | 12 | $15,879 | $4,932 |
| Level 3 Vascular Procedures | 11 | $6,312 | $2,544 |
Against the Texas average
For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Kell West Regional Hospital charged $48,883 on average, 82% less than the Texas average of $268,184, and was paid $30,173 against a state average of $39,409. For Cervical Spinal Fusion with CC (DRG 472), Kell West Regional Hospital charged $34,654 on average, 81% less than the Texas average of $178,665, and was paid $18,559 against a state average of $25,128. For Spinal Fusion except Cervical without MCC (DRG 460), Kell West Regional Hospital charged $40,747 on average, 81% less than the Texas average of $213,248, and was paid $23,116 against a state average of $30,622. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Kell West Regional Hospital charged $31,722 on average, 84% less than the Texas average of $195,381, and was paid $16,927 against a state average of $24,009. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $27,776 was 72% below the state average of $98,771. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $6,875 was 78% below the state average of $31,008. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $5,606 was 68% below the state average of $17,781. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,295 was 74% below the state average of $27,955.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kell West Regional Hospital in Wichita Falls, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-07-27 (CMS case 25)
- CAP Request — 2022-11-07 (CMS case 25)
- CMP Notice — 2023-04-19 (CMS case 25)
- Closure Notice — 2023-05-04 (CMS case 25)
- Warning Notice — 2025-03-14 (CMS case 3057)
- Closure Notice — 2025-03-20 (CMS case 3057)
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.