Texas / Knapp Medical Center
CMS certification 450128 · Weslaco, TX · 2 entries in CMS's price-transparency list
Knapp Medical Center: charges and Medicare payments
Knapp Medical Center reported 414 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 5.28 times what it was paid — mid-range in Texas, number 99 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: 165 stays at an average charge of $98,013, 9% above the national average. It also billed 61 outpatient services, charging 15.3 times what Medicare paid.
- 1Medicare inpatient stays 414
- 2Charge ÷ paid, inpatient 5.28×
- 3Rank in TX (highest ratio = 1) 99 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Knapp Medical Center charged more than the national average in 4 (33%). 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 | 165 | $98,013 | +9% | $17,271 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $44,678 | -26% | $11,948 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $74,950 | +2% | $14,426 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $42,843 | -13% | $10,407 |
| 291 Heart Failure and Shock with MCC | 31 | $44,211 | -22% | $11,811 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $297,942 | +30% | $42,250 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 18 | $37,623 | -61% | $16,151 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $34,336 | -33% | $11,482 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $143,494 | +54% | $16,568 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $58,052 | -23% | $13,644 |
| 683 Renal Failure with CC | 13 | $31,310 | -23% | $9,400 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $277,496 | -14% | $53,185 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 23 | $19,947 | $2,375 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $16,916 | $1,407 |
| Level 5 Musculoskeletal Procedures | 13 | $165,087 | $11,406 |
| Level 3 Vascular Procedures | 12 | $34,072 | $2,766 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Knapp Medical Center charged $98,013 on average, 12% less than the Texas average of $111,133, and was paid $17,271 against a state average of $16,694. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Knapp Medical Center charged $44,678 on average, 34% less than the Texas average of $68,203, and was paid $11,948 against a state average of $12,119. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Knapp Medical Center charged $74,950 on average, 14% less than the Texas average of $86,874, and was paid $14,426 against a state average of $14,523. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Knapp Medical Center charged $42,843 on average, 26% less than the Texas average of $58,253, and was paid $10,407 against a state average of $10,103. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,947 was 29% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,916 was 20% above the state average of $14,089. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $165,087 was 67% above the state average of $98,771. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $34,072 was 21% above the state average of $28,214.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Knapp Medical Center in Weslaco, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-14 (CMS case 26)
- Met Requirements — 2025-07-18 (CMS case 5882)
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.