Texas / Lake Granbury Medical Center
CMS certification 450596 · Granbury, TX · 1 entry in CMS's price-transparency list
Lake Granbury Medical Center: charges and Medicare payments
Lake Granbury Medical Center reported 366 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 9.36 times what it was paid — among the higher ratios in Texas, number 42 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: 101 stays at an average charge of $154,721, 71% above the national average. It also billed 1,382 outpatient services, charging 17.55 times what Medicare paid.
- 1Medicare inpatient stays 366
- 2Charge ÷ paid, inpatient 9.36×
- 3Rank in TX (highest ratio = 1) 42 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 14 DRGs that can be compared with the national average, Lake Granbury Medical Center charged more than the national average in 14 (100%). 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 | 101 | $154,721 | +71% | $15,337 |
| 291 Heart Failure and Shock with MCC | 56 | $89,981 | +60% | $10,484 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $98,749 | +40% | $13,272 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $83,064 | +39% | $10,724 |
| 683 Renal Failure with CC | 18 | $65,913 | +62% | $7,666 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $190,266 | +89% | $17,398 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $80,216 | +56% | $9,479 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $236,866 | +71% | $21,704 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $195,752 | +91% | $16,624 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $62,135 | +64% | $7,130 |
| 682 Renal Failure with MCC | 13 | $96,735 | +47% | $11,679 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $68,541 | +14% | $10,753 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $76,021 | +55% | $8,677 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $70,128 | +75% | $7,216 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lake Granbury Medical Center charged $154,721 on average, 39% more than the Texas average of $111,133, and was paid $15,337 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Lake Granbury Medical Center charged $89,981 on average, 32% more than the Texas average of $67,944, and was paid $10,484 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Lake Granbury Medical Center charged $98,749 on average, 21% more than the Texas average of $81,715, and was paid $13,272 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lake Granbury Medical Center charged $83,064 on average, 13% more than the Texas average of $73,756, and was paid $10,724 against a state average of $11,597. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $30,317 was 84% above the state average of $16,442. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $45,386 was 151% above the state average of $18,063. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,523 was 49% above the state average of $27,955. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $116,931 was 99% above the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lake Granbury Medical Center in Granbury, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-16 (CMS case 3872)
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.