Texas / Longview Regional Medical Center

CMS certification 450702 · Longview, TX · 1 entry in CMS's price-transparency list

Longview Regional Medical Center: charges and Medicare payments

Longview Regional Medical Center reported 1,731 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 11.38 times what it was paid — among the higher ratios in Texas, number 20 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: 172 stays at an average charge of $137,720, 53% above the national average. It also billed 2,961 outpatient services, charging 18.89 times what Medicare paid.

1Medicare inpatient stays 1,731
2Charge ÷ paid, inpatient 11.38×
3Rank in TX (highest ratio = 1) 20 of 190
4CMS price-transparency actions 1

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

Inpatient stays

For the 60 DRGs that can be compared with the national average, Longview Regional Medical Center charged more than the national average in 58 (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	172	$137,720	+53%	$13,483
274 Percutaneous and Other Intracardiac Procedures without MCC	148	$317,326	+102%	$22,448
291 Heart Failure and Shock with MCC	105	$67,880	+20%	$9,254
193 Simple Pneumonia and Pleurisy with MCC	92	$65,719	+10%	$9,428
690 Kidney and Urinary Tract Infections without MCC	54	$48,958	+29%	$6,012
177 Respiratory Infections and Inflammations with MCC	51	$88,961	+26%	$11,277
689 Kidney and Urinary Tract Infections with MCC	46	$68,028	+33%	$8,349
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	40	$72,765	+48%	$7,526
189 Pulmonary Edema and Respiratory Failure	39	$75,820	+32%	$8,920
682 Renal Failure with MCC	39	$77,025	+17%	$9,954
460 Spinal Fusion except Cervical without MCC	35	$358,005	+110%	$27,111
190 Chronic Obstructive Pulmonary Disease with MCC	33	$47,707	-6%	$7,628
683 Renal Failure with CC	33	$47,450	+17%	$6,290
853 Infectious and Parasitic Diseases with O.R. Procedures with...	31	$455,398	+99%	$34,619
194 Simple Pneumonia and Pleurisy with CC	29	$60,404	+57%	$6,140
322 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$255,737	+123%	$14,473
698 Other Kidney and Urinary Tract Diagnoses with MCC	28	$92,958	+27%	$10,830
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	27	$46,079	+15%	$5,930
454 Combined Anterior and Posterior Spinal Fusion with CC	27	$639,881	+129%	$55,697
039 Extracranial Procedures without CC/MCC	26	$144,606	+126%	$8,337
280 Acute Myocardial Infarction, Discharged Alive with MCC	26	$135,899	+79%	$10,734
267 Endovascular Cardiac Valve Replacement and Supplement...	25	$522,074	+136%	$32,976
321 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$315,936	+93%	$20,026
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	25	$62,617	+4%	$9,124
481 Hip and Femur Procedures except Major Joint with CC	23	$192,083	+91%	$15,419
378 Gastrointestinal Hemorrhage with CC	22	$71,827	+48%	$7,263
308 Cardiac Arrhythmia and Conduction Disorders with MCC	20	$62,098	+10%	$8,783
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	20	$514,560	+154%	$36,440
480 Hip and Femur Procedures except Major Joint with MCC	20	$196,064	+41%	$19,579
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	19	$61,933	+11%	$7,150
377 Gastrointestinal Hemorrhage with MCC	19	$89,190	+4%	$12,055
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$44,300	+20%	$5,653
266 Endovascular Cardiac Valve Replacement and Supplement...	18	$553,950	+94%	$42,166
312 Syncope and Collapse	18	$52,765	+16%	$6,482
272 Other Major Cardiovascular Procedures without CC/MCC	17	$236,312	+89%	$17,798
309 Cardiac Arrhythmia and Conduction Disorders with CC	17	$46,081	+28%	$5,538
448 Multiple Level Spinal Fusion except Cervical without MCC	17	$353,020	+76%	$32,014
516 Other Musculoskeletal System and Connective Tissue O.R....	16	$179,998	+77%	$14,228
252 Other Vascular Procedures with MCC	15	$215,627	+26%	$23,564
270 Other Major Cardiovascular Procedures with MCC	15	$356,024	+37%	$33,425
314 Other Circulatory System Diagnoses with MCC	15	$96,793	+2%	$13,984
253 Other Vascular Procedures with CC	14	$221,661	+68%	$17,849
271 Other Major Cardiovascular Procedures with CC	14	$266,009	+53%	$24,134
286 Circulatory Disorders except AMI, with Cardiac...	14	$161,443	+44%	$15,167
070 Other Cerebrovascular Disorders with MCC	13	$116,219	+53%	$11,820
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	13	$596,816	+50%	$51,262
228 Other Cardiothoracic Procedures with MCC	13	$381,411	+52%	$34,693
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	13	$385,335	+100%	$28,756
470 Major Hip and Knee Joint Replacement or Reattachment of...	13	$198,642	+113%	$13,338
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$184,041	+80%	$14,607
164 Major Chest Procedures with CC	12	$204,659	+61%	$17,913
292 Heart Failure and Shock with CC	12	$53,575	+38%	$6,424
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$53,223	-13%	$9,317
482 Hip and Femur Procedures except Major Joint without CC/MCC	12	$143,736	+84%	$11,333
517 Other Musculoskeletal System and Connective Tissue O.R....	12	$170,888	+119%	$10,110
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC	12	$111,521	+97%	$7,686
811 Red Blood Cell Disorders with MCC	12	$82,232	+21%	$10,322
390 Gastrointestinal Obstruction without CC/MCC	11	$35,209	+26%	$4,397
515 Other Musculoskeletal System and Connective Tissue O.R....	11	$261,083	+74%	$20,840
812 Red Blood Cell Disorders without MCC	11	$62,704	+41%	$6,734

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	389	$29,312	$2,411
Level 1 Endovascular Procedures	268	$83,378	$2,865
Level 1 Intraocular Procedures	243	$25,944	$2,060
Level 5 Musculoskeletal Procedures	148	$169,290	$11,628
Level 3 Endovascular Procedures	131	$176,409	$9,445
Level 4 Endovascular Procedures	125	$211,385	$12,246
Level 4 Urology and Related Services	120	$58,110	$3,000
Level 2 Excision/ Biopsy/ Incision and Drainage	110	$25,515	$1,412
Level 1 Nerve Procedures	98	$25,899	$1,718
Level 4 Musculoskeletal Procedures	92	$112,247	$6,309
Level 3 Musculoskeletal Procedures	91	$53,645	$2,778
Level 3 Vascular Procedures	90	$48,097	$2,811
Level 1 Laparoscopy and Related Services	71	$95,499	$5,091
Level 3 Pacemaker and Similar Procedures	66	$156,024	$9,375
Level 5 Urology and Related Services	66	$73,112	$4,603
Level 2 Musculoskeletal Procedures	62	$25,740	$1,404
Level 3 Electrophysiologic Procedures	62	$288,767	$21,076
Level 3 Urology and Related Services	61	$37,068	$1,812
Level 2 Vascular Procedures	51	$20,418	$1,365
Level 6 Musculoskeletal Procedures	50	$265,815	$15,948
Level 2 Endovascular Procedures	50	$121,262	$4,923
Level 3 Airway Endoscopy	49	$30,216	$1,510
Level 4 Pacemaker and Similar Procedures	48	$209,609	$17,297
Level 2 ICD and Similar Procedures	44	$344,026	$27,929
Level 1 Breast/Lymphatic Surgery and Related Procedures	39	$52,481	$3,391

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Longview Regional Medical Center charged $137,720 on average, 24% more than the Texas average of $111,133, and was paid $13,483 against a state average of $16,694. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Longview Regional Medical Center charged $317,326 on average, 34% more than the Texas average of $237,571, and was paid $22,448 against a state average of $25,777. For Heart Failure and Shock with MCC (DRG 291), Longview Regional Medical Center charged $67,880 on average, 0% less than the Texas average of $67,944, and was paid $9,254 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Longview Regional Medical Center charged $65,719 on average, 11% less than the Texas average of $73,756, and was paid $9,428 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,312 was 5% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $83,378 was 130% above the state average of $36,220. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $25,944 was 58% above the state average of $16,442. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $169,290 was 71% above the state average of $98,771.

Price-transparency record

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

Met Requirements — 2025-07-16 (CMS case 5832)

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.