Texas / Matagorda Regional Medical Center
CMS certification 450465 · Bay City, TX
Matagorda Regional Medical Center: charges and Medicare payments
Matagorda Regional Medical Center reported 156 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 1.56 times what it was paid — among the lower ratios in Texas, number 188 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: 38 stays at an average charge of $30,360, 66% below the national average. It also billed 312 outpatient services, charging 5.99 times what Medicare paid.
- 1Medicare inpatient stays 156
- 2Charge ÷ paid, inpatient 1.56×
- 3Rank in TX (highest ratio = 1) 188 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 6 DRGs that can be compared with the national average, Matagorda Regional Medical Center 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 38 | $30,360 | -66% | $18,059 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 36 | $20,100 | -73% | $15,030 |
| 291 Heart Failure and Shock with MCC | 31 | $20,767 | -63% | $12,627 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $22,733 | -62% | $13,240 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $24,885 | -65% | $15,666 |
| 682 Renal Failure with MCC | 13 | $18,938 | -71% | $14,402 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 209 | $11,672 | $2,525 |
| Level 1 Endovascular Procedures | 41 | $14,968 | $3,033 |
| Level 3 Vascular Procedures | 23 | $14,429 | $2,833 |
| Level 3 Musculoskeletal Procedures | 14 | $12,021 | $3,008 |
| Level 1 Intraocular Procedures | 14 | $11,297 | $2,166 |
| Level 1 Laparoscopy and Related Services | 11 | $22,586 | $5,044 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Matagorda Regional Medical Center charged $30,360 on average, 73% less than the Texas average of $111,133, and was paid $18,059 against a state average of $16,694. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Matagorda Regional Medical Center charged $20,100 on average, 78% less than the Texas average of $92,713, and was paid $15,030 against a state average of $13,694. For Heart Failure and Shock with MCC (DRG 291), Matagorda Regional Medical Center charged $20,767 on average, 69% less than the Texas average of $67,944, and was paid $12,627 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Matagorda Regional Medical Center charged $22,733 on average, 69% less than the Texas average of $73,756, and was paid $13,240 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,672 was 58% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,968 was 59% below the state average of $36,220. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,429 was 49% below the state average of $28,214. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $12,021 was 61% below the state average of $30,502.
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.