Texas / Medical Center Hospital
CMS certification 450132 · Odessa, TX · 4 entries in CMS's price-transparency list
Medical Center Hospital: charges and Medicare payments
Medical Center Hospital reported 1,822 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 3.4 times what it was paid — among the lower ratios in Texas, number 166 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: 302 stays at an average charge of $57,998, 36% below the national average. It also billed 1,323 outpatient services, charging 6.4 times what Medicare paid.
- 1Medicare inpatient stays 1,822
- 2Charge ÷ paid, inpatient 3.4×
- 3Rank in TX (highest ratio = 1) 166 of 190
- 4CMS price-transparency actions 4
Inpatient stays
For the 60 DRGs that can be compared with the national average, Medical Center Hospital charged more than the national average in 1 (2%). 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 | 302 | $57,998 | -36% | $16,304 |
| 291 Heart Failure and Shock with MCC | 136 | $45,826 | -19% | $11,957 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 87 | $49,082 | -35% | $14,157 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 66 | $105,067 | -54% | $34,199 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $35,497 | -41% | $11,832 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $47,057 | -33% | $14,435 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 42 | $36,758 | -35% | $11,645 |
| 481 Hip and Femur Procedures except Major Joint with CC | 42 | $58,221 | -42% | $17,370 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $31,673 | -35% | $10,201 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 38 | $52,039 | -48% | $15,804 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $38,241 | -37% | $11,965 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $52,551 | -38% | $14,948 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $36,343 | -29% | $10,147 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $42,968 | -25% | $11,967 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $39,321 | -46% | $14,288 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $29,193 | -40% | $9,776 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $23,977 | -40% | $8,490 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $61,763 | -40% | $17,777 |
| 682 Renal Failure with MCC | 28 | $46,498 | -29% | $13,559 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $31,827 | -37% | $10,752 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 25 | $35,237 | -37% | $10,153 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $25,096 | -34% | $8,446 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $100,623 | -39% | $23,382 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $30,368 | -40% | $9,433 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $33,281 | -45% | $12,193 |
| 603 Cellulitis without MCC | 22 | $26,873 | -28% | $9,350 |
| 683 Renal Failure with CC | 22 | $29,148 | -28% | $8,944 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $28,057 | -22% | $7,795 |
| 393 Other Digestive System Diagnoses with MCC | 21 | $50,110 | -35% | $14,822 |
| 638 Diabetes with CC | 21 | $29,505 | -29% | $9,308 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 20 | $103,061 | -24% | $22,380 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 19 | $84,389 | -39% | $23,044 |
| 069 Transient Ischemia without Thrombolytic | 18 | $37,319 | -26% | $8,658 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $18,650 | -35% | $6,463 |
| 312 Syncope and Collapse | 17 | $40,981 | -10% | $8,690 |
| 637 Diabetes with MCC | 17 | $44,746 | -33% | $13,717 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 16 | $192,300 | -50% | $54,890 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 16 | $119,874 | -59% | $44,760 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $136,517 | -58% | $41,452 |
| 252 Other Vascular Procedures with MCC | 15 | $70,878 | -59% | $27,325 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $102,500 | -52% | $32,470 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $41,682 | -65% | $19,722 |
| 394 Other Digestive System Diagnoses with CC | 15 | $27,205 | -42% | $9,632 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $40,859 | +10% | $8,395 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 14 | $95,086 | -41% | $24,202 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $81,186 | -28% | $18,776 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $81,755 | -14% | $16,893 |
| 389 Gastrointestinal Obstruction with CC | 14 | $22,424 | -42% | $8,691 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $77,803 | -32% | $16,152 |
| 101 Seizures without MCC | 12 | $32,873 | -33% | $9,111 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 12 | $20,998 | -56% | $10,267 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $49,939 | -36% | $13,208 |
| 552 Medical Back Problems without MCC | 12 | $28,086 | -43% | $9,620 |
| 812 Red Blood Cell Disorders without MCC | 12 | $28,282 | -36% | $9,447 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $28,847 | -49% | $11,825 |
| 271 Other Major Cardiovascular Procedures with CC | 11 | $137,929 | -21% | $30,675 |
| 300 Peripheral Vascular Disorders with CC | 11 | $31,504 | -36% | $10,304 |
| 304 Hypertension with MCC | 11 | $35,721 | -38% | $11,292 |
| 439 Disorders of Pancreas except Malignancy with CC | 11 | $23,729 | -46% | $8,926 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $22,354 | -53% | $9,588 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical Center Hospital charged $57,998 on average, 48% less than the Texas average of $111,133, and was paid $16,304 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical Center Hospital charged $45,826 on average, 33% less than the Texas average of $67,944, and was paid $11,957 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Medical Center Hospital charged $49,082 on average, 47% less than the Texas average of $92,713, and was paid $14,157 against a state average of $13,694. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Medical Center Hospital charged $105,067 on average, 63% less than the Texas average of $283,065, and was paid $34,199 against a state average of $41,195. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,939 was 36% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,243 was 50% below the state average of $36,220. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,471 was 40% below the state average of $14,089. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,518 was 64% below the state average of $18,063.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical Center Hospital in Odessa, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-01 (CMS case 6065)
- Closure Notice — 2025-08-12 (CMS case 6065)
- Warning Notice — 2026-04-30 (CMS case 7525)
- Closure Notice — 2026-05-14 (CMS case 7525)
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.