Texas / Medical City Alliance
CMS certification 670103 · Fort Worth, TX · 2 entries in CMS's price-transparency list
Medical City Alliance: charges and Medicare payments
Medical City Alliance reported 394 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 8.66 times what it was paid — among the higher ratios in Texas, number 50 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: 114 stays at an average charge of $125,080, 39% above the national average. It also billed 346 outpatient services, charging 19.89 times what Medicare paid.
- 1Medicare inpatient stays 394
- 2Charge ÷ paid, inpatient 8.66×
- 3Rank in TX (highest ratio = 1) 50 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, Medical City Alliance charged more than the national average in 18 (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 | 114 | $125,080 | +39% | $16,388 |
| 291 Heart Failure and Shock with MCC | 41 | $102,526 | +82% | $11,029 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $85,390 | +43% | $11,706 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $234,131 | +104% | $16,065 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $76,272 | +27% | $11,274 |
| 682 Renal Failure with MCC | 18 | $82,693 | +25% | $12,028 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $128,759 | +82% | $12,968 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $157,267 | +107% | $17,614 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $66,754 | +66% | $8,659 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $90,154 | +57% | $10,157 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $85,416 | +74% | $9,657 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $175,653 | +56% | $16,791 |
| 304 Hypertension with MCC | 12 | $73,327 | +28% | $10,226 |
| 305 Hypertension without MCC | 12 | $54,329 | +35% | $7,732 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $293,930 | +80% | $27,444 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $70,236 | +94% | $7,695 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $58,900 | +59% | $8,380 |
| 683 Renal Failure with CC | 11 | $66,263 | +63% | $8,058 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and Drainage | 69 | $18,955 | $1,447 |
| Level 1 Endovascular Procedures | 49 | $66,586 | $2,946 |
| Comprehensive Observation Services | 36 | $43,191 | $2,471 |
| Level 3 Electrophysiologic Procedures | 28 | $341,810 | $21,387 |
| Level 3 Vascular Procedures | 19 | $53,044 | $2,802 |
| Level 1 Laparoscopy and Related Services | 18 | $120,377 | $4,978 |
| Level 2 Upper GI Procedures | 16 | $34,415 | $1,718 |
| Level 4 Musculoskeletal Procedures | 15 | $155,946 | $6,116 |
| Level 2 ICD and Similar Procedures | 15 | $347,265 | $29,613 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $15,724 | $2,565 |
| Level 6 Musculoskeletal Procedures | 14 | $378,122 | $16,789 |
| Level 3 Airway Endoscopy | 14 | $35,226 | $1,532 |
| Level 5 Musculoskeletal Procedures | 13 | $216,910 | $11,079 |
| Level 3 Endovascular Procedures | 13 | $183,180 | $9,924 |
| Level 3 Pacemaker and Similar Procedures | 13 | $162,739 | $9,634 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Alliance charged $125,080 on average, 13% more than the Texas average of $111,133, and was paid $16,388 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Alliance charged $102,526 on average, 51% more than the Texas average of $67,944, and was paid $11,029 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical City Alliance charged $85,390 on average, 16% more than the Texas average of $73,756, and was paid $11,706 against a state average of $11,597. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Medical City Alliance charged $234,131 on average, 60% more than the Texas average of $146,094, and was paid $16,065 against a state average of $16,307. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,955 was 35% above the state average of $14,089. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $66,586 was 84% above the state average of $36,220. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $43,191 was 55% above the state average of $27,955. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $341,810 was 54% above the state average of $221,522.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical City Alliance in Fort Worth, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-10-27 (CMS case 1908)
- Met Requirements — 2025-04-28 (CMS case 4165)
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.