Texas / Medical City Arlington
CMS certification 450675 · Arlington, TX · 2 entries in CMS's price-transparency list
Medical City Arlington: charges and Medicare payments
Medical City Arlington reported 1,674 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 11.12 times what it was paid — among the higher ratios in Texas, number 25 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: 297 stays at an average charge of $188,052, 108% above the national average. It also billed 315 outpatient services, charging 27.35 times what Medicare paid.
- 1Medicare inpatient stays 1,674
- 2Charge ÷ paid, inpatient 11.12×
- 3Rank in TX (highest ratio = 1) 25 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 56 DRGs that can be compared with the national average, Medical City Arlington charged more than the national average in 56 (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 | 297 | $188,052 | +108% | $17,979 |
| 291 Heart Failure and Shock with MCC | 86 | $106,960 | +90% | $12,663 |
| 193 Simple Pneumonia and Pleurisy with MCC | 63 | $113,916 | +91% | $12,921 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 58 | $205,030 | +105% | $17,361 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 52 | $129,036 | +76% | $15,491 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $168,782 | +123% | $17,543 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $94,909 | +57% | $12,216 |
| 682 Renal Failure with MCC | 47 | $106,971 | +62% | $12,905 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $487,983 | +113% | $40,264 |
| 189 Pulmonary Edema and Respiratory Failure | 40 | $99,694 | +73% | $11,759 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $128,840 | +83% | $13,948 |
| 312 Syncope and Collapse | 32 | $92,913 | +104% | $9,844 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $91,593 | +128% | $8,884 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $87,302 | +70% | $11,143 |
| 100 Seizures with MCC | 29 | $199,029 | +111% | $17,933 |
| 377 Gastrointestinal Hemorrhage with MCC | 29 | $166,730 | +95% | $16,072 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $330,893 | +228% | $19,940 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $90,232 | +84% | $10,517 |
| 313 Chest Pain | 26 | $74,532 | +87% | $8,387 |
| 305 Hypertension without MCC | 25 | $92,584 | +131% | $8,080 |
| 552 Medical Back Problems without MCC | 25 | $97,806 | +100% | $10,253 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $278,678 | +143% | $22,066 |
| 683 Renal Failure with CC | 24 | $84,310 | +107% | $9,846 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $281,755 | +108% | $21,840 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $121,406 | +118% | $10,473 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 21 | $125,980 | +84% | $13,124 |
| 101 Seizures without MCC | 21 | $77,529 | +59% | $9,442 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $379,385 | +132% | $27,949 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $489,045 | +252% | $22,819 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $375,379 | +267% | $20,586 |
| 637 Diabetes with MCC | 19 | $130,938 | +97% | $13,548 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $75,736 | +110% | $8,407 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $65,761 | +74% | $9,311 |
| 811 Red Blood Cell Disorders with MCC | 18 | $108,674 | +59% | $12,533 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $155,683 | +64% | $16,797 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $78,034 | +111% | $9,098 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 16 | $793,704 | +182% | $61,506 |
| 092 Other Disorders of Nervous System with CC | 16 | $129,631 | +151% | $15,485 |
| 270 Other Major Cardiovascular Procedures with MCC | 16 | $840,054 | +224% | $47,068 |
| 551 Medical Back Problems with MCC | 16 | $129,469 | +64% | $15,427 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $76,950 | +62% | $9,799 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 15 | $418,145 | +251% | $24,192 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 14 | $771,026 | +233% | $46,856 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $397,903 | +85% | $28,938 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 13 | $230,257 | +112% | $20,454 |
| 252 Other Vascular Procedures with MCC | 13 | $376,595 | +120% | $28,785 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $177,570 | +214% | $13,199 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $81,721 | +68% | $9,965 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $109,423 | +79% | $13,343 |
| 638 Diabetes with CC | 13 | $67,714 | +62% | $9,045 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $86,919 | +53% | $12,641 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 12 | $115,478 | +54% | $14,735 |
| 956 Limb Reattachment, Hip and Femur Procedures for Multiple... | 12 | $371,584 | +111% | $28,858 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 11 | $149,571 | +104% | $21,497 |
| 091 Other Disorders of Nervous System with MCC | 11 | $155,151 | +87% | $15,927 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $140,828 | +126% | $14,103 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 134 | $51,342 | $2,456 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 65 | $12,243 | $1,464 |
| Level 3 Vascular Procedures | 38 | $61,834 | $2,840 |
| Level 1 Endovascular Procedures | 19 | $62,641 | $2,947 |
| Level 1 Laparoscopy and Related Services | 18 | $129,474 | $5,209 |
| Level 4 Vascular Procedures | 14 | $119,516 | $4,692 |
| Level 4 Gynecologic Procedures | 14 | $64,187 | $2,822 |
| Level 4 Musculoskeletal Procedures | 13 | $206,594 | $6,459 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Arlington charged $188,052 on average, 69% more than the Texas average of $111,133, and was paid $17,979 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Arlington charged $106,960 on average, 57% more than the Texas average of $67,944, and was paid $12,663 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical City Arlington charged $113,916 on average, 54% more than the Texas average of $73,756, and was paid $12,921 against a state average of $11,597. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Medical City Arlington charged $205,030 on average, 69% more than the Texas average of $121,565, and was paid $17,361 against a state average of $16,871. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $51,342 was 84% above the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,243 was 13% below the state average of $14,089. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $61,834 was 119% above the state average of $28,214. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $62,641 was 73% above the state average of $36,220.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical City Arlington in Arlington, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-03-05 (CMS case 1907)
- Met Requirements — 2025-05-01 (CMS case 4229)
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.