Medical City Dallas: charges and Medicare payments

Medical City Dallas reported 3,586 Medicare inpatient stays across 121 DRGs in 2024. Across them it charged 13.3 times what it was paid — among the higher ratios in Texas, number 5 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: 287 stays at an average charge of $215,021, 138% above the national average. It also billed 1,969 outpatient services, charging 20.28 times what Medicare paid.

1Medicare inpatient stays 3,586
2Charge ÷ paid, inpatient 13.3×
3Rank in TX (highest ratio = 1) 5 of 190
4CMS price-transparency actions 0

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

Inpatient stays

For the 121 DRGs that can be compared with the national average, Medical City Dallas charged more than the national average in 121 (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	287	$215,021	+138%	$16,843
291 Heart Failure and Shock with MCC	162	$129,705	+130%	$11,425
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	82	$217,099	+221%	$13,022
193 Simple Pneumonia and Pleurisy with MCC	80	$152,620	+155%	$11,752
274 Percutaneous and Other Intracardiac Procedures without MCC	78	$542,482	+246%	$27,338
280 Acute Myocardial Infarction, Discharged Alive with MCC	73	$176,992	+133%	$13,769
699 Other Kidney and Urinary Tract Diagnoses with CC	68	$98,183	+107%	$9,701
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	66	$86,900	+116%	$7,555
454 Combined Anterior and Posterior Spinal Fusion with CC	65	$741,265	+165%	$53,857
698 Other Kidney and Urinary Tract Diagnoses with MCC	62	$159,479	+117%	$14,237
189 Pulmonary Edema and Respiratory Failure	60	$128,733	+124%	$10,950
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	56	$122,837	+104%	$11,623
177 Respiratory Infections and Inflammations with MCC	55	$177,405	+151%	$14,559
834 Acute Leukemia with MCC	54	$940,891	+228%	$64,568
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	53	$241,076	+141%	$19,239
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	52	$537,505	+165%	$48,021
552 Medical Back Problems without MCC	52	$76,392	+56%	$9,167
682 Renal Failure with MCC	50	$149,025	+126%	$13,033
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	49	$89,031	+82%	$9,728
266 Endovascular Cardiac Valve Replacement and Supplement...	46	$703,961	+147%	$59,353
690 Kidney and Urinary Tract Infections without MCC	46	$69,714	+84%	$7,737
312 Syncope and Collapse	45	$76,325	+68%	$7,971
652 Kidney Transplant	42	$586,205	+74%	$26,581
837 Chemotherapy with Acute Leukemia As Secondary Diagnosis or...	41	$652,974	+179%	$48,996
846 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	40	$400,109	+198%	$29,579
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$77,444	+109%	$7,379
683 Renal Failure with CC	39	$90,823	+123%	$8,729
208 Respiratory System Diagnosis with Ventilator Support <=96...	37	$382,661	+182%	$22,776
309 Cardiac Arrhythmia and Conduction Disorders with CC	37	$73,419	+103%	$7,238
467 Revision of Hip or Knee Replacement with CC	36	$471,443	+199%	$32,010
016 Autologous Bone Marrow Transplant with CC/MCC	35	$659,010	+141%	$56,735
840 Lymphoma and Non-Acute Leukemia with MCC	35	$589,085	+278%	$43,701
853 Infectious and Parasitic Diseases with O.R. Procedures with...	33	$914,600	+299%	$62,461
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$95,828	+72%	$9,470
884 Organic Disturbances and Intellectual Disability	32	$85,571	+37%	$13,270
305 Hypertension without MCC	30	$63,596	+59%	$7,241
252 Other Vascular Procedures with MCC	29	$584,774	+242%	$38,806
460 Spinal Fusion except Cervical without MCC	29	$351,646	+106%	$31,532
650 Kidney Transplant with Hemodialysis with MCC	29	$624,859	+49%	$33,762
689 Kidney and Urinary Tract Infections with MCC	29	$89,968	+75%	$9,855
811 Red Blood Cell Disorders with MCC	29	$186,018	+173%	$13,897
472 Cervical Spinal Fusion with CC	27	$250,138	+75%	$25,785
432 Cirrhosis and Alcoholic Hepatitis with MCC	26	$181,548	+90%	$15,229
457 Spinal Fusion except Cervical with Spinal Curvature,...	26	$708,433	+145%	$53,947
809 Major Hematological and Immunological Diagnoses except...	25	$240,244	+283%	$18,457
377 Gastrointestinal Hemorrhage with MCC	24	$210,570	+147%	$14,745
378 Gastrointestinal Hemorrhage with CC	24	$88,837	+83%	$8,163
637 Diabetes with MCC	24	$109,974	+65%	$12,210
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	23	$77,523	+170%	$5,768
603 Cellulitis without MCC	23	$101,386	+172%	$10,409
841 Lymphoma and Non-Acute Leukemia with CC	23	$324,212	+289%	$20,868
235 Coronary Bypass without Cardiac Catheterization with MCC	22	$838,263	+186%	$55,179
394 Other Digestive System Diagnoses with CC	22	$75,956	+61%	$8,396
481 Hip and Femur Procedures except Major Joint with CC	22	$232,642	+131%	$16,549
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$227,474	+122%	$16,500
057 Degenerative Nervous System Disorders without MCC	21	$93,158	+65%	$11,250
101 Seizures without MCC	21	$86,499	+77%	$8,640
470 Major Hip and Knee Joint Replacement or Reattachment of...	21	$291,873	+213%	$17,107
308 Cardiac Arrhythmia and Conduction Disorders with MCC	20	$199,215	+252%	$11,559
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$83,180	+36%	$12,193

Showing the 60 most frequent of 121 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage	244	$19,384	$1,450
Level 3 Electrophysiologic Procedures	188	$404,991	$21,214
Level 1 Endovascular Procedures	182	$64,806	$2,914
Level 3 Excision/ Biopsy/ Incision and Drainage	150	$52,449	$2,546
Level 3 Vascular Procedures	146	$42,662	$2,821
Level 5 Musculoskeletal Procedures	115	$200,362	$11,828
Level 1 Laparoscopy and Related Services	104	$89,558	$5,193
Comprehensive Observation Services	77	$35,644	$2,438
Level 5 Urology and Related Services	76	$71,191	$4,608
Level 3 Pacemaker and Similar Procedures	63	$164,165	$9,603
Level 3 Endovascular Procedures	61	$130,903	$9,892
Level 2 Laparoscopy and Related Services	59	$148,831	$9,000
Level 4 Urology and Related Services	48	$56,879	$3,137
Level 4 Musculoskeletal Procedures	46	$96,286	$6,327
Level 3 Urology and Related Services	45	$40,269	$1,833
Level 2 Upper GI Procedures	42	$21,968	$1,680
Level 2 Vascular Procedures	35	$17,928	$1,441
Level 4 Vascular Procedures	35	$69,917	$4,945
Level 4 Endovascular Procedures	35	$220,383	$15,299
Level 2 Endovascular Procedures	33	$77,307	$5,021
Level 2 Pacemaker and Similar Procedures	24	$132,014	$7,645
Level 2 Breast/Lymphatic Surgery and Related Procedures	23	$116,232	$5,868
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	23	$61,384	$3,014
Level 1 Breast/Lymphatic Surgery and Related Procedures	22	$75,278	$3,430
Level 2 ICD and Similar Procedures	21	$470,107	$29,519

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Dallas charged $215,021 on average, 93% more than the Texas average of $111,133, and was paid $16,843 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Dallas charged $129,705 on average, 91% more than the Texas average of $67,944, and was paid $11,425 against a state average of $11,820. For Chemotherapy without Acute Leukemia As Secondary Diagnosis with CC (DRG 847), Medical City Dallas charged $217,099 on average, 111% more than the Texas average of $102,870, and was paid $13,022 against a state average of $14,683. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical City Dallas charged $152,620 on average, 107% more than the Texas average of $73,756, and was paid $11,752 against a state average of $11,597. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $19,384 was 38% above the state average of $14,089. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $404,991 was 83% above the state average of $221,522. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $64,806 was 79% above the state average of $36,220. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $52,449 was 111% above the state average of $24,865.

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.