Texas / Medical City Denton
CMS certification 450634 · Denton, TX · 2 entries in CMS's price-transparency list
Medical City Denton: charges and Medicare payments
Medical City Denton reported 2,872 Medicare inpatient stays across 91 DRGs in 2024. Across them it charged 11.36 times what it was paid — among the higher ratios in Texas, number 21 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: 277 stays at an average charge of $155,504, 72% above the national average. It also billed 1,713 outpatient services, charging 26.72 times what Medicare paid.
- 1Medicare inpatient stays 2,872
- 2Charge ÷ paid, inpatient 11.36×
- 3Rank in TX (highest ratio = 1) 21 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 91 DRGs that can be compared with the national average, Medical City Denton charged more than the national average in 91 (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 | 277 | $155,504 | +72% | $15,446 |
| 193 Simple Pneumonia and Pleurisy with MCC | 153 | $118,408 | +98% | $11,229 |
| 291 Heart Failure and Shock with MCC | 122 | $110,435 | +96% | $10,923 |
| 682 Renal Failure with MCC | 94 | $95,675 | +45% | $11,982 |
| 177 Respiratory Infections and Inflammations with MCC | 93 | $120,119 | +70% | $13,023 |
| 189 Pulmonary Edema and Respiratory Failure | 74 | $111,762 | +94% | $10,705 |
| 552 Medical Back Problems without MCC | 68 | $94,281 | +93% | $8,966 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 65 | $160,370 | +112% | $13,003 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 57 | $314,173 | +207% | $16,039 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $96,644 | +60% | $11,011 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $71,003 | +77% | $7,537 |
| 689 Kidney and Urinary Tract Infections with MCC | 51 | $77,542 | +51% | $10,491 |
| 481 Hip and Femur Procedures except Major Joint with CC | 49 | $267,734 | +166% | $16,891 |
| 683 Renal Failure with CC | 47 | $71,530 | +76% | $8,533 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 47 | $114,815 | +56% | $15,171 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $100,744 | +105% | $9,044 |
| 690 Kidney and Urinary Tract Infections without MCC | 39 | $67,979 | +80% | $7,605 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 37 | $151,837 | +52% | $15,947 |
| 312 Syncope and Collapse | 37 | $92,545 | +103% | $7,466 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $116,781 | +141% | $9,070 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 36 | $281,920 | +146% | $15,774 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $105,283 | +89% | $8,819 |
| 305 Hypertension without MCC | 34 | $68,467 | +71% | $7,067 |
| 069 Transient Ischemia without Thrombolytic | 33 | $87,979 | +74% | $7,802 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $71,364 | +93% | $7,172 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $94,775 | +162% | $6,709 |
| 603 Cellulitis without MCC | 32 | $68,680 | +84% | $7,716 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $499,402 | +118% | $35,154 |
| 039 Extracranial Procedures without CC/MCC | 31 | $116,601 | +83% | $10,390 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 29 | $222,976 | +64% | $21,625 |
| 884 Organic Disturbances and Intellectual Disability | 29 | $88,088 | +41% | $12,835 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 28 | $337,647 | +143% | $22,093 |
| 100 Seizures with MCC | 26 | $131,998 | +40% | $16,262 |
| 252 Other Vascular Procedures with MCC | 26 | $290,592 | +70% | $24,348 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 25 | $137,263 | +101% | $11,696 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 25 | $73,052 | +154% | $5,766 |
| 638 Diabetes with CC | 25 | $96,091 | +131% | $9,075 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $138,967 | +175% | $8,696 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $136,438 | +114% | $10,170 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 24 | $226,580 | +191% | $13,042 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $254,012 | +113% | $19,136 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $168,732 | +98% | $14,748 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 23 | $326,198 | +174% | $21,885 |
| 101 Seizures without MCC | 22 | $98,324 | +102% | $9,158 |
| 551 Medical Back Problems with MCC | 22 | $155,136 | +97% | $12,003 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $83,405 | +117% | $8,609 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $98,346 | +74% | $11,050 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $322,130 | +97% | $22,824 |
| 637 Diabetes with MCC | 21 | $125,215 | +88% | $10,788 |
| 254 Other Vascular Procedures without CC/MCC | 20 | $226,128 | +148% | $23,086 |
| 394 Other Digestive System Diagnoses with CC | 20 | $73,841 | +57% | $8,358 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $91,461 | +50% | $10,161 |
| 393 Other Digestive System Diagnoses with MCC | 19 | $200,076 | +161% | $15,772 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 19 | $82,826 | +94% | $8,104 |
| 163 Major Chest Procedures with MCC | 18 | $521,226 | +148% | $43,171 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $121,198 | +28% | $16,570 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $71,026 | +50% | $8,852 |
| 057 Degenerative Nervous System Disorders without MCC | 17 | $85,842 | +52% | $10,192 |
| 329 Major Small and Large Bowel Procedures with MCC | 17 | $468,893 | +118% | $36,570 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $179,258 | +60% | $17,010 |
Showing the 60 most frequent of 91 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Denton charged $155,504 on average, 40% more than the Texas average of $111,133, and was paid $15,446 against a state average of $16,694. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical City Denton charged $118,408 on average, 61% more than the Texas average of $73,756, and was paid $11,229 against a state average of $11,597. For Heart Failure and Shock with MCC (DRG 291), Medical City Denton charged $110,435 on average, 63% more than the Texas average of $67,944, and was paid $10,923 against a state average of $11,820. For Renal Failure with MCC (DRG 682), Medical City Denton charged $95,675 on average, 23% more than the Texas average of $77,512, and was paid $11,982 against a state average of $12,864. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,727 was 78% above the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $351,894 was 256% above the state average of $98,771. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,476 was 10% above the state average of $14,089. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $92,726 was 204% above the state average of $30,502.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical City Denton in Denton, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-10-04 (CMS case 1906)
- Met Requirements — 2025-05-05 (CMS case 4312)
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.