Texas / Medical City Fort Worth

CMS certification 450672 · Fort Worth, TX · 1 entry in CMS's price-transparency list

Medical City Fort Worth: charges and Medicare payments

Medical City Fort Worth reported 2,144 Medicare inpatient stays across 84 DRGs in 2024. Across them it charged 12.42 times what it was paid — among the higher ratios in Texas, number 11 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: 223 stays at an average charge of $167,424, 85% above the national average. It also billed 1,179 outpatient services, charging 24.6 times what Medicare paid.

1Medicare inpatient stays 2,144
2Charge ÷ paid, inpatient 12.42×
3Rank in TX (highest ratio = 1) 11 of 190
4CMS price-transparency actions 1

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

Inpatient stays

For the 84 DRGs that can be compared with the national average, Medical City Fort Worth charged more than the national average in 84 (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	223	$167,424	+85%	$17,227
291 Heart Failure and Shock with MCC	83	$92,273	+64%	$11,278
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	71	$163,542	+64%	$17,310
699 Other Kidney and Urinary Tract Diagnoses with CC	64	$111,662	+135%	$9,649
274 Percutaneous and Other Intracardiac Procedures without MCC	57	$587,161	+275%	$27,810
698 Other Kidney and Urinary Tract Diagnoses with MCC	57	$151,943	+107%	$14,440
472 Cervical Spinal Fusion with CC	50	$376,031	+163%	$24,469
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	42	$113,005	+103%	$9,733
193 Simple Pneumonia and Pleurisy with MCC	40	$98,586	+65%	$12,652
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$65,137	+62%	$8,399
454 Combined Anterior and Posterior Spinal Fusion with CC	39	$1,046,408	+274%	$74,699
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$79,578	+32%	$11,173
266 Endovascular Cardiac Valve Replacement and Supplement...	34	$763,288	+168%	$47,537
280 Acute Myocardial Infarction, Discharged Alive with MCC	32	$146,153	+93%	$14,358
312 Syncope and Collapse	32	$58,976	+30%	$8,048
470 Major Hip and Knee Joint Replacement or Reattachment of...	31	$297,192	+219%	$18,832
552 Medical Back Problems without MCC	31	$60,641	+24%	$8,807
853 Infectious and Parasitic Diseases with O.R. Procedures with...	31	$480,418	+110%	$44,286
286 Circulatory Disorders except AMI, with Cardiac...	30	$196,638	+75%	$18,830
287 Circulatory Disorders except AMI, with Cardiac...	30	$143,467	+125%	$10,286
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	29	$80,096	+63%	$10,743
652 Kidney Transplant	27	$650,370	+93%	$29,516
267 Endovascular Cardiac Valve Replacement and Supplement...	26	$734,937	+232%	$45,807
682 Renal Failure with MCC	26	$93,826	+42%	$12,146
305 Hypertension without MCC	24	$51,741	+29%	$6,756
177 Respiratory Infections and Inflammations with MCC	23	$159,216	+126%	$16,088
189 Pulmonary Edema and Respiratory Failure	23	$76,863	+34%	$10,704
236 Coronary Bypass without Cardiac Catheterization without MCC	23	$512,706	+143%	$34,474
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	23	$64,826	+126%	$5,661
377 Gastrointestinal Hemorrhage with MCC	23	$170,338	+99%	$16,033
812 Red Blood Cell Disorders without MCC	23	$75,260	+70%	$10,711
069 Transient Ischemia without Thrombolytic	22	$73,113	+45%	$7,470
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$204,227	+50%	$22,766
163 Major Chest Procedures with MCC	21	$401,949	+91%	$38,996
243 Permanent Cardiac Pacemaker Implant with CC	21	$271,350	+144%	$17,859
281 Acute Myocardial Infarction, Discharged Alive with CC	21	$88,147	+75%	$8,583
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$433,578	+165%	$28,615
025 Craniotomy and Endovascular Intracranial Procedures with MCC	20	$521,875	+125%	$36,910
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$238,055	+108%	$16,875
378 Gastrointestinal Hemorrhage with CC	20	$87,012	+79%	$9,982
300 Peripheral Vascular Disorders with CC	19	$68,706	+39%	$9,149
394 Other Digestive System Diagnoses with CC	19	$61,965	+32%	$9,130
690 Kidney and Urinary Tract Infections without MCC	19	$68,262	+80%	$7,783
811 Red Blood Cell Disorders with MCC	19	$98,784	+45%	$12,908
057 Degenerative Nervous System Disorders without MCC	18	$112,699	+99%	$11,505
101 Seizures without MCC	18	$74,546	+53%	$8,909
309 Cardiac Arrhythmia and Conduction Disorders with CC	18	$69,680	+93%	$7,269
314 Other Circulatory System Diagnoses with MCC	18	$153,320	+62%	$18,072
393 Other Digestive System Diagnoses with MCC	18	$164,568	+114%	$14,757
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	18	$712,486	+251%	$59,472
683 Renal Failure with CC	18	$63,037	+55%	$8,898
023 Craniotomy with Major Device Implant or Acute Complex Cns...	17	$633,563	+125%	$42,810
330 Major Small and Large Bowel Procedures with CC	17	$321,796	+170%	$22,420
234 Coronary Bypass with Cardiac Catheterization or Open...	16	$665,367	+147%	$52,729
460 Spinal Fusion except Cervical without MCC	16	$471,521	+177%	$36,053
313 Chest Pain	15	$51,469	+29%	$6,772
520 Back and Neck Procedures except Spinal Fusion without CC/MCC	15	$159,544	+102%	$15,833
673 Other Kidney and Urinary Tract Procedures with MCC	15	$356,966	+106%	$31,805
068 Precerebral Occlusion without Infarction without MCC	14	$70,990	+34%	$8,225
092 Other Disorders of Nervous System with CC	14	$63,238	+23%	$9,402

Showing the 60 most frequent of 84 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	186	$61,865	$2,946
Level 3 Endovascular Procedures	93	$185,901	$9,924
Complex GI Procedures	91	$33,198	$5,145
Level 5 Urology and Related Services	88	$58,439	$4,587
Level 2 Upper GI Procedures	64	$42,768	$1,654
Level 3 Electrophysiologic Procedures	62	$576,582	$21,387
Level 3 Vascular Procedures	58	$55,403	$2,799
Level 4 Endovascular Procedures	45	$339,907	$15,097
Level 3 Pacemaker and Similar Procedures	43	$183,927	$9,448
Comprehensive Observation Services	40	$31,097	$2,422
Level 2 Excision/ Biopsy/ Incision and Drainage	39	$29,785	$1,420
Level 5 Airway Endoscopy	37	$113,988	$6,046
Level 4 Vascular Procedures	37	$88,163	$4,961
Level 3 Urology and Related Services	37	$35,392	$1,839
Level 4 Musculoskeletal Procedures	36	$145,079	$6,316
Level 1 Laparoscopy and Related Services	31	$103,064	$5,075
Level 4 Urology and Related Services	29	$59,539	$3,067
Level 4 Airway Endoscopy	28	$73,055	$3,285
Level 5 Musculoskeletal Procedures	25	$243,870	$11,457
Level 2 Endovascular Procedures	25	$216,350	$5,160
Level 5 Neurostimulator and Related Procedures	23	$617,038	$27,952
Level 2 Pacemaker and Similar Procedures	17	$171,088	$7,670
Level 3 Upper GI Procedures	17	$36,322	$3,457
Level 3 Airway Endoscopy	16	$32,791	$1,532
Level 6 Musculoskeletal Procedures	12	$320,095	$14,282

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Fort Worth charged $167,424 on average, 51% more than the Texas average of $111,133, and was paid $17,227 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Fort Worth charged $92,273 on average, 36% more than the Texas average of $67,944, and was paid $11,278 against a state average of $11,820. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Medical City Fort Worth charged $163,542 on average, 35% more than the Texas average of $121,565, and was paid $17,310 against a state average of $16,871. For Other Kidney and Urinary Tract Diagnoses with CC (DRG 699), Medical City Fort Worth charged $111,662 on average, 92% more than the Texas average of $58,307, and was paid $9,649 against a state average of $11,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $61,865 was 71% above the state average of $36,220. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $185,901 was 98% above the state average of $93,719. For Complex GI Procedures (outpatient APC 5331), its average charge of $33,198 was 22% below the state average of $42,315. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $58,439 was 52% above the state average of $38,562.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Medical City Fort Worth 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 — 2025-05-01 (CMS case 4227)

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.