Texas / Medical City Las Colinas
CMS certification 450822 · Irving, TX · 2 entries in CMS's price-transparency list
Medical City Las Colinas: charges and Medicare payments
Medical City Las Colinas reported 150 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 10.26 times what it was paid — among the higher ratios in Texas, number 34 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: 57 stays at an average charge of $169,294, 87% above the national average. It also billed 140 outpatient services, charging 28.22 times what Medicare paid.
- 1Medicare inpatient stays 150
- 2Charge ÷ paid, inpatient 10.26×
- 3Rank in TX (highest ratio = 1) 34 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 8 DRGs that can be compared with the national average, Medical City Las Colinas charged more than the national average in 8 (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 | 57 | $169,294 | +87% | $16,452 |
| 291 Heart Failure and Shock with MCC | 18 | $119,135 | +111% | $11,380 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $119,819 | +144% | $11,756 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $183,500 | +160% | $14,116 |
| 682 Renal Failure with MCC | 13 | $107,798 | +63% | $13,111 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $102,735 | +72% | $12,844 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $96,210 | +140% | $8,724 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $128,239 | +123% | $11,993 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 34 | $59,494 | $2,463 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $11,805 | $1,459 |
| Level 5 Musculoskeletal Procedures | 16 | $271,438 | $11,828 |
| Level 4 Musculoskeletal Procedures | 15 | $177,001 | $6,438 |
| Level 1 Laparoscopy and Related Services | 15 | $94,934 | $5,192 |
| Level 1 Endovascular Procedures | 13 | $68,314 | $2,937 |
| Level 2 Upper GI Procedures | 13 | $46,299 | $1,713 |
| Level 3 Musculoskeletal Procedures | 11 | $85,677 | $2,913 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Las Colinas charged $169,294 on average, 52% more than the Texas average of $111,133, and was paid $16,452 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Las Colinas charged $119,135 on average, 75% more than the Texas average of $67,944, and was paid $11,380 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Medical City Las Colinas charged $119,819 on average, 106% more than the Texas average of $58,253, and was paid $11,756 against a state average of $10,103. For Respiratory Infections and Inflammations with MCC (DRG 177), Medical City Las Colinas charged $183,500 on average, 125% more than the Texas average of $81,715, and was paid $14,116 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $59,494 was 113% above the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,805 was 16% below the state average of $14,089. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $271,438 was 175% above the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $177,001 was 201% above the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical City Las Colinas in Irving, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-16 (CMS case 1904)
- Met Requirements — 2025-05-06 (CMS case 4350)
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.