Texas / Medical City Mckinney
CMS certification 450403 · Mckinney, TX · 2 entries in CMS's price-transparency list
Medical City Mckinney: charges and Medicare payments
Medical City Mckinney reported 2,092 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 11.22 times what it was paid — among the higher ratios in Texas, number 23 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: 259 stays at an average charge of $154,843, 71% above the national average. It also billed 625 outpatient services, charging 23.16 times what Medicare paid.
- 1Medicare inpatient stays 2,092
- 2Charge ÷ paid, inpatient 11.22×
- 3Rank in TX (highest ratio = 1) 23 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 72 DRGs that can be compared with the national average, Medical City Mckinney charged more than the national average in 71 (99%). 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 | 259 | $154,843 | +71% | $14,763 |
| 291 Heart Failure and Shock with MCC | 121 | $104,779 | +86% | $10,363 |
| 193 Simple Pneumonia and Pleurisy with MCC | 86 | $104,552 | +75% | $10,353 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 78 | $314,538 | +238% | $16,842 |
| 552 Medical Back Problems without MCC | 67 | $76,750 | +57% | $7,903 |
| 177 Respiratory Infections and Inflammations with MCC | 61 | $120,577 | +71% | $12,799 |
| 682 Renal Failure with MCC | 57 | $104,415 | +58% | $11,182 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 56 | $103,456 | +41% | $12,143 |
| 312 Syncope and Collapse | 53 | $83,280 | +83% | $7,507 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $63,344 | +58% | $6,942 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 46 | $166,574 | +67% | $14,836 |
| 481 Hip and Femur Procedures except Major Joint with CC | 46 | $287,800 | +186% | $18,379 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $97,567 | +62% | $12,946 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $420,015 | +83% | $36,842 |
| 683 Renal Failure with CC | 40 | $77,646 | +91% | $7,756 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $78,027 | +52% | $9,680 |
| 305 Hypertension without MCC | 34 | $63,563 | +59% | $6,640 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $64,207 | +70% | $7,185 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $67,421 | +37% | $8,723 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $160,177 | +111% | $11,816 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $97,675 | +70% | $9,769 |
| 884 Organic Disturbances and Intellectual Disability | 30 | $86,226 | +38% | $12,121 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $67,722 | +83% | $7,509 |
| 069 Transient Ischemia without Thrombolytic | 27 | $102,997 | +104% | $6,844 |
| 057 Degenerative Nervous System Disorders without MCC | 25 | $79,998 | +41% | $10,549 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $75,898 | +110% | $6,458 |
| 313 Chest Pain | 21 | $64,264 | +61% | $7,093 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $109,959 | +97% | $8,336 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 20 | $260,530 | +92% | $21,139 |
| 638 Diabetes with CC | 20 | $63,052 | +51% | $8,203 |
| 637 Diabetes with MCC | 18 | $108,349 | +63% | $11,844 |
| 252 Other Vascular Procedures with MCC | 17 | $237,068 | +39% | $33,493 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $83,770 | +76% | $8,364 |
| 389 Gastrointestinal Obstruction with CC | 16 | $66,605 | +71% | $6,842 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $330,565 | +223% | $15,402 |
| 536 Fractures of Hip and Pelvis without MCC | 16 | $79,989 | +112% | $6,550 |
| 056 Degenerative Nervous System Disorders with MCC | 15 | $154,479 | +61% | $15,150 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 15 | $77,911 | +45% | $10,017 |
| 091 Other Disorders of Nervous System with MCC | 15 | $139,424 | +68% | $12,562 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $56,245 | +47% | $7,463 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $163,668 | +189% | $9,636 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $53,177 | +85% | $5,610 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $90,155 | +48% | $10,128 |
| 467 Revision of Hip or Knee Replacement with CC | 14 | $372,052 | +136% | $23,715 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 14 | $407,055 | +229% | $20,595 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 14 | $114,499 | +70% | $10,594 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 14 | $102,112 | +80% | $8,539 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 14 | $317,615 | +83% | $27,527 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 13 | $161,072 | +49% | $16,545 |
| 149 Dysequilibrium | 13 | $80,039 | +80% | $7,305 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $78,934 | +56% | $11,381 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $135,789 | +43% | $14,848 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $255,510 | +115% | $14,622 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 13 | $541,264 | +329% | $18,651 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $77,270 | +81% | $7,368 |
| 603 Cellulitis without MCC | 13 | $57,298 | +54% | $7,431 |
| 643 Endocrine Disorders with MCC | 13 | $116,107 | +57% | $12,143 |
| 100 Seizures with MCC | 12 | $114,993 | +22% | $14,122 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $128,246 | +97% | $10,889 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $91,719 | +82% | $7,564 |
Showing the 60 most frequent of 72 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 112 | $295,710 | $11,737 |
| Comprehensive Observation Services | 76 | $49,297 | $2,463 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 75 | $16,318 | $1,459 |
| Level 2 Upper GI Procedures | 49 | $23,530 | $1,712 |
| Level 1 Endovascular Procedures | 44 | $51,838 | $2,889 |
| Level 3 Vascular Procedures | 40 | $45,362 | $2,868 |
| Level 1 Laparoscopy and Related Services | 39 | $101,606 | $5,192 |
| Level 3 Electrophysiologic Procedures | 34 | $337,839 | $21,319 |
| Level 5 Urology and Related Services | 30 | $79,886 | $4,656 |
| Level 2 Laparoscopy and Related Services | 19 | $139,016 | $9,259 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $33,494 | $2,443 |
| Level 3 Pacemaker and Similar Procedures | 17 | $133,327 | $9,603 |
| Level 4 Urology and Related Services | 15 | $70,656 | $3,137 |
| Level 4 Musculoskeletal Procedures | 14 | $167,580 | $6,438 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 11 | $102,324 | $5,868 |
| Level 4 Airway Endoscopy | 11 | $56,986 | $3,370 |
| Level 3 Endovascular Procedures | 11 | $105,025 | $9,892 |
| Level 3 Urology and Related Services | 11 | $38,459 | $1,833 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Mckinney charged $154,843 on average, 39% more than the Texas average of $111,133, and was paid $14,763 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Mckinney charged $104,779 on average, 54% more than the Texas average of $67,944, and was paid $10,363 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical City Mckinney charged $104,552 on average, 42% more than the Texas average of $73,756, and was paid $10,353 against a state average of $11,597. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Medical City Mckinney charged $314,538 on average, 171% more than the Texas average of $116,220, and was paid $16,842 against a state average of $15,157. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $295,710 was 199% above the state average of $98,771. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,297 was 76% above the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,318 was 16% above the state average of $14,089. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $23,530 was 45% above the state average of $16,236.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical City Mckinney in Mckinney, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-10-23 (CMS case 1900)
- Met Requirements — 2025-05-06 (CMS case 4346)
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.