Texas / Medical City North Hills
CMS certification 450087 · North Richland Hills, TX · 2 entries in CMS's price-transparency list
Medical City North Hills: charges and Medicare payments
Medical City North Hills reported 771 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 8.41 times what it was paid — among the higher ratios in Texas, number 52 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: 117 stays at an average charge of $113,058, 25% above the national average. It also billed 261 outpatient services, charging 19.6 times what Medicare paid.
- 1Medicare inpatient stays 771
- 2Charge ÷ paid, inpatient 8.41×
- 3Rank in TX (highest ratio = 1) 52 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 30 DRGs that can be compared with the national average, Medical City North Hills charged more than the national average in 29 (97%). 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 | 117 | $113,058 | +25% | $15,479 |
| 291 Heart Failure and Shock with MCC | 73 | $83,149 | +47% | $11,384 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $91,598 | +53% | $11,758 |
| 682 Renal Failure with MCC | 39 | $90,802 | +38% | $11,846 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 36 | $96,679 | +32% | $13,643 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $95,042 | +35% | $12,489 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $69,124 | +83% | $7,739 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $83,902 | +46% | $10,598 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $66,437 | +65% | $8,673 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $67,066 | +31% | $10,398 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $121,142 | +60% | $14,325 |
| 552 Medical Back Problems without MCC | 23 | $83,997 | +72% | $9,165 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $77,045 | +28% | $11,158 |
| 683 Renal Failure with CC | 22 | $56,192 | +38% | $9,373 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $187,512 | +38% | $22,065 |
| 312 Syncope and Collapse | 17 | $72,753 | +60% | $8,351 |
| 305 Hypertension without MCC | 16 | $56,685 | +41% | $7,383 |
| 389 Gastrointestinal Obstruction with CC | 16 | $64,132 | +65% | $8,656 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 15 | $556,630 | +255% | $25,584 |
| 638 Diabetes with CC | 15 | $74,709 | +79% | $9,591 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $63,630 | +34% | $9,091 |
| 394 Other Digestive System Diagnoses with CC | 14 | $47,561 | +1% | $8,520 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $232,452 | +131% | $20,426 |
| 637 Diabetes with MCC | 14 | $76,661 | +15% | $12,548 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $97,913 | -2% | $15,995 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $102,020 | +80% | $9,999 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $70,169 | +94% | $7,171 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $279,962 | +174% | $17,468 |
| 812 Red Blood Cell Disorders without MCC | 11 | $69,625 | +57% | $7,850 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $239,117 | +4% | $32,483 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 75 | $35,559 | $2,445 |
| Level 1 Endovascular Procedures | 43 | $60,153 | $2,947 |
| Level 3 Electrophysiologic Procedures | 31 | $327,174 | $21,387 |
| Level 2 Upper GI Procedures | 28 | $30,462 | $1,717 |
| Level 3 Vascular Procedures | 22 | $49,171 | $2,878 |
| Level 1 Laparoscopy and Related Services | 22 | $124,641 | $5,209 |
| Level 3 Pacemaker and Similar Procedures | 17 | $163,179 | $9,634 |
| Level 3 Endovascular Procedures | 12 | $152,579 | $9,924 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $59,001 | $3,123 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City North Hills charged $113,058 on average, 2% more than the Texas average of $111,133, and was paid $15,479 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City North Hills charged $83,149 on average, 22% more than the Texas average of $67,944, and was paid $11,384 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Medical City North Hills charged $91,598 on average, 24% more than the Texas average of $73,756, and was paid $11,758 against a state average of $11,597. For Renal Failure with MCC (DRG 682), Medical City North Hills charged $90,802 on average, 17% more than the Texas average of $77,512, and was paid $11,846 against a state average of $12,864. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,559 was 27% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $60,153 was 66% above the state average of $36,220. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $327,174 was 48% above the state average of $221,522. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $30,462 was 88% above the state average of $16,236.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medical City North Hills in North Richland Hills, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-10-12 (CMS case 1901)
- Met Requirements — 2025-05-01 (CMS case 4230)
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.