Texas / Methodist Richardson Medical Center
CMS certification 450537 · Richardson, TX · 2 entries in CMS's price-transparency list
Methodist Richardson Medical Center: charges and Medicare payments
Methodist Richardson Medical Center reported 2,023 Medicare inpatient stays across 73 DRGs in 2024. Across them it charged 5.47 times what it was paid — mid-range in Texas, number 92 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: 275 stays at an average charge of $76,771, 15% below the national average. It also billed 2,468 outpatient services, charging 9.2 times what Medicare paid.
- 1Medicare inpatient stays 2,023
- 2Charge ÷ paid, inpatient 5.47×
- 3Rank in TX (highest ratio = 1) 92 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 73 DRGs that can be compared with the national average, Methodist Richardson Medical Center charged more than the national average in 30 (41%). 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 | 275 | $76,771 | -15% | $14,260 |
| 291 Heart Failure and Shock with MCC | 90 | $74,803 | +33% | $10,374 |
| 177 Respiratory Infections and Inflammations with MCC | 81 | $61,037 | -14% | $12,435 |
| 193 Simple Pneumonia and Pleurisy with MCC | 74 | $56,010 | -6% | $10,043 |
| 189 Pulmonary Edema and Respiratory Failure | 69 | $69,814 | +21% | $9,958 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 67 | $88,920 | -11% | $14,435 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 56 | $231,792 | +1% | $46,136 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 52 | $57,275 | +3% | $8,609 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 49 | $53,959 | -27% | $11,208 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $68,381 | +13% | $9,923 |
| 689 Kidney and Urinary Tract Infections with MCC | 41 | $56,835 | +11% | $10,033 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $52,528 | +8% | $8,847 |
| 682 Renal Failure with MCC | 35 | $51,226 | -22% | $12,460 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $49,983 | +2% | $8,415 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $37,520 | -1% | $6,802 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $65,245 | -35% | $15,075 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $127,038 | -6% | $19,472 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $128,705 | -21% | $21,162 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $44,926 | +12% | $6,653 |
| 683 Renal Failure with CC | 28 | $50,142 | +23% | $7,405 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $90,178 | +59% | $10,386 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $42,501 | +18% | $6,587 |
| 377 Gastrointestinal Hemorrhage with MCC | 26 | $86,770 | +2% | $12,890 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $79,684 | +31% | $11,031 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $94,608 | +25% | $13,613 |
| 326 Stomach, Esophageal and Duodenal Procedures with MCC | 23 | $169,392 | -29% | $35,274 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $97,940 | -18% | $17,282 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $72,895 | -29% | $15,381 |
| 329 Major Small and Large Bowel Procedures with MCC | 22 | $179,956 | -16% | $31,000 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $74,276 | -22% | $14,897 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $32,720 | -12% | $6,508 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $87,130 | -24% | $15,631 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 20 | $176,878 | -18% | $32,218 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $48,658 | +27% | $7,136 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $354,534 | +10% | $94,940 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 18 | $100,126 | -21% | $22,801 |
| 405 Pancreas, Liver and Shunt Procedures with MCC | 18 | $185,959 | -36% | $39,242 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 17 | $201,923 | -13% | $30,021 |
| 389 Gastrointestinal Obstruction with CC | 17 | $31,197 | -20% | $7,030 |
| 603 Cellulitis without MCC | 17 | $30,857 | -17% | $7,203 |
| 070 Other Cerebrovascular Disorders with MCC | 16 | $72,569 | -5% | $12,252 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $33,987 | -28% | $10,019 |
| 460 Spinal Fusion except Cervical without MCC | 15 | $80,306 | -53% | $25,265 |
| 637 Diabetes with MCC | 15 | $57,869 | -13% | $10,713 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $49,137 | +8% | $9,169 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $49,788 | -2% | $7,896 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $77,311 | +1% | $12,304 |
| 394 Other Digestive System Diagnoses with CC | 14 | $37,725 | -20% | $7,941 |
| 406 Pancreas, Liver and Shunt Procedures with CC | 14 | $123,255 | -24% | $30,518 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 14 | $74,189 | -27% | $21,041 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $44,560 | -12% | $7,747 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 13 | $136,426 | +44% | $16,231 |
| 444 Disorders of The Biliary Tract with MCC | 13 | $90,023 | +8% | $15,015 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $90,618 | -35% | $20,116 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $75,702 | +1% | $11,272 |
| 062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 12 | $88,020 | -13% | $13,835 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $44,226 | +4% | $6,600 |
| 252 Other Vascular Procedures with MCC | 12 | $122,202 | -28% | $23,919 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $50,818 | +1% | $8,148 |
| 390 Gastrointestinal Obstruction without CC/MCC | 12 | $25,864 | -7% | $6,716 |
Showing the 60 most frequent of 73 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Richardson Medical Center charged $76,771 on average, 31% less than the Texas average of $111,133, and was paid $14,260 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Methodist Richardson Medical Center charged $74,803 on average, 10% more than the Texas average of $67,944, and was paid $10,374 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Methodist Richardson Medical Center charged $61,037 on average, 25% less than the Texas average of $81,715, and was paid $12,435 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Methodist Richardson Medical Center charged $56,010 on average, 24% less than the Texas average of $73,756, and was paid $10,043 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,452 was 5% below the state average of $27,955. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,285 was 6% below the state average of $16,236. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,790 was 15% below the state average of $36,220. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,165 was 28% below the state average of $14,089.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Methodist Richardson Medical Center in Richardson, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-21 (CMS case 6840)
- Closure Notice — 2026-04-23 (CMS case 6840)
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.