Texas / Mission Regional Medical Center
CMS certification 450176 · Mission, TX · 3 entries in CMS's price-transparency list
Mission Regional Medical Center: charges and Medicare payments
Mission Regional Medical Center reported 617 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 5.74 times what it was paid — mid-range in Texas, number 88 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: 180 stays at an average charge of $90,259, 0% below the national average. It also billed 27 outpatient services, charging 14.07 times what Medicare paid.
- 1Medicare inpatient stays 617
- 2Charge ÷ paid, inpatient 5.74×
- 3Rank in TX (highest ratio = 1) 88 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 22 DRGs that can be compared with the national average, Mission Regional Medical Center charged more than the national average in 4 (18%). 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 | 180 | $90,259 | 0% | $15,012 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $42,360 | -14% | $9,121 |
| 291 Heart Failure and Shock with MCC | 39 | $64,881 | +15% | $10,531 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $40,987 | -32% | $10,803 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $70,200 | -1% | $12,931 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $104,724 | +75% | $10,852 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $87,171 | +51% | $10,642 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $27,104 | -28% | $7,205 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $31,412 | -22% | $6,997 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $33,093 | -36% | $9,126 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $66,194 | -13% | $12,150 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $81,901 | -4% | $13,922 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $251,373 | +10% | $35,751 |
| 603 Cellulitis without MCC | 15 | $26,776 | -28% | $7,699 |
| 683 Renal Failure with CC | 14 | $28,125 | -31% | $7,752 |
| 069 Transient Ischemia without Thrombolytic | 13 | $38,684 | -23% | $7,050 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 13 | $34,683 | -27% | $8,796 |
| 305 Hypertension without MCC | 12 | $25,952 | -35% | $6,756 |
| 682 Renal Failure with MCC | 12 | $57,677 | -13% | $11,946 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $37,603 | -23% | $8,416 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $47,078 | -23% | $10,468 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $53,565 | -27% | $12,997 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $20,243 | $1,407 |
| Level 4 Urology and Related Services | 12 | $28,338 | $3,025 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mission Regional Medical Center charged $90,259 on average, 19% less than the Texas average of $111,133, and was paid $15,012 against a state average of $16,694. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mission Regional Medical Center charged $42,360 on average, 27% less than the Texas average of $58,253, and was paid $9,121 against a state average of $10,103. For Heart Failure and Shock with MCC (DRG 291), Mission Regional Medical Center charged $64,881 on average, 5% less than the Texas average of $67,944, and was paid $10,531 against a state average of $11,820. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Mission Regional Medical Center charged $40,987 on average, 40% less than the Texas average of $68,203, and was paid $10,803 against a state average of $12,119. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,243 was 44% above the state average of $14,089. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $28,338 was 9% below the state average of $31,008.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mission Regional Medical Center in Mission, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-02-01 (CMS case 837)
- Closure Notice — 2024-04-01 (CMS case 837)
- Met Requirements — 2025-07-21 (CMS case 5890)
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.