Texas / Northwest Texas Hospital
CMS certification 450209 · Amarillo, TX · 3 entries in CMS's price-transparency list
Northwest Texas Hospital: charges and Medicare payments
Northwest Texas Hospital reported 1,564 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 8.75 times what it was paid — among the higher ratios in Texas, number 49 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: 257 stays at an average charge of $170,068, 88% above the national average. It also billed 580 outpatient services, charging 13.58 times what Medicare paid.
- 1Medicare inpatient stays 1,564
- 2Charge ÷ paid, inpatient 8.75×
- 3Rank in TX (highest ratio = 1) 49 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 50 DRGs that can be compared with the national average, Northwest Texas Hospital charged more than the national average in 49 (98%). 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 | 257 | $170,068 | +88% | $17,577 |
| 885 Psychoses | 212 | $68,008 | +54% | $13,000 |
| 291 Heart Failure and Shock with MCC | 86 | $125,298 | +122% | $12,348 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 68 | $353,375 | +54% | $38,967 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 55 | $118,051 | +56% | $13,999 |
| 193 Simple Pneumonia and Pleurisy with MCC | 54 | $120,627 | +102% | $12,533 |
| 682 Renal Failure with MCC | 39 | $106,873 | +62% | $13,242 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $155,803 | +36% | $16,178 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $109,241 | +55% | $13,572 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $87,563 | +45% | $11,786 |
| 637 Diabetes with MCC | 26 | $117,974 | +77% | $13,423 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $100,020 | +104% | $10,304 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $186,492 | +82% | $17,699 |
| 689 Kidney and Urinary Tract Infections with MCC | 25 | $94,739 | +85% | $11,231 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $139,015 | +63% | $16,066 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $179,683 | +78% | $16,775 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $149,911 | +104% | $14,715 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $161,018 | +61% | $17,112 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $68,194 | +89% | $8,244 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $196,137 | +20% | $24,593 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $247,757 | +79% | $23,372 |
| 683 Renal Failure with CC | 23 | $75,055 | +84% | $9,389 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $95,474 | +71% | $10,267 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $71,017 | +46% | $9,889 |
| 069 Transient Ischemia without Thrombolytic | 21 | $100,279 | +99% | $8,540 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $115,778 | +101% | $11,415 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 19 | $146,151 | -7% | $26,447 |
| 312 Syncope and Collapse | 19 | $83,738 | +84% | $9,130 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $77,580 | +93% | $8,526 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $180,595 | +52% | $18,565 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $86,963 | +135% | $8,456 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $68,621 | +36% | $9,429 |
| 536 Fractures of Hip and Pelvis without MCC | 15 | $63,321 | +68% | $8,532 |
| 552 Medical Back Problems without MCC | 15 | $90,176 | +85% | $10,023 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $64,476 | +70% | $8,640 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $144,413 | +29% | $19,754 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $304,124 | +41% | $32,634 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $82,895 | +64% | $10,956 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $221,411 | +64% | $21,743 |
| 603 Cellulitis without MCC | 13 | $89,017 | +139% | $9,525 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 12 | $181,441 | +57% | $18,282 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $57,793 | +101% | $6,685 |
| 417 Laparoscopic Cholecystectomy without C.D.E. with MCC | 12 | $353,541 | +183% | $33,447 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $233,350 | +137% | $18,661 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 12 | $438,627 | +36% | $47,643 |
| 163 Major Chest Procedures with MCC | 11 | $313,900 | +49% | $39,598 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $88,646 | +36% | $12,834 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $81,942 | +45% | $11,588 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $157,694 | +66% | $17,338 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $63,606 | +72% | $9,038 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 111 | $30,423 | $2,777 |
| Level 3 Endovascular Procedures | 71 | $76,852 | $9,428 |
| Comprehensive Observation Services | 67 | $49,932 | $2,350 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 53 | $21,025 | $1,317 |
| Level 3 Vascular Procedures | 47 | $39,439 | $2,719 |
| Level 2 Endovascular Procedures | 27 | $50,918 | $4,813 |
| Level 4 Endovascular Procedures | 24 | $123,368 | $15,186 |
| Level 1 Laparoscopy and Related Services | 21 | $63,475 | $4,817 |
| Level 4 Musculoskeletal Procedures | 18 | $96,652 | $6,207 |
| Level 2 Laparoscopy and Related Services | 18 | $86,130 | $8,172 |
| Level 3 Electrophysiologic Procedures | 16 | $174,355 | $19,374 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $40,305 | $2,466 |
| Level 2 Musculoskeletal Procedures | 15 | $31,625 | $1,395 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $43,906 | $3,002 |
| Level 4 Vascular Procedures | 14 | $50,816 | $4,509 |
| Level 2 Upper GI Procedures | 13 | $19,659 | $1,550 |
| Level 3 Airway Endoscopy | 12 | $18,933 | $1,473 |
| Level 5 Gynecologic Procedures | 12 | $49,997 | $4,316 |
| Level 4 Gynecologic Procedures | 11 | $44,135 | $2,713 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northwest Texas Hospital charged $170,068 on average, 53% more than the Texas average of $111,133, and was paid $17,577 against a state average of $16,694. For Psychoses (DRG 885), Northwest Texas Hospital charged $68,008 on average, 34% more than the Texas average of $50,568, and was paid $13,000 against a state average of $14,350. For Heart Failure and Shock with MCC (DRG 291), Northwest Texas Hospital charged $125,298 on average, 84% more than the Texas average of $67,944, and was paid $12,348 against a state average of $11,820. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Northwest Texas Hospital charged $353,375 on average, 25% more than the Texas average of $283,065, and was paid $38,967 against a state average of $41,195. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,423 was 16% below the state average of $36,220. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $76,852 was 18% below the state average of $93,719. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,932 was 79% above the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $21,025 was 49% above the state average of $14,089.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northwest Texas Hospital in Amarillo, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-10 (CMS case 3724)
- Met Requirements — 2025-05-13 (CMS case 4423)
- Met Requirements — 2025-05-20 (CMS case 4619)
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.