Texas / Oakbend Medical Center
CMS certification 450330 · Richmond, TX
Oakbend Medical Center: charges and Medicare payments
Oakbend Medical Center reported 150 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 3.11 times what it was paid — among the lower ratios in Texas, number 170 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: 74 stays at an average charge of $49,498, 45% below the national average. It also billed 391 outpatient services, charging 9.59 times what Medicare paid.
- 1Medicare inpatient stays 150
- 2Charge ÷ paid, inpatient 3.11×
- 3Rank in TX (highest ratio = 1) 170 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Oakbend Medical Center charged more than the national average in 0 (0%). 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 | 74 | $49,498 | -45% | $18,575 |
| 460 Spinal Fusion except Cervical without MCC | 30 | $132,198 | -22% | $32,270 |
| 291 Heart Failure and Shock with MCC | 22 | $35,769 | -37% | $14,052 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $41,639 | -28% | $14,498 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $29,872 | -50% | $12,791 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 200 | $17,199 | $2,528 |
| Level 1 Intraocular Procedures | 86 | $15,039 | $2,161 |
| Level 4 Musculoskeletal Procedures | 26 | $63,739 | $6,634 |
| Level 2 Upper GI Procedures | 19 | $10,474 | $1,764 |
| Level 3 Musculoskeletal Procedures | 17 | $42,946 | $3,001 |
| Level 1 Laparoscopy and Related Services | 17 | $25,588 | $5,350 |
| Level 2 Vascular Procedures | 14 | $16,480 | $1,485 |
| Level 1 Nerve Procedures | 12 | $22,810 | $1,790 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Oakbend Medical Center charged $49,498 on average, 55% less than the Texas average of $111,133, and was paid $18,575 against a state average of $16,694. For Spinal Fusion except Cervical without MCC (DRG 460), Oakbend Medical Center charged $132,198 on average, 38% less than the Texas average of $213,248, and was paid $32,270 against a state average of $30,622. For Heart Failure and Shock with MCC (DRG 291), Oakbend Medical Center charged $35,769 on average, 47% less than the Texas average of $67,944, and was paid $14,052 against a state average of $11,820. For Pulmonary Edema and Respiratory Failure (DRG 189), Oakbend Medical Center charged $41,639 on average, 37% less than the Texas average of $65,957, and was paid $14,498 against a state average of $11,822. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,199 was 38% below the state average of $27,955. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,039 was 9% below the state average of $16,442. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $63,739 was 8% above the state average of $58,833. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,474 was 35% below the state average of $16,236.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.