Texas / Palestine Regional Medical Center
CMS certification 450747 · Palestine, TX · 4 entries in CMS's price-transparency list
Palestine Regional Medical Center: charges and Medicare payments
Palestine Regional Medical Center reported 209 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 6.62 times what it was paid — mid-range in Texas, number 74 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: 42 stays at an average charge of $89,448, 1% below the national average. It also billed 233 outpatient services, charging 15.62 times what Medicare paid.
- 1Medicare inpatient stays 209
- 2Charge ÷ paid, inpatient 6.62×
- 3Rank in TX (highest ratio = 1) 74 of 190
- 4CMS price-transparency actions 4
Inpatient stays
For the 9 DRGs that can be compared with the national average, Palestine Regional Medical Center charged more than the national average in 8 (89%). 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 | 42 | $89,448 | -1% | $14,862 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $66,039 | +11% | $9,805 |
| 291 Heart Failure and Shock with MCC | 28 | $60,573 | +7% | $10,038 |
| 689 Kidney and Urinary Tract Infections with MCC | 27 | $55,390 | +8% | $8,969 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $96,550 | +37% | $12,278 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $82,984 | +44% | $10,420 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $53,558 | +40% | $6,856 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $55,023 | +12% | $8,335 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $42,516 | +12% | $6,807 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 149 | $33,073 | $2,530 |
| Level 3 Urology and Related Services | 22 | $21,617 | $1,760 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $9,525 | $1,507 |
| Level 1 Nerve Procedures | 18 | $11,065 | $1,744 |
| Level 4 Urology and Related Services | 14 | $25,320 | $3,055 |
| Level 3 Pacemaker and Similar Procedures | 11 | $155,359 | $9,915 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Palestine Regional Medical Center charged $89,448 on average, 20% less than the Texas average of $111,133, and was paid $14,862 against a state average of $16,694. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Palestine Regional Medical Center charged $66,039 on average, 10% less than the Texas average of $73,756, and was paid $9,805 against a state average of $11,597. For Heart Failure and Shock with MCC (DRG 291), Palestine Regional Medical Center charged $60,573 on average, 11% less than the Texas average of $67,944, and was paid $10,038 against a state average of $11,820. For Kidney and Urinary Tract Infections with MCC (DRG 689), Palestine Regional Medical Center charged $55,390 on average, 4% less than the Texas average of $57,563, and was paid $8,969 against a state average of $10,503. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,073 was 18% above the state average of $27,955. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $21,617 was 22% above the state average of $17,781. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,525 was 32% below the state average of $14,089. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,065 was 39% below the state average of $18,063.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Palestine Regional Medical Center in Palestine, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-29 (CMS case 2556)
- Closure Notice — 2024-12-09 (CMS case 2556)
- Met Requirements — 2025-07-16 (CMS case 5786)
- Met Requirements — 2026-07-15 (CMS case 8258)
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.