Texas / Palo Pinto General Hospital
CMS certification 450565 · Mineral Wells, TX · 2 entries in CMS's price-transparency list
Palo Pinto General Hospital: charges and Medicare payments
Palo Pinto General Hospital reported 102 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.01 times what it was paid — among the lower ratios in Texas, number 185 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: 17 stays at an average charge of $30,344, 66% below the national average. It also billed 364 outpatient services, charging 5.48 times what Medicare paid.
- 1Medicare inpatient stays 102
- 2Charge ÷ paid, inpatient 2.01×
- 3Rank in TX (highest ratio = 1) 185 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 7 DRGs that can be compared with the national average, Palo Pinto General Hospital 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 | 17 | $30,344 | -66% | $16,706 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $16,209 | -68% | $11,123 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $15,338 | -59% | $8,732 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $29,336 | -42% | $11,096 |
| 291 Heart Failure and Shock with MCC | 14 | $21,732 | -61% | $12,062 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $25,484 | -48% | $9,203 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $20,381 | -49% | $8,684 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 160 | $9,348 | $2,363 |
| Level 2 Urology and Related Services | 43 | $893 | $593 |
| Level 1 Intraocular Procedures | 30 | $6,796 | $1,978 |
| Level 3 Urology and Related Services | 29 | $4,737 | $1,767 |
| Level 3 Musculoskeletal Procedures | 26 | $15,994 | $2,809 |
| Level 1 Nerve Procedures | 25 | $6,401 | $1,675 |
| Level 3 Vascular Procedures | 15 | $10,683 | $2,621 |
| Level 5 Musculoskeletal Procedures | 14 | $67,309 | $11,406 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $14,740 | $1,407 |
| Level 2 Upper GI Procedures | 11 | $7,823 | $1,544 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Palo Pinto General Hospital charged $30,344 on average, 73% less than the Texas average of $111,133, and was paid $16,706 against a state average of $16,694. For Kidney and Urinary Tract Infections with MCC (DRG 689), Palo Pinto General Hospital charged $16,209 on average, 72% less than the Texas average of $57,563, and was paid $11,123 against a state average of $10,503. For Kidney and Urinary Tract Infections without MCC (DRG 690), Palo Pinto General Hospital charged $15,338 on average, 64% less than the Texas average of $42,965, and was paid $8,732 against a state average of $8,372. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Palo Pinto General Hospital charged $29,336 on average, 46% less than the Texas average of $54,757, and was paid $11,096 against a state average of $10,898. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,348 was 67% below the state average of $27,955. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $893 was 76% below the state average of $3,679. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,796 was 59% below the state average of $16,442. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,737 was 73% below the state average of $17,781.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Palo Pinto General Hospital in Mineral Wells, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-04-17 (CMS case 7503)
- Closure Notice — 2026-07-22 (CMS case 7503)
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.