Texas / Paris Regional Health
CMS certification 450196 · Paris, TX
Paris Regional Health: charges and Medicare payments
Paris Regional Health reported 2,027 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 4.53 times what it was paid — mid-range in Texas, number 124 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: 185 stays at an average charge of $52,985, 41% below the national average. It also billed 1,197 outpatient services, charging 10.92 times what Medicare paid.
- 1Medicare inpatient stays 2,027
- 2Charge ÷ paid, inpatient 4.53×
- 3Rank in TX (highest ratio = 1) 124 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 52 DRGs that can be compared with the national average, Paris Regional Health charged more than the national average in 2 (4%). 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 | 185 | $52,985 | -41% | $14,179 |
| 291 Heart Failure and Shock with MCC | 175 | $31,455 | -44% | $9,306 |
| 193 Simple Pneumonia and Pleurisy with MCC | 123 | $38,524 | -36% | $9,606 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 111 | $43,928 | -42% | $11,661 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 77 | $85,442 | -8% | $14,121 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 73 | $144,573 | +26% | $13,395 |
| 689 Kidney and Urinary Tract Infections with MCC | 64 | $28,795 | -44% | $8,519 |
| 177 Respiratory Infections and Inflammations with MCC | 62 | $38,964 | -45% | $12,111 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 60 | $23,963 | -40% | $5,884 |
| 189 Pulmonary Edema and Respiratory Failure | 53 | $36,832 | -36% | $8,944 |
| 682 Renal Failure with MCC | 49 | $36,103 | -45% | $10,839 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $21,698 | -43% | $6,002 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $35,361 | -41% | $9,522 |
| 683 Renal Failure with CC | 46 | $26,142 | -36% | $6,600 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $22,661 | -37% | $5,586 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 42 | $38,171 | -24% | $6,778 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 41 | $82,269 | -20% | $15,315 |
| 481 Hip and Femur Procedures except Major Joint with CC | 35 | $81,153 | -19% | $14,959 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $23,711 | -36% | $5,999 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $28,798 | -48% | $7,392 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 31 | $48,915 | -23% | $7,887 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $28,152 | -43% | $7,626 |
| 194 Simple Pneumonia and Pleurisy with CC | 29 | $25,174 | -34% | $6,164 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $41,608 | -14% | $7,194 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $39,498 | -22% | $8,038 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 27 | $41,621 | -27% | $8,758 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $32,362 | -56% | $12,033 |
| 312 Syncope and Collapse | 24 | $26,471 | -42% | $6,425 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $100,579 | -41% | $26,286 |
| 552 Medical Back Problems without MCC | 23 | $22,136 | -55% | $7,097 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $19,612 | -32% | $4,397 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $43,728 | -56% | $14,495 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $190,572 | +16% | $21,677 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 20 | $67,960 | -13% | $11,472 |
| 603 Cellulitis without MCC | 20 | $26,745 | -28% | $6,541 |
| 638 Diabetes with CC | 20 | $22,880 | -45% | $6,691 |
| 812 Red Blood Cell Disorders without MCC | 19 | $30,867 | -30% | $6,692 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $140,853 | -38% | $36,140 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 17 | $34,722 | -20% | $5,473 |
| 069 Transient Ischemia without Thrombolytic | 16 | $27,636 | -45% | $5,744 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $111,934 | -6% | $17,239 |
| 811 Red Blood Cell Disorders with MCC | 16 | $56,916 | -17% | $10,143 |
| 394 Other Digestive System Diagnoses with CC | 15 | $23,257 | -51% | $6,939 |
| 283 Acute Myocardial Infarction, Expired with MCC | 14 | $51,962 | -50% | $14,312 |
| 305 Hypertension without MCC | 14 | $25,868 | -35% | $5,661 |
| 948 Signs and Symptoms without MCC | 14 | $24,721 | -35% | $5,990 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $66,886 | -22% | $12,998 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $72,486 | -22% | $11,564 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $24,258 | -43% | $6,624 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 12 | $154,683 | -52% | $49,746 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 11 | $25,988 | -39% | $5,269 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $25,311 | -50% | $7,681 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 377 | $17,507 | $2,628 |
| Level 1 Endovascular Procedures | 200 | $35,423 | $3,078 |
| Level 1 Laparoscopy and Related Services | 116 | $48,665 | $5,561 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 78 | $12,753 | $1,563 |
| Level 3 Urology and Related Services | 55 | $26,671 | $1,963 |
| Level 2 Vascular Procedures | 45 | $18,058 | $1,544 |
| Level 5 Musculoskeletal Procedures | 44 | $83,662 | $12,164 |
| Level 3 Vascular Procedures | 44 | $36,298 | $3,072 |
| Level 4 Urology and Related Services | 42 | $41,470 | $3,360 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 27 | $46,445 | $3,236 |
| Level 6 Musculoskeletal Procedures | 26 | $110,858 | $17,921 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 25 | $39,087 | $2,739 |
| Level 3 Endovascular Procedures | 23 | $106,780 | $10,593 |
| Level 4 Musculoskeletal Procedures | 21 | $63,749 | $6,895 |
| Level 4 Vascular Procedures | 19 | $43,529 | $5,296 |
| Level 5 ENT Procedures | 18 | $41,867 | $5,394 |
| Level 2 Upper GI Procedures | 14 | $15,128 | $1,834 |
| Level 4 Airway Endoscopy | 12 | $38,753 | $3,609 |
| Level 3 Airway Endoscopy | 11 | $18,263 | $1,517 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Paris Regional Health charged $52,985 on average, 52% less than the Texas average of $111,133, and was paid $14,179 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Paris Regional Health charged $31,455 on average, 54% less than the Texas average of $67,944, and was paid $9,306 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Paris Regional Health charged $38,524 on average, 48% less than the Texas average of $73,756, and was paid $9,606 against a state average of $11,597. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Paris Regional Health charged $43,928 on average, 53% less than the Texas average of $92,713, and was paid $11,661 against a state average of $13,694. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,507 was 37% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $35,423 was 2% below the state average of $36,220. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $48,665 was 5% below the state average of $50,995. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,753 was 9% below the state average of $14,089.
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.