Parkland Health and Hospital System: charges and Medicare payments

Parkland Health and Hospital System reported 1,119 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 1.74 times what it was paid — among the lower ratios in Texas, number 186 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 165 stays at an average charge of $65,302, 16% above the national average. It also billed 1,270 outpatient services, charging 10.5 times what Medicare paid.

1Medicare inpatient stays 1,119
2Charge ÷ paid, inpatient 1.74×
3Rank in TX (highest ratio = 1) 186 of 190
4CMS price-transparency actions 0

Average charge per stay at Parkland Health and Hospital System, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 44 DRGs that can be compared with the national average, Parkland Health and Hospital System charged more than the national average in 39 (89%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	165	$65,302	+16%	$52,862
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	155	$112,195	+24%	$62,322
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	46	$61,156	+25%	$50,417
698 Other Kidney and Urinary Tract Diagnoses with MCC	38	$82,379	+12%	$58,060
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$89,490	+48%	$51,322
853 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$295,662	+29%	$95,692
690 Kidney and Urinary Tract Infections without MCC	31	$51,401	+36%	$49,232
286 Circulatory Disorders except AMI, with Cardiac...	28	$149,401	+33%	$56,991
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$52,738	+42%	$48,937
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	26	$88,821	+59%	$50,120
190 Chronic Obstructive Pulmonary Disease with MCC	25	$67,473	+33%	$48,267
193 Simple Pneumonia and Pleurisy with MCC	25	$69,787	+17%	$55,573
252 Other Vascular Procedures with MCC	24	$211,488	+24%	$81,223
699 Other Kidney and Urinary Tract Diagnoses with CC	24	$74,891	+58%	$51,905
481 Hip and Femur Procedures except Major Joint with CC	20	$128,594	+28%	$61,851
638 Diabetes with CC	20	$44,359	+6%	$47,233
683 Renal Failure with CC	19	$61,838	+52%	$47,652
177 Respiratory Infections and Inflammations with MCC	18	$73,837	+5%	$57,125
689 Kidney and Urinary Tract Infections with MCC	18	$114,579	+123%	$56,027
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$55,853	+39%	$49,072
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$133,577	+34%	$63,886
189 Pulmonary Edema and Respiratory Failure	16	$87,805	+53%	$54,658
253 Other Vascular Procedures with CC	16	$137,981	+5%	$68,953
811 Red Blood Cell Disorders with MCC	16	$98,444	+44%	$57,419
974 HIV with Major Related Condition with MCC	16	$220,933	+48%	$75,479
975 HIV with Major Related Condition with CC	16	$56,020	-18%	$55,634
194 Simple Pneumonia and Pleurisy with CC	15	$39,442	+3%	$44,834
682 Renal Failure with MCC	15	$123,535	+87%	$55,560
812 Red Blood Cell Disorders without MCC	15	$45,762	+3%	$46,995
885 Psychoses	15	$77,875	+77%	$57,553
917 Poisoning and Toxic Effects of Drugs with MCC	15	$102,590	+37%	$50,197
330 Major Small and Large Bowel Procedures with CC	14	$134,534	+13%	$62,473
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$104,896	+72%	$50,812
432 Cirrhosis and Alcoholic Hepatitis with MCC	13	$94,836	-1%	$62,856
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$127,739	+30%	$64,986
935 Non-Extensive Burns	13	$93,950	-8%	$62,471
378 Gastrointestinal Hemorrhage with CC	12	$58,548	+21%	$51,687
057 Degenerative Nervous System Disorders without MCC	11	$95,676	+69%	$54,002
314 Other Circulatory System Diagnoses with MCC	11	$105,560	+11%	$63,574
321 Percutaneous Cardiovascular Procedures with Intraluminal...	11	$262,156	+60%	$71,393
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$128,283	+25%	$64,729
907 Other O.R. Procedures for Injuries with MCC	11	$144,318	-21%	$82,998
928 Full Thickness Burn with Skin Graft or Inhalation Injury...	11	$330,228	-4%	$110,041
947 Signs and Symptoms with MCC	11	$85,212	+51%	$57,306

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	565	$26,099	$2,456
Level 2 Excision/ Biopsy/ Incision and Drainage	84	$12,282	$1,445
Level 2 Urology and Related Services	71	$5,608	$610
Level 1 Intraocular Procedures	71	$29,203	$2,097
Level 3 Vascular Procedures	63	$19,524	$2,777
Level 3 Urology and Related Services	48	$9,870	$1,833
Level 2 Upper GI Procedures	41	$14,655	$1,712
Level 4 Vascular Procedures	28	$29,624	$4,945
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	26	$21,221	$3,018
Level 3 Endovascular Procedures	24	$103,049	$9,892
Level 2 Endovascular Procedures	23	$49,076	$5,144
Level 3 Excision/ Biopsy/ Incision and Drainage	21	$27,695	$2,557
Level 5 Musculoskeletal Procedures	21	$59,273	$11,828
Level 2 Intraocular Procedures	21	$31,584	$3,659
Level 1 Endovascular Procedures	20	$32,417	$2,937
Level 5 ENT Procedures	19	$37,185	$5,270
Level 1 Laparoscopy and Related Services	19	$30,787	$5,192
Level 2 Vascular Procedures	18	$11,739	$1,441
Level 4 Airway Endoscopy	17	$24,662	$3,370
Level 3 Musculoskeletal Procedures	16	$27,158	$2,913
Level 2 Laparoscopy and Related Services	15	$52,493	$9,258
Level 3 Electrophysiologic Procedures	14	$138,252	$21,319
Level 2 ICD and Similar Procedures	14	$215,601	$29,519
Level 4 Musculoskeletal Procedures	11	$38,999	$6,438

Against the Texas average

For Heart Failure and Shock with MCC (DRG 291), Parkland Health and Hospital System charged $65,302 on average, 4% less than the Texas average of $67,944, and was paid $52,862 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Parkland Health and Hospital System charged $112,195 on average, 1% more than the Texas average of $111,133, and was paid $62,322 against a state average of $16,694. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Parkland Health and Hospital System charged $61,156 on average, 5% more than the Texas average of $58,253, and was paid $50,417 against a state average of $10,103. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Parkland Health and Hospital System charged $82,379 on average, 5% less than the Texas average of $86,874, and was paid $58,060 against a state average of $14,523. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,099 was 7% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,282 was 13% below the state average of $14,089. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $5,608 was 52% above the state average of $3,679. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $29,203 was 78% above the state average of $16,442.

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.