Texas / Peterson Regional Medical Center

CMS certification 450007 · Kerrville, TX · 4 entries in CMS's price-transparency list

Peterson Regional Medical Center: charges and Medicare payments

Peterson Regional Medical Center reported 1,152 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 4.02 times what it was paid — among the lower ratios in Texas, number 151 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: 156 stays at an average charge of $49,100, 46% below the national average. It also billed 2,933 outpatient services, charging 7.04 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,152
  2. 2Charge ÷ paid, inpatient 4.02×
  3. 3Rank in TX (highest ratio = 1) 151 of 190
  4. 4CMS price-transparency actions 4
DRG 871$49,100DRG 291$29,946DRG 872$29,070DRG 193$33,691DRG 177$33,729DRG 641$24,793DRG 690$28,449DRG 189$31,064DRG 309$23,853DRG 392$21,818
Average charge per stay at Peterson Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 39 DRGs that can be compared with the national average, Peterson Regional Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC156$49,100-46%$14,007
291 Heart Failure and Shock with MCC76$29,946-47%$9,378
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC61$29,070-41%$7,698
193 Simple Pneumonia and Pleurisy with MCC55$33,691-44%$10,069
177 Respiratory Infections and Inflammations with MCC46$33,729-52%$11,875
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...46$24,793-33%$6,175
690 Kidney and Urinary Tract Infections without MCC42$28,449-25%$6,312
189 Pulmonary Edema and Respiratory Failure39$31,064-46%$9,088
309 Cardiac Arrhythmia and Conduction Disorders with CC36$23,853-34%$5,899
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...36$21,818-46%$6,228
322 Percutaneous Cardiovascular Procedures with Intraluminal...32$99,842-13%$13,329
481 Hip and Femur Procedures except Major Joint with CC30$66,494-34%$14,996
683 Renal Failure with CC30$24,263-40%$6,887
281 Acute Myocardial Infarction, Discharged Alive with CC29$41,315-18%$7,019
698 Other Kidney and Urinary Tract Diagnoses with MCC27$35,392-52%$11,709
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...26$46,369-17%$7,467
522 Hip Replacement with Principal Diagnosis of Hip Fracture...26$64,264-37%$15,120
603 Cellulitis without MCC24$25,610-31%$7,109
194 Simple Pneumonia and Pleurisy with CC22$26,019-32%$6,376
308 Cardiac Arrhythmia and Conduction Disorders with MCC22$29,130-49%$8,888
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC21$16,897-41%$4,723
321 Percutaneous Cardiovascular Procedures with Intraluminal...20$143,815-12%$20,625
390 Gastrointestinal Obstruction without CC/MCC20$23,301-17%$5,170
682 Renal Failure with MCC20$28,177-57%$10,533
280 Acute Myocardial Infarction, Discharged Alive with MCC18$55,846-26%$11,718
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...18$33,433-45%$9,521
064 Intracranial Hemorrhage or Cerebral Infarction with MCC17$51,146-49%$14,165
329 Major Small and Large Bowel Procedures with MCC16$99,190-54%$31,836
389 Gastrointestinal Obstruction with CC16$29,843-23%$6,268
689 Kidney and Urinary Tract Infections with MCC16$29,840-42%$8,592
378 Gastrointestinal Hemorrhage with CC15$35,231-27%$7,492
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale12$42,070-35%$10,164
287 Circulatory Disorders except AMI, with Cardiac...12$50,466-21%$8,232
330 Major Small and Large Bowel Procedures with CC12$74,055-38%$17,010
372 Major Gastrointestinal Disorders and Peritoneal Infections...12$24,986-47%$7,349
482 Hip and Femur Procedures except Major Joint without CC/MCC12$58,016-26%$11,521
812 Red Blood Cell Disorders without MCC12$23,633-47%$7,088
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC11$37,258-14%$5,837
305 Hypertension without MCC11$32,441-19%$6,044

Outpatient services

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Peterson Regional Medical Center charged $49,100 on average, 56% less than the Texas average of $111,133, and was paid $14,007 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Peterson Regional Medical Center charged $29,946 on average, 56% less than the Texas average of $67,944, and was paid $9,378 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Peterson Regional Medical Center charged $29,070 on average, 50% less than the Texas average of $58,253, and was paid $7,698 against a state average of $10,103. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Peterson Regional Medical Center charged $33,691 on average, 54% less than the Texas average of $73,756, and was paid $10,069 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,133 was 17% below the state average of $27,955. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,682 was 59% below the state average of $16,442. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,137 was 52% below the state average of $98,771. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $7,056 was 58% below the state average of $16,774.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Peterson Regional Medical Center in Kerrville, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.