Seton Medical Center Harker Heights: charges and Medicare payments

Seton Medical Center Harker Heights reported 487 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 3.09 times what it was paid — among the lower ratios in Texas, number 172 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: 113 stays at an average charge of $42,371, 53% below the national average. It also billed 647 outpatient services, charging 5.78 times what Medicare paid.

1Medicare inpatient stays 487
2Charge ÷ paid, inpatient 3.09×
3Rank in TX (highest ratio = 1) 172 of 190
4CMS price-transparency actions 0

Average charge per stay at Seton Medical Center Harker Heights, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 21 DRGs that can be compared with the national average, Seton Medical Center Harker Heights 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	113	$42,371	-53%	$14,582
291 Heart Failure and Shock with MCC	53	$30,629	-46%	$10,991
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	32	$27,514	-44%	$9,267
280 Acute Myocardial Infarction, Discharged Alive with MCC	23	$44,580	-41%	$12,478
690 Kidney and Urinary Tract Infections without MCC	23	$21,101	-44%	$7,942
189 Pulmonary Edema and Respiratory Failure	20	$34,372	-40%	$10,914
689 Kidney and Urinary Tract Infections with MCC	20	$29,114	-43%	$10,256
177 Respiratory Infections and Inflammations with MCC	19	$47,799	-32%	$13,640
378 Gastrointestinal Hemorrhage with CC	19	$35,766	-26%	$8,771
193 Simple Pneumonia and Pleurisy with MCC	17	$35,518	-41%	$11,476
683 Renal Failure with CC	17	$28,903	-29%	$8,401
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$24,216	-40%	$7,833
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$24,659	-59%	$10,894
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	14	$35,334	-37%	$9,316
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	14	$29,380	-21%	$8,018
698 Other Kidney and Urinary Tract Diagnoses with MCC	13	$36,761	-50%	$11,791
190 Chronic Obstructive Pulmonary Disease with MCC	12	$32,194	-36%	$9,990
682 Renal Failure with MCC	12	$37,610	-43%	$12,018
853 Infectious and Parasitic Diseases with O.R. Procedures with...	12	$115,338	-50%	$33,433
309 Cardiac Arrhythmia and Conduction Disorders with CC	11	$24,116	-33%	$7,545
811 Red Blood Cell Disorders with MCC	11	$38,378	-44%	$12,196

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	199	$18,687	$2,478
Level 5 Musculoskeletal Procedures	67	$41,849	$11,840
Level 1 Endovascular Procedures	66	$25,897	$2,958
Level 4 Musculoskeletal Procedures	48	$20,701	$6,421
Level 3 Musculoskeletal Procedures	38	$9,707	$2,954
Level 2 Upper GI Procedures	37	$15,726	$1,644
Level 1 Laparoscopy and Related Services	25	$18,533	$5,266
Level 6 Musculoskeletal Procedures	24	$52,349	$16,971
Level 3 Endovascular Procedures	20	$66,498	$9,612
Level 4 Urology and Related Services	20	$8,616	$3,182
Level 3 Vascular Procedures	19	$21,659	$2,909
Level 5 Urology and Related Services	19	$11,905	$4,722
Level 3 Urology and Related Services	18	$7,421	$1,859
Level 3 Excision/ Biopsy/ Incision and Drainage	17	$9,738	$2,593
Level 2 Excision/ Biopsy/ Incision and Drainage	16	$8,953	$1,480
Level 6 Urology and Related Services	14	$27,623	$8,406

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Seton Medical Center Harker Heights charged $42,371 on average, 62% less than the Texas average of $111,133, and was paid $14,582 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Seton Medical Center Harker Heights charged $30,629 on average, 55% less than the Texas average of $67,944, and was paid $10,991 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Seton Medical Center Harker Heights charged $27,514 on average, 53% less than the Texas average of $58,253, and was paid $9,267 against a state average of $10,103. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Seton Medical Center Harker Heights charged $44,580 on average, 52% less than the Texas average of $92,713, and was paid $12,478 against a state average of $13,694. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,687 was 33% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,849 was 58% below the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,897 was 29% below the state average of $36,220. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $20,701 was 65% below the state average of $58,833.

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.