Texas / Shannon Medical Center
CMS certification 450571 · San Angelo, TX · 3 entries in CMS's price-transparency list
Shannon Medical Center: charges and Medicare payments
Shannon Medical Center reported 3,145 Medicare inpatient stays across 89 DRGs in 2024. Across them it charged 5.2 times what it was paid — mid-range in Texas, number 101 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: 292 stays at an average charge of $72,783, 19% below the national average. It also billed 4,952 outpatient services, charging 6.6 times what Medicare paid.
- 1Medicare inpatient stays 3,145
- 2Charge ÷ paid, inpatient 5.2×
- 3Rank in TX (highest ratio = 1) 101 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 89 DRGs that can be compared with the national average, Shannon Medical Center charged more than the national average in 11 (12%). 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 | 292 | $72,783 | -19% | $14,141 |
| 291 Heart Failure and Shock with MCC | 233 | $49,349 | -12% | $9,568 |
| 690 Kidney and Urinary Tract Infections without MCC | 122 | $31,470 | -17% | $6,228 |
| 885 Psychoses | 121 | $39,545 | -10% | $10,049 |
| 177 Respiratory Infections and Inflammations with MCC | 103 | $63,989 | -9% | $12,156 |
| 689 Kidney and Urinary Tract Infections with MCC | 92 | $44,111 | -14% | $8,653 |
| 193 Simple Pneumonia and Pleurisy with MCC | 77 | $52,085 | -13% | $9,771 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 74 | $53,828 | -11% | $10,142 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 69 | $193,988 | -15% | $37,433 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 63 | $44,159 | -10% | $7,991 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 62 | $32,128 | -20% | $6,255 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 60 | $31,549 | -13% | $6,305 |
| 683 Renal Failure with CC | 58 | $32,908 | -19% | $6,833 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $33,497 | -10% | $6,076 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $72,349 | -28% | $14,986 |
| 378 Gastrointestinal Hemorrhage with CC | 46 | $44,238 | -9% | $8,272 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 45 | $50,168 | -10% | $7,818 |
| 312 Syncope and Collapse | 45 | $37,198 | -18% | $6,780 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 45 | $103,491 | -10% | $14,199 |
| 682 Renal Failure with MCC | 43 | $46,594 | -29% | $10,861 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $49,243 | -33% | $11,527 |
| 178 Respiratory Infections and Inflammations with CC | 40 | $46,914 | +4% | $7,427 |
| 194 Simple Pneumonia and Pleurisy with CC | 40 | $36,480 | -5% | $6,496 |
| 305 Hypertension without MCC | 38 | $32,372 | -19% | $6,087 |
| 069 Transient Ischemia without Thrombolytic | 35 | $42,022 | -17% | $6,411 |
| 377 Gastrointestinal Hemorrhage with MCC | 35 | $82,411 | -3% | $13,857 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 34 | $85,736 | -16% | $14,782 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 33 | $58,250 | +3% | $9,815 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 31 | $53,530 | -18% | $10,599 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $69,873 | +21% | $9,451 |
| 330 Major Small and Large Bowel Procedures with CC | 31 | $68,466 | -42% | $16,977 |
| 389 Gastrointestinal Obstruction with CC | 30 | $26,688 | -31% | $6,257 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 29 | $63,264 | -37% | $13,958 |
| 638 Diabetes with CC | 29 | $40,891 | -2% | $6,872 |
| 460 Spinal Fusion except Cervical without MCC | 28 | $126,616 | -26% | $25,476 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 27 | $65,607 | -35% | $14,016 |
| 603 Cellulitis without MCC | 26 | $33,931 | -9% | $6,780 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $124,207 | -24% | $20,485 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 24 | $35,334 | -26% | $7,754 |
| 813 Coagulation Disorders | 24 | $58,586 | -27% | $11,541 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $58,898 | -22% | $11,358 |
| 812 Red Blood Cell Disorders without MCC | 23 | $39,416 | -11% | $7,025 |
| 329 Major Small and Large Bowel Procedures with MCC | 22 | $108,876 | -49% | $30,163 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $43,165 | -29% | $9,805 |
| 552 Medical Back Problems without MCC | 22 | $36,978 | -24% | $7,289 |
| 149 Dysequilibrium | 21 | $38,216 | -14% | $5,963 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 21 | $57,250 | -39% | $12,523 |
| 637 Diabetes with MCC | 20 | $74,834 | +13% | $10,547 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $55,790 | +10% | $8,700 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 19 | $93,827 | -32% | $20,174 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 18 | $53,816 | +36% | $6,714 |
| 202 Bronchitis and Asthma with CC/MCC | 18 | $42,797 | -7% | $7,454 |
| 394 Other Digestive System Diagnoses with CC | 18 | $36,139 | -23% | $7,595 |
| 472 Cervical Spinal Fusion with CC | 18 | $153,129 | +7% | $20,417 |
| 536 Fractures of Hip and Pelvis without MCC | 18 | $37,776 | 0% | $6,225 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 18 | $31,358 | -26% | $6,684 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 17 | $157,294 | -25% | $31,068 |
| 313 Chest Pain | 17 | $31,447 | -21% | $5,825 |
| 092 Other Disorders of Nervous System with CC | 16 | $35,764 | -31% | $7,798 |
| 101 Seizures without MCC | 16 | $37,246 | -24% | $6,805 |
Showing the 60 most frequent of 89 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Shannon Medical Center charged $72,783 on average, 35% less than the Texas average of $111,133, and was paid $14,141 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Shannon Medical Center charged $49,349 on average, 27% less than the Texas average of $67,944, and was paid $9,568 against a state average of $11,820. For Kidney and Urinary Tract Infections without MCC (DRG 690), Shannon Medical Center charged $31,470 on average, 27% less than the Texas average of $42,965, and was paid $6,228 against a state average of $8,372. For Psychoses (DRG 885), Shannon Medical Center charged $39,545 on average, 22% less than the Texas average of $50,568, and was paid $10,049 against a state average of $14,350. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,105 was 14% below the state average of $16,442. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,135 was 17% below the state average of $27,955. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,441 was 36% below the state average of $16,236. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $12,555 was 30% below the state average of $18,063.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Shannon Medical Center in San Angelo, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-06 (CMS case 2896)
- Closure Notice — 2024-11-26 (CMS case 2896)
- Met Requirements — 2025-09-23 (CMS case 6722)
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.