Texas / Texas Health Hospital Frisco
CMS certification 670260 · Frisco, TX · 1 entry in CMS's price-transparency list
Texas Health Hospital Frisco: charges and Medicare payments
Texas Health Hospital Frisco reported 526 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 4.83 times what it was paid — mid-range in Texas, number 112 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: 118 stays at an average charge of $63,926, 29% below the national average. It also billed 1,231 outpatient services, charging 6.95 times what Medicare paid.
- 1Medicare inpatient stays 526
- 2Charge ÷ paid, inpatient 4.83×
- 3Rank in TX (highest ratio = 1) 112 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 20 DRGs that can be compared with the national average, Texas Health Hospital Frisco charged more than the national average in 1 (5%). 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 | 118 | $63,926 | -29% | $13,491 |
| 291 Heart Failure and Shock with MCC | 50 | $47,757 | -15% | $8,624 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $34,533 | -30% | $8,213 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $49,302 | -30% | $11,922 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $31,996 | -20% | $5,968 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $38,585 | -35% | $7,940 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $36,017 | -37% | $8,131 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $28,500 | -25% | $5,204 |
| 682 Renal Failure with MCC | 19 | $57,576 | -13% | $9,569 |
| 683 Renal Failure with CC | 18 | $34,139 | -16% | $5,352 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $54,273 | -26% | $10,320 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $163,006 | -29% | $43,561 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $46,300 | -39% | $10,672 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $42,259 | -18% | $7,312 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $29,058 | +4% | $4,047 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $28,700 | -23% | $5,168 |
| 603 Cellulitis without MCC | 12 | $31,869 | -15% | $6,541 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $44,988 | -25% | $8,042 |
| 389 Gastrointestinal Obstruction with CC | 11 | $35,339 | -9% | $4,922 |
| 812 Red Blood Cell Disorders without MCC | 11 | $41,779 | -6% | $5,954 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Texas Health Hospital Frisco charged $63,926 on average, 42% less than the Texas average of $111,133, and was paid $13,491 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Texas Health Hospital Frisco charged $47,757 on average, 30% less than the Texas average of $67,944, and was paid $8,624 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Texas Health Hospital Frisco charged $34,533 on average, 41% less than the Texas average of $58,253, and was paid $8,213 against a state average of $10,103. For Respiratory Infections and Inflammations with MCC (DRG 177), Texas Health Hospital Frisco charged $49,302 on average, 40% less than the Texas average of $81,715, and was paid $11,922 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,914 was 18% below the state average of $27,955. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,710 was 29% below the state average of $16,442. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,346 was 54% below the state average of $18,063. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $63,539 was 36% below the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Texas Health Hospital Frisco in Frisco, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-09 (CMS case 3691)
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.