Texas / Texas Health Presbyterian Hospital Allen
CMS certification 450840 · Allen, TX · 1 entry in CMS's price-transparency list
Texas Health Presbyterian Hospital Allen: charges and Medicare payments
Texas Health Presbyterian Hospital Allen reported 522 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 3.8 times what it was paid — among the lower ratios in Texas, number 154 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: 85 stays at an average charge of $36,083, 36% below the national average. It also billed 664 outpatient services, charging 8.11 times what Medicare paid.
- 1Medicare inpatient stays 522
- 2Charge ÷ paid, inpatient 3.8×
- 3Rank in TX (highest ratio = 1) 154 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 21 DRGs that can be compared with the national average, Texas Health Presbyterian Hospital Allen 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 85 | $36,083 | -36% | $9,976 |
| 177 Respiratory Infections and Inflammations with MCC | 63 | $42,502 | -40% | $11,946 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 54 | $56,174 | -38% | $14,619 |
| 683 Renal Failure with CC | 40 | $32,433 | -20% | $7,555 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $43,356 | -27% | $10,043 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $29,316 | -22% | $8,076 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $31,120 | -19% | $7,285 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 19 | $105,963 | -32% | $26,309 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $38,280 | -5% | $7,544 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $36,728 | -25% | $9,479 |
| 682 Renal Failure with MCC | 18 | $48,389 | -27% | $11,539 |
| 603 Cellulitis without MCC | 17 | $22,125 | -41% | $8,067 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $60,535 | -40% | $14,955 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $34,659 | -24% | $7,988 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $80,066 | -22% | $15,366 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $38,421 | -48% | $10,902 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $115,493 | -46% | $43,207 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $46,583 | -16% | $9,446 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $38,038 | -34% | $10,438 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $32,798 | -9% | $7,631 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $95,198 | -58% | $30,445 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 267 | $19,530 | $2,449 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 55 | $8,114 | $1,443 |
| Level 4 Musculoskeletal Procedures | 47 | $37,222 | $6,151 |
| Level 1 Endovascular Procedures | 43 | $21,798 | $2,937 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 40 | $21,022 | $2,557 |
| Level 4 Urology and Related Services | 35 | $20,092 | $3,137 |
| Level 1 Laparoscopy and Related Services | 31 | $41,760 | $5,193 |
| Level 5 Musculoskeletal Procedures | 29 | $69,746 | $11,828 |
| Level 5 Urology and Related Services | 28 | $16,962 | $4,657 |
| Level 3 Electrophysiologic Procedures | 26 | $144,265 | $21,319 |
| Level 3 Musculoskeletal Procedures | 20 | $15,765 | $2,681 |
| Level 3 Vascular Procedures | 20 | $11,987 | $2,295 |
| Level 4 Pacemaker and Similar Procedures | 12 | $106,139 | $17,496 |
| Level 3 Urology and Related Services | 11 | $13,586 | $1,700 |
Against the Texas average
For Heart Failure and Shock with MCC (DRG 291), Texas Health Presbyterian Hospital Allen charged $36,083 on average, 47% less than the Texas average of $67,944, and was paid $9,976 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Texas Health Presbyterian Hospital Allen charged $42,502 on average, 48% less than the Texas average of $81,715, and was paid $11,946 against a state average of $13,815. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Texas Health Presbyterian Hospital Allen charged $56,174 on average, 49% less than the Texas average of $111,133, and was paid $14,619 against a state average of $16,694. For Renal Failure with CC (DRG 683), Texas Health Presbyterian Hospital Allen charged $32,433 on average, 34% less than the Texas average of $48,947, and was paid $7,555 against a state average of $8,830. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,530 was 30% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,114 was 42% below the state average of $14,089. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $37,222 was 37% below the state average of $58,833. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,798 was 40% below the state average of $36,220.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Texas Health Presbyterian Hospital Allen in Allen, 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 3723)
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.