Texas / Texas Health Presbyterian Hospital Flower Mound
CMS certification 670068 · Flower Mound, TX · 2 entries in CMS's price-transparency list
Texas Health Presbyterian Hospital Flower Mound: charges and Medicare payments
Texas Health Presbyterian Hospital Flower Mound reported 600 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 4.48 times what it was paid — among the lower ratios in Texas, number 128 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: 86 stays at an average charge of $60,454, 33% below the national average. It also billed 1,805 outpatient services, charging 6.62 times what Medicare paid.
- 1Medicare inpatient stays 600
- 2Charge ÷ paid, inpatient 4.48×
- 3Rank in TX (highest ratio = 1) 128 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 24 DRGs that can be compared with the national average, Texas Health Presbyterian Hospital Flower Mound charged more than the national average in 2 (8%). 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 | 86 | $60,454 | -33% | $14,138 |
| 291 Heart Failure and Shock with MCC | 70 | $41,500 | -26% | $9,170 |
| 177 Respiratory Infections and Inflammations with MCC | 66 | $55,670 | -21% | $11,512 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $48,851 | -18% | $9,783 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $42,875 | -16% | $8,589 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $37,700 | -6% | $6,467 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $40,509 | -33% | $8,564 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 19 | $130,449 | -36% | $37,955 |
| 683 Renal Failure with CC | 19 | $33,626 | -17% | $6,745 |
| 329 Major Small and Large Bowel Procedures with MCC | 18 | $163,047 | -24% | $31,370 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 18 | $167,455 | -40% | $41,215 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $47,721 | -17% | $8,795 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $45,783 | +19% | $6,868 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $44,028 | -40% | $11,942 |
| 603 Cellulitis without MCC | 15 | $29,449 | -21% | $6,016 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $32,591 | -14% | $5,897 |
| 101 Seizures without MCC | 14 | $23,660 | -51% | $10,418 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $79,765 | -33% | $18,662 |
| 552 Medical Back Problems without MCC | 14 | $36,909 | -24% | $6,608 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $37,785 | -23% | $7,122 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $59,415 | +5% | $8,312 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 12 | $137,426 | -27% | $40,225 |
| 473 Cervical Spinal Fusion without CC/MCC | 11 | $67,294 | -42% | $16,891 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $40,838 | -14% | $7,545 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Texas Health Presbyterian Hospital Flower Mound charged $60,454 on average, 46% less than the Texas average of $111,133, and was paid $14,138 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Texas Health Presbyterian Hospital Flower Mound charged $41,500 on average, 39% less than the Texas average of $67,944, and was paid $9,170 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Texas Health Presbyterian Hospital Flower Mound charged $55,670 on average, 32% less than the Texas average of $81,715, and was paid $11,512 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Texas Health Presbyterian Hospital Flower Mound charged $48,851 on average, 34% less than the Texas average of $73,756, and was paid $9,783 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,003 was 25% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,574 was 47% below the state average of $98,771. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,781 was 40% below the state average of $16,236. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,975 was 15% below the state average of $14,089.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Texas Health Presbyterian Hospital Flower Mound in Flower Mound, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-02-16 (CMS case 667)
- Met Requirements — 2025-04-09 (CMS case 3690)
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.