Texas / Texas Health Presbyterian Hospital Rockwall
CMS certification 670044 · Rockwall, TX · 1 entry in CMS's price-transparency list
Texas Health Presbyterian Hospital Rockwall: charges and Medicare payments
Texas Health Presbyterian Hospital Rockwall reported 714 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 4.71 times what it was paid — mid-range in Texas, number 116 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: 145 stays at an average charge of $56,096, 38% below the national average. It also billed 1,181 outpatient services, charging 7.11 times what Medicare paid.
- 1Medicare inpatient stays 714
- 2Charge ÷ paid, inpatient 4.71×
- 3Rank in TX (highest ratio = 1) 116 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 27 DRGs that can be compared with the national average, Texas Health Presbyterian Hospital Rockwall 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 | 145 | $56,096 | -38% | $12,535 |
| 291 Heart Failure and Shock with MCC | 92 | $43,353 | -23% | $8,154 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $38,569 | -21% | $7,125 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $48,369 | -19% | $9,391 |
| 683 Renal Failure with CC | 33 | $32,674 | -20% | $6,220 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $47,480 | -33% | $10,220 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $40,090 | -47% | $10,094 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $24,904 | -34% | $5,539 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $35,444 | -12% | $6,249 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $30,862 | -40% | $7,641 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $72,023 | -39% | $16,717 |
| 603 Cellulitis without MCC | 18 | $26,011 | -30% | $5,773 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $39,188 | -19% | $7,320 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $41,166 | -44% | $10,083 |
| 682 Renal Failure with MCC | 15 | $41,139 | -38% | $9,352 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $38,506 | 0% | $6,031 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $26,666 | -47% | $7,073 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $67,231 | -33% | $13,200 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $37,186 | 0% | $5,126 |
| 812 Red Blood Cell Disorders without MCC | 13 | $24,273 | -45% | $6,078 |
| 312 Syncope and Collapse | 12 | $37,087 | -19% | $5,788 |
| 472 Cervical Spinal Fusion with CC | 12 | $79,182 | -45% | $26,538 |
| 552 Medical Back Problems without MCC | 12 | $39,941 | -18% | $6,437 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $46,919 | -22% | $7,901 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $102,456 | -55% | $26,710 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $25,571 | -11% | $4,524 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $73,963 | -28% | $13,502 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Texas Health Presbyterian Hospital Rockwall charged $56,096 on average, 50% less than the Texas average of $111,133, and was paid $12,535 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Texas Health Presbyterian Hospital Rockwall charged $43,353 on average, 36% less than the Texas average of $67,944, and was paid $8,154 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Texas Health Presbyterian Hospital Rockwall charged $38,569 on average, 34% less than the Texas average of $58,253, and was paid $7,125 against a state average of $10,103. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Texas Health Presbyterian Hospital Rockwall charged $48,369 on average, 34% less than the Texas average of $73,756, and was paid $9,391 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,983 was 25% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $59,406 was 40% below the state average of $98,771. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $27,541 was 46% below the state average of $50,995. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $30,090 was 49% below the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Texas Health Presbyterian Hospital Rockwall in Rockwall, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-10 (CMS case 3718)
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.