Texas / Texoma Medical Center

CMS certification 450324 · Denison, TX · 4 entries in CMS's price-transparency list

Texoma Medical Center: charges and Medicare payments

Texoma Medical Center reported 4,632 Medicare inpatient stays across 108 DRGs in 2024. Across them it charged 9.16 times what it was paid — among the higher ratios in Texas, number 45 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: 769 stays at an average charge of $138,384, 53% above the national average. It also billed 2,283 outpatient services, charging 12.65 times what Medicare paid.

1Medicare inpatient stays 4,632
2Charge ÷ paid, inpatient 9.16×
3Rank in TX (highest ratio = 1) 45 of 190
4CMS price-transparency actions 4

Average charge per stay at Texoma Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 108 DRGs that can be compared with the national average, Texoma Medical Center charged more than the national average in 106 (98%). 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	769	$138,384	+53%	$14,442
291 Heart Failure and Shock with MCC	243	$96,733	+72%	$10,244
280 Acute Myocardial Infarction, Discharged Alive with MCC	172	$109,063	+44%	$11,581
885 Psychoses	151	$42,388	-4%	$10,048
193 Simple Pneumonia and Pleurisy with MCC	146	$88,480	+48%	$9,914
689 Kidney and Urinary Tract Infections with MCC	141	$77,269	+51%	$8,789
177 Respiratory Infections and Inflammations with MCC	130	$96,867	+37%	$11,992
682 Renal Failure with MCC	103	$94,998	+44%	$11,354
853 Infectious and Parasitic Diseases with O.R. Procedures with...	85	$299,612	+31%	$37,474
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	84	$68,716	+71%	$6,207
698 Other Kidney and Urinary Tract Diagnoses with MCC	76	$92,798	+26%	$12,130
312 Syncope and Collapse	73	$77,186	+70%	$6,951
190 Chronic Obstructive Pulmonary Disease with MCC	71	$74,367	+47%	$8,368
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	70	$102,870	+85%	$7,775
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	67	$148,111	+48%	$14,180
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	59	$74,309	+51%	$7,868
069 Transient Ischemia without Thrombolytic	58	$85,584	+70%	$6,399
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$65,483	+77%	$6,334
189 Pulmonary Edema and Respiratory Failure	56	$97,648	+70%	$9,963
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	56	$89,190	+48%	$9,709
432 Cirrhosis and Alcoholic Hepatitis with MCC	55	$110,168	+15%	$14,445
683 Renal Failure with CC	55	$71,480	+76%	$6,872
378 Gastrointestinal Hemorrhage with CC	53	$71,388	+47%	$7,546
308 Cardiac Arrhythmia and Conduction Disorders with MCC	52	$94,204	+66%	$9,430
377 Gastrointestinal Hemorrhage with MCC	52	$111,240	+30%	$13,080
552 Medical Back Problems without MCC	50	$78,660	+61%	$7,481
309 Cardiac Arrhythmia and Conduction Disorders with CC	49	$68,604	+90%	$5,981
281 Acute Myocardial Infarction, Discharged Alive with CC	47	$80,973	+60%	$7,374
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	45	$84,421	+38%	$9,794
690 Kidney and Urinary Tract Infections without MCC	45	$64,918	+72%	$6,403
481 Hip and Femur Procedures except Major Joint with CC	43	$151,428	+50%	$14,911
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	38	$166,592	+63%	$15,195
637 Diabetes with MCC	36	$84,085	+26%	$10,127
274 Percutaneous and Other Intracardiac Procedures without MCC	33	$108,886	-31%	$23,118
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	31	$105,566	+62%	$10,678
322 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$154,751	+35%	$14,179
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	31	$108,960	+26%	$12,226
813 Coagulation Disorders	31	$82,064	+2%	$11,701
603 Cellulitis without MCC	29	$61,051	+64%	$6,860
699 Other Kidney and Urinary Tract Diagnoses with CC	27	$63,673	+34%	$8,067
321 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$231,323	+41%	$20,889
305 Hypertension without MCC	25	$67,272	+68%	$6,227
313 Chest Pain	25	$53,279	+33%	$5,586
394 Other Digestive System Diagnoses with CC	24	$66,898	+42%	$7,615
638 Diabetes with CC	24	$61,413	+47%	$7,414
100 Seizures with MCC	23	$132,786	+41%	$13,914
870 Septicemia or Severe Sepsis with MV >96 Hours	23	$398,491	+23%	$47,151
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	23	$299,300	+38%	$32,226
480 Hip and Femur Procedures except Major Joint with MCC	22	$190,622	+37%	$23,051
884 Organic Disturbances and Intellectual Disability	22	$81,034	+30%	$11,528
178 Respiratory Infections and Inflammations with CC	21	$68,696	+52%	$7,579
602 Cellulitis with MCC	20	$114,961	+91%	$11,709
101 Seizures without MCC	19	$76,112	+56%	$7,120
149 Dysequilibrium	19	$76,205	+72%	$5,995
194 Simple Pneumonia and Pleurisy with CC	19	$59,855	+56%	$6,456
233 Coronary Bypass with Cardiac Catheterization or Open...	19	$568,039	+47%	$54,806
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	19	$71,527	+65%	$5,528
371 Major Gastrointestinal Disorders and Peritoneal Infections...	19	$107,349	+37%	$11,587
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	19	$76,068	+64%	$7,548
208 Respiratory System Diagnosis with Ventilator Support <=96...	18	$193,577	+43%	$19,725

Showing the 60 most frequent of 108 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	377	$37,206	$2,432
Level 2 Excision/ Biopsy/ Incision and Drainage	240	$13,324	$1,434
Level 2 Upper GI Procedures	177	$17,493	$1,697
Level 1 Endovascular Procedures	167	$47,266	$2,913
Level 3 Vascular Procedures	154	$28,947	$2,868
Level 1 Laparoscopy and Related Services	117	$78,763	$5,080
Level 4 Airway Endoscopy	89	$44,918	$3,249
Level 3 Excision/ Biopsy/ Incision and Drainage	85	$23,123	$2,509
Level 3 Endovascular Procedures	82	$90,456	$9,892
Level 5 Musculoskeletal Procedures	73	$123,945	$11,828
Level 2 Vascular Procedures	69	$9,867	$1,441
Level 4 Musculoskeletal Procedures	58	$84,307	$6,173
Level 1 Nerve Procedures	55	$21,657	$1,738
Level 5 Neurostimulator and Related Procedures	51	$126,121	$26,835
Level 4 Urology and Related Services	48	$46,179	$3,137
Level 4 Endovascular Procedures	43	$112,774	$15,749
Level 4 Vascular Procedures	40	$52,095	$4,945
Level 3 Pacemaker and Similar Procedures	38	$68,233	$9,603
Level 2 Neurostimulator and Related Procedures	38	$33,368	$5,993
Level 3 Airway Endoscopy	36	$31,070	$1,527
Level 5 Airway Endoscopy	35	$58,549	$5,879
Level 5 Urology and Related Services	35	$57,315	$4,656
Level 2 Endovascular Procedures	29	$58,898	$5,144
Level 3 Lower GI Procedures	23	$18,914	$2,525
Level 2 Laparoscopy and Related Services	23	$89,328	$9,258

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Texoma Medical Center charged $138,384 on average, 25% more than the Texas average of $111,133, and was paid $14,442 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Texoma Medical Center charged $96,733 on average, 42% more than the Texas average of $67,944, and was paid $10,244 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Texoma Medical Center charged $109,063 on average, 18% more than the Texas average of $92,713, and was paid $11,581 against a state average of $13,694. For Psychoses (DRG 885), Texoma Medical Center charged $42,388 on average, 16% less than the Texas average of $50,568, and was paid $10,048 against a state average of $14,350. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,206 was 33% above the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,324 was 5% below the state average of $14,089. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $17,493 was 8% above the state average of $16,236. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $47,266 was 30% above the state average of $36,220.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Texoma Medical Center in Denison, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-09-29 (CMS case 414)
CAP Request — 2022-07-27 (CMS case 414)
Closure Notice — 2023-02-14 (CMS case 414)
Met Requirements — 2025-05-13 (CMS case 4525)

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.