Texas / Titus Regional Medical Center
CMS certification 450080 · Mount Pleasant, TX
Titus Regional Medical Center: charges and Medicare payments
Titus Regional Medical Center reported 273 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.21 times what it was paid — among the lower ratios in Texas, number 182 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: 61 stays at an average charge of $34,608, 62% below the national average. It also billed 812 outpatient services, charging 4.43 times what Medicare paid.
- 1Medicare inpatient stays 273
- 2Charge ÷ paid, inpatient 2.21×
- 3Rank in TX (highest ratio = 1) 182 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Titus Regional Medical Center 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 | 61 | $34,608 | -62% | $15,141 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $24,444 | -59% | $10,584 |
| 291 Heart Failure and Shock with MCC | 39 | $16,869 | -70% | $10,294 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $21,804 | -61% | $8,246 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $25,565 | -64% | $13,056 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $14,678 | -59% | $6,707 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $26,249 | -48% | $7,749 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $25,333 | -55% | $9,871 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $23,016 | -55% | $9,708 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $31,888 | -68% | $14,881 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $39,510 | -61% | $15,865 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $20,892 | -72% | $12,874 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $16,947 | -65% | $8,794 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Titus Regional Medical Center charged $34,608 on average, 69% less than the Texas average of $111,133, and was paid $15,141 against a state average of $16,694. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Titus Regional Medical Center charged $24,444 on average, 67% less than the Texas average of $73,756, and was paid $10,584 against a state average of $11,597. For Heart Failure and Shock with MCC (DRG 291), Titus Regional Medical Center charged $16,869 on average, 75% less than the Texas average of $67,944, and was paid $10,294 against a state average of $11,820. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Titus Regional Medical Center charged $21,804 on average, 68% less than the Texas average of $68,999, and was paid $8,246 against a state average of $9,998. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,134 was 60% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,704 was 48% below the state average of $36,220. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,681 was 64% below the state average of $98,771. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $12,068 was 51% below the state average of $24,865.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.