Texas / United Regional Health Care System
CMS certification 450010 · Wichita Falls, TX · 3 entries in CMS's price-transparency list
United Regional Health Care System: charges and Medicare payments
United Regional Health Care System reported 4,507 Medicare inpatient stays across 113 DRGs in 2024. Across them it charged 3.51 times what it was paid — among the lower ratios in Texas, number 163 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: 368 stays at an average charge of $58,498, 35% below the national average. It also billed 2,939 outpatient services, charging 5.34 times what Medicare paid.
- 1Medicare inpatient stays 4,507
- 2Charge ÷ paid, inpatient 3.51×
- 3Rank in TX (highest ratio = 1) 163 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 113 DRGs that can be compared with the national average, United Regional Health Care System charged more than the national average in 1 (1%). 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 | 368 | $58,498 | -35% | $16,669 |
| 291 Heart Failure and Shock with MCC | 253 | $36,407 | -35% | $10,803 |
| 177 Respiratory Infections and Inflammations with MCC | 217 | $47,872 | -32% | $14,047 |
| 193 Simple Pneumonia and Pleurisy with MCC | 152 | $42,625 | -29% | $11,441 |
| 189 Pulmonary Edema and Respiratory Failure | 127 | $42,352 | -26% | $10,773 |
| 689 Kidney and Urinary Tract Infections with MCC | 125 | $31,802 | -38% | $10,169 |
| 378 Gastrointestinal Hemorrhage with CC | 118 | $35,478 | -27% | $9,291 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 112 | $28,982 | -28% | $7,225 |
| 683 Renal Failure with CC | 105 | $29,452 | -28% | $7,719 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 90 | $41,331 | -31% | $11,184 |
| 682 Renal Failure with MCC | 89 | $44,705 | -32% | $13,341 |
| 312 Syncope and Collapse | 88 | $32,103 | -29% | $7,465 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 84 | $32,596 | -42% | $9,478 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 84 | $40,368 | -47% | $13,691 |
| 690 Kidney and Urinary Tract Infections without MCC | 84 | $30,212 | -20% | $6,889 |
| 194 Simple Pneumonia and Pleurisy with CC | 79 | $32,509 | -15% | $7,401 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 76 | $27,712 | -25% | $6,770 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 75 | $37,648 | -26% | $9,289 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 66 | $27,029 | -25% | $7,033 |
| 481 Hip and Femur Procedures except Major Joint with CC | 61 | $60,415 | -40% | $17,761 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 59 | $42,674 | -13% | $8,844 |
| 305 Hypertension without MCC | 56 | $24,984 | -38% | $6,352 |
| 603 Cellulitis without MCC | 52 | $33,455 | -10% | $8,249 |
| 178 Respiratory Infections and Inflammations with CC | 49 | $35,402 | -22% | $9,835 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 48 | $63,756 | -38% | $18,004 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 47 | $43,190 | -41% | $13,847 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 44 | $54,551 | -45% | $16,875 |
| 638 Diabetes with CC | 44 | $33,270 | -20% | $8,480 |
| 812 Red Blood Cell Disorders without MCC | 42 | $30,188 | -32% | $8,235 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 41 | $39,866 | -30% | $10,552 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $114,495 | -50% | $44,328 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $67,561 | -41% | $18,525 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $38,434 | -37% | $10,875 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 36 | $29,773 | -41% | $7,682 |
| 948 Signs and Symptoms without MCC | 33 | $27,133 | -29% | $6,681 |
| 101 Seizures without MCC | 32 | $26,862 | -45% | $9,957 |
| 069 Transient Ischemia without Thrombolytic | 30 | $28,041 | -44% | $6,881 |
| 039 Extracranial Procedures without CC/MCC | 29 | $39,354 | -38% | $11,152 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $46,836 | -28% | $15,209 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $83,962 | -38% | $22,554 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $63,243 | -26% | $15,464 |
| 552 Medical Back Problems without MCC | 28 | $28,774 | -41% | $8,587 |
| 602 Cellulitis with MCC | 27 | $37,575 | -38% | $13,492 |
| 389 Gastrointestinal Obstruction with CC | 26 | $31,978 | -18% | $6,684 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 25 | $172,817 | -41% | $59,399 |
| 304 Hypertension with MCC | 25 | $30,511 | -47% | $9,686 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 24 | $31,226 | -21% | $7,120 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 24 | $17,768 | -38% | $5,524 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 23 | $23,785 | -44% | $6,039 |
| 100 Seizures with MCC | 23 | $66,845 | -29% | $16,757 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 23 | $38,765 | -39% | $9,045 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 23 | $37,538 | -50% | $13,899 |
| 313 Chest Pain | 22 | $27,320 | -32% | $6,037 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 22 | $55,878 | -35% | $18,538 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $69,758 | -50% | $24,550 |
| 092 Other Disorders of Nervous System with CC | 21 | $28,636 | -44% | $8,822 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $46,475 | -51% | $18,648 |
| 394 Other Digestive System Diagnoses with CC | 21 | $31,691 | -33% | $9,189 |
| 439 Disorders of Pancreas except Malignancy with CC | 21 | $31,154 | -29% | $9,188 |
| 057 Degenerative Nervous System Disorders without MCC | 20 | $23,970 | -58% | $11,889 |
Showing the 60 most frequent of 113 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), United Regional Health Care System charged $58,498 on average, 47% less than the Texas average of $111,133, and was paid $16,669 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), United Regional Health Care System charged $36,407 on average, 46% less than the Texas average of $67,944, and was paid $10,803 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), United Regional Health Care System charged $47,872 on average, 41% less than the Texas average of $81,715, and was paid $14,047 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), United Regional Health Care System charged $42,625 on average, 42% less than the Texas average of $73,756, and was paid $11,441 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,047 was 53% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,517 was 32% below the state average of $14,089. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,579 was 51% below the state average of $36,220. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,795 was 54% below the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named United Regional Health Care System in Wichita Falls, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-07 (CMS case 6219)
- Closure Notice — 2025-08-14 (CMS case 6219)
- Warning Notice — 2026-07-22 (CMS case 8329)
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.