Texas / University Medical Center

CMS certification 450686 · Lubbock, TX · 4 entries in CMS's price-transparency list

University Medical Center: charges and Medicare payments

University Medical Center reported 2,343 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 4.51 times what it was paid — mid-range in Texas, number 126 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: 201 stays at an average charge of $108,912, 21% above the national average. It also billed 2,896 outpatient services, charging 10.94 times what Medicare paid.

1Medicare inpatient stays 2,343
2Charge ÷ paid, inpatient 4.51×
3Rank in TX (highest ratio = 1) 126 of 190
4CMS price-transparency actions 4

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

Inpatient stays

For the 90 DRGs that can be compared with the national average, University Medical Center charged more than the national average in 50 (56%). 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	201	$108,912	+21%	$21,604
291 Heart Failure and Shock with MCC	138	$57,578	+2%	$15,485
189 Pulmonary Edema and Respiratory Failure	136	$65,994	+15%	$15,402
481 Hip and Femur Procedures except Major Joint with CC	77	$104,626	+4%	$21,707
193 Simple Pneumonia and Pleurisy with MCC	71	$61,989	+4%	$15,709
177 Respiratory Infections and Inflammations with MCC	68	$73,982	+5%	$18,714
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	47	$41,187	+3%	$11,475
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	47	$103,938	+2%	$21,712
698 Other Kidney and Urinary Tract Diagnoses with MCC	46	$75,702	+3%	$18,627
682 Renal Failure with MCC	41	$65,891	0%	$17,306
689 Kidney and Urinary Tract Infections with MCC	37	$57,913	+13%	$15,592
378 Gastrointestinal Hemorrhage with CC	36	$56,218	+16%	$12,764
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$74,855	+24%	$16,057
683 Renal Failure with CC	36	$50,675	+24%	$12,640
330 Major Small and Large Bowel Procedures with CC	34	$152,826	+28%	$26,291
853 Infectious and Parasitic Diseases with O.R. Procedures with...	34	$231,217	+1%	$45,596
208 Respiratory System Diagnosis with Ventilator Support <=96...	32	$115,775	-15%	$26,730
389 Gastrointestinal Obstruction with CC	32	$49,240	+26%	$11,592
274 Percutaneous and Other Intracardiac Procedures without MCC	31	$169,855	+8%	$31,210
377 Gastrointestinal Hemorrhage with MCC	30	$91,871	+8%	$19,074
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	30	$113,666	-5%	$29,364
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$52,687	-7%	$15,113
309 Cardiac Arrhythmia and Conduction Disorders with CC	28	$35,480	-2%	$11,199
280 Acute Myocardial Infarction, Discharged Alive with MCC	26	$69,960	-8%	$18,086
603 Cellulitis without MCC	25	$38,211	+2%	$12,463
690 Kidney and Urinary Tract Infections without MCC	25	$44,699	+18%	$11,627
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$85,663	-14%	$20,562
552 Medical Back Problems without MCC	23	$65,255	+34%	$12,985
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$38,835	+5%	$11,456
236 Coronary Bypass without Cardiac Catheterization without MCC	22	$168,529	-20%	$38,023
322 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$104,392	-9%	$19,917
329 Major Small and Large Bowel Procedures with MCC	22	$188,600	-12%	$42,376
812 Red Blood Cell Disorders without MCC	22	$59,340	+34%	$12,680
286 Circulatory Disorders except AMI, with Cardiac...	21	$103,783	-8%	$24,169
281 Acute Myocardial Infarction, Discharged Alive with CC	20	$49,748	-1%	$12,608
314 Other Circulatory System Diagnoses with MCC	20	$96,915	+2%	$21,837
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$67,042	+10%	$15,905
394 Other Digestive System Diagnoses with CC	18	$40,968	-13%	$12,244
480 Hip and Femur Procedures except Major Joint with MCC	18	$147,075	+6%	$28,655
638 Diabetes with CC	18	$44,444	+7%	$11,826
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$78,494	+20%	$19,264
194 Simple Pneumonia and Pleurisy with CC	17	$45,034	+17%	$11,724
270 Other Major Cardiovascular Procedures with MCC	17	$220,980	-15%	$49,415
432 Cirrhosis and Alcoholic Hepatitis with MCC	17	$108,297	+13%	$19,813
492 Lower Extremity and Humerus Procedures except Hip, Foot and...	17	$154,456	-6%	$30,458
083 Traumatic Stupor and Coma >1 Hour with CC	16	$100,128	+37%	$18,168
100 Seizures with MCC	16	$81,409	-14%	$19,770
234 Coronary Bypass with Cardiac Catheterization or Open...	16	$233,806	-13%	$48,383
300 Peripheral Vascular Disorders with CC	16	$41,606	-16%	$13,393
637 Diabetes with MCC	16	$77,492	+17%	$17,268
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$48,675	+3%	$13,633
243 Permanent Cardiac Pacemaker Implant with CC	15	$125,923	+13%	$22,414
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$34,051	+19%	$9,154
312 Syncope and Collapse	15	$37,129	-18%	$11,254
371 Major Gastrointestinal Disorders and Peritoneal Infections...	15	$73,249	-7%	$18,644
372 Major Gastrointestinal Disorders and Peritoneal Infections...	15	$53,980	+14%	$12,769
025 Craniotomy and Endovascular Intracranial Procedures with MCC	14	$220,683	-5%	$39,152
233 Coronary Bypass with Cardiac Catheterization or Open...	14	$308,792	-20%	$64,737
287 Circulatory Disorders except AMI, with Cardiac...	14	$58,812	-8%	$13,920
482 Hip and Femur Procedures except Major Joint without CC/MCC	14	$75,058	-4%	$17,737

Showing the 60 most frequent of 90 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	932	$24,341	$2,342
Level 2 Excision/ Biopsy/ Incision and Drainage	156	$10,280	$1,392
Level 1 Endovascular Procedures	138	$24,101	$2,773
Level 1 Intraocular Procedures	138	$24,143	$1,996
Level 3 Vascular Procedures	122	$20,471	$2,740
Level 2 Upper GI Procedures	122	$23,300	$1,513
Level 5 Musculoskeletal Procedures	90	$75,218	$11,406
Level 3 Electrophysiologic Procedures	70	$155,787	$20,286
Level 4 Musculoskeletal Procedures	64	$54,184	$5,996
Level 3 Extraocular, Repair, and Plastic Eye Procedures	64	$21,636	$2,028
Level 2 Musculoskeletal Procedures	62	$16,015	$1,308
Level 1 Laparoscopy and Related Services	61	$38,760	$4,899
Level 4 Airway Endoscopy	57	$53,103	$3,166
Level 4 Urology and Related Services	57	$32,231	$2,901
Level 3 Excision/ Biopsy/ Incision and Drainage	51	$23,830	$2,427
Level 2 Laparoscopy and Related Services	51	$75,251	$8,785
Level 2 Intraocular Procedures	50	$34,185	$3,472
Level 3 Musculoskeletal Procedures	48	$31,713	$2,762
Level 3 Endovascular Procedures	44	$76,311	$9,000
Level 3 Urology and Related Services	44	$17,335	$1,639
Level 5 Urology and Related Services	40	$38,292	$4,185
Level 1 Breast/Lymphatic Surgery and Related Procedures	34	$24,650	$3,307
Level 5 ENT Procedures	34	$40,996	$5,081
Level 2 Vascular Procedures	32	$10,158	$1,390
Level 1 Nerve Procedures	32	$20,482	$1,634

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University Medical Center charged $108,912 on average, 2% less than the Texas average of $111,133, and was paid $21,604 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), University Medical Center charged $57,578 on average, 15% less than the Texas average of $67,944, and was paid $15,485 against a state average of $11,820. For Pulmonary Edema and Respiratory Failure (DRG 189), University Medical Center charged $65,994 on average, 0% less than the Texas average of $65,957, and was paid $15,402 against a state average of $11,822. For Hip and Femur Procedures except Major Joint with CC (DRG 481), University Medical Center charged $104,626 on average, 19% less than the Texas average of $129,043, and was paid $21,707 against a state average of $17,871. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,341 was 13% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,280 was 27% below the state average of $14,089. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,101 was 33% below the state average of $36,220. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $24,143 was 47% above the state average of $16,442.

Price-transparency record

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

Warning Notice — 2024-02-09 (CMS case 1191)
CAP Request — 2024-05-16 (CMS case 1191)
Closure Notice — 2024-06-26 (CMS case 1191)
Met Requirements — 2026-06-26 (CMS case 8143)

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.