Texas / Vhs Harlingen Hospital Company LLC
CMS certification 450033 · Harlingen, TX
Vhs Harlingen Hospital Company LLC: charges and Medicare payments
Vhs Harlingen Hospital Company LLC reported 1,220 Medicare inpatient stays across 45 DRGs in 2024. Across them it charged 13.09 times what it was paid — among the higher ratios in Texas, number 7 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: 240 stays at an average charge of $204,153, 126% above the national average. It also billed 380 outpatient services, charging 19.87 times what Medicare paid.
- 1Medicare inpatient stays 1,220
- 2Charge ÷ paid, inpatient 13.09×
- 3Rank in TX (highest ratio = 1) 7 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 45 DRGs that can be compared with the national average, Vhs Harlingen Hospital Company LLC charged more than the national average in 45 (100%). 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 | 240 | $204,153 | +126% | $15,347 |
| 291 Heart Failure and Shock with MCC | 66 | $130,351 | +131% | $11,422 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 53 | $114,990 | +134% | $9,460 |
| 193 Simple Pneumonia and Pleurisy with MCC | 52 | $137,051 | +129% | $11,214 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $115,079 | +124% | $10,064 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $495,431 | +116% | $38,098 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $238,405 | +137% | $15,043 |
| 682 Renal Failure with MCC | 36 | $136,226 | +107% | $11,711 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 34 | $230,062 | +130% | $15,151 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 33 | $170,055 | +124% | $13,135 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 33 | $177,080 | +141% | $13,222 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $197,346 | +180% | $13,772 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $115,946 | +92% | $11,084 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $137,510 | +147% | $9,357 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $87,376 | +131% | $7,132 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $86,903 | +116% | $8,086 |
| 069 Transient Ischemia without Thrombolytic | 19 | $122,367 | +143% | $7,612 |
| 313 Chest Pain | 19 | $75,558 | +89% | $7,506 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $217,077 | +154% | $14,257 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $160,626 | +179% | $9,530 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $122,914 | +117% | $10,984 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $85,096 | +130% | $7,507 |
| 552 Medical Back Problems without MCC | 17 | $116,383 | +138% | $9,176 |
| 683 Renal Failure with CC | 16 | $106,656 | +162% | $7,775 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 16 | $443,482 | +105% | $33,023 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $79,552 | +120% | $7,190 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 15 | $149,116 | +56% | $13,757 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 15 | $251,874 | +112% | $18,224 |
| 603 Cellulitis without MCC | 15 | $72,024 | +93% | $7,597 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $710,910 | +153% | $43,792 |
| 270 Other Major Cardiovascular Procedures with MCC | 14 | $426,465 | +65% | $36,841 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $104,711 | +107% | $8,416 |
| 312 Syncope and Collapse | 14 | $117,693 | +158% | $8,035 |
| 637 Diabetes with MCC | 14 | $141,337 | +113% | $10,830 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $128,751 | +102% | $11,144 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $221,541 | +117% | $19,383 |
| 638 Diabetes with CC | 13 | $105,743 | +154% | $8,411 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 12 | $658,004 | +184% | $42,769 |
| 101 Seizures without MCC | 12 | $105,343 | +116% | $8,082 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $113,754 | +140% | $9,136 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $101,429 | +63% | $14,072 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 12 | $164,306 | +119% | $13,090 |
| 054 Nervous System Neoplasms with MCC | 11 | $146,748 | +89% | $13,386 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $130,656 | +240% | $6,411 |
| 419 Laparoscopic Cholecystectomy without C.D.E. without CC/MCC | 11 | $151,826 | +95% | $11,817 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and Drainage | 46 | $23,938 | $1,331 |
| Level 5 Neurostimulator and Related Procedures | 38 | $366,964 | $26,867 |
| Comprehensive Observation Services | 36 | $62,270 | $2,270 |
| Level 3 Vascular Procedures | 30 | $36,178 | $2,766 |
| Level 1 Endovascular Procedures | 30 | $50,528 | $2,764 |
| Level 3 Musculoskeletal Procedures | 25 | $65,648 | $2,809 |
| Level 4 Musculoskeletal Procedures | 23 | $127,150 | $6,001 |
| Level 4 Vascular Procedures | 23 | $121,566 | $4,611 |
| Level 2 Upper GI Procedures | 23 | $30,554 | $1,594 |
| Level 1 Laparoscopy and Related Services | 19 | $100,179 | $4,659 |
| Level 3 Urology and Related Services | 16 | $29,776 | $1,767 |
| Level 4 Urology and Related Services | 16 | $72,578 | $3,025 |
| Level 2 Vascular Procedures | 15 | $14,430 | $1,390 |
| Level 5 Musculoskeletal Procedures | 14 | $185,091 | $11,406 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $52,246 | $2,466 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 13 | $121,300 | $5,658 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Vhs Harlingen Hospital Company LLC charged $204,153 on average, 84% more than the Texas average of $111,133, and was paid $15,347 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Vhs Harlingen Hospital Company LLC charged $130,351 on average, 92% more than the Texas average of $67,944, and was paid $11,422 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Vhs Harlingen Hospital Company LLC charged $114,990 on average, 97% more than the Texas average of $58,253, and was paid $9,460 against a state average of $10,103. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Vhs Harlingen Hospital Company LLC charged $137,051 on average, 86% more than the Texas average of $73,756, and was paid $11,214 against a state average of $11,597. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $23,938 was 70% above the state average of $14,089. For Level 5 Neurostimulator and Related Procedures (outpatient APC 5465), its average charge of $366,964 was 77% above the state average of $207,360. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $62,270 was 123% above the state average of $27,955. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $36,178 was 28% above the state average of $28,214.
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.