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Healthcare Pricing Data: LUFKIN, TX

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

9.5x

Across all procedures

vs National Average

+21%

Chargemaster rates

About This Data

LUFKIN, TX has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 9.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in LUFKIN is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $221,655 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$221,65527.7x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$202,128215.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$197,579217.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$174,420214.2x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$135,86928.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$90,73127.7x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$85,931213.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$81,98629.0x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$75,42228.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$75,364212.4x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$73,31227.1x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$70,51226.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$67,685211.6x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$64,51228.3x
RENAL FAILURE WITH MCC682$61,48626.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$61,21728.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$59,32128.3x
HEART FAILURE AND SHOCK WITH MCC291$57,58627.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$56,98329.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$53,04826.8x
GASTROINTESTINAL HEMORRHAGE WITH CC378$49,24728.3x
SYNCOPE AND COLLAPSE312$47,54029.9x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$45,88026.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$45,663210.1x
RENAL FAILURE WITH CC683$43,53028.4x
GASTROINTESTINAL OBSTRUCTION WITH CC389$43,27928.8x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$42,15128.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$40,80429.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$39,09128.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$31,375210.8x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error