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Healthcare Pricing Data: MCKINNEY, 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

14.8x

Across all procedures

vs National Average

+81%

Chargemaster rates

About This Data

MCKINNEY, 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 14.8x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in MCKINNEY is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $492,805 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
BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC462$256,546214.3x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$175,393215.2x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$492,805112.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$477,719116.6x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$418,405119.3x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$411,919124.0x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$372,560114.1x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$317,763122.8x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$292,717118.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$290,822116.0x
OTHER VASCULAR PROCEDURES WITH MCC252$283,706113.1x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$255,027118.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$237,227117.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$231,270113.9x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$217,211112.3x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$182,904116.8x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$172,760114.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$172,437119.4x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$167,286113.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$139,444111.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$133,649113.3x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$129,458110.3x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$127,724110.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$119,46919.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$116,209117.7x
SEIZURES WITH MCC100$110,89818.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$107,904114.4x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$105,967110.0x
HEART FAILURE AND SHOCK WITH MCC291$103,286112.4x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$102,282111.9x

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