Healthcare Pricing Data: NACOGDOCHES, TX
2 hospitals with public pricing data · 26 procedures reported to CMS
Hospitals
2
With CMS data
Procedures
26
DRG categories
Avg Charge-to-Medicare Ratio
12.7x
Across all procedures
vs National Average
+65%
Chargemaster rates
About This Data
NACOGDOCHES, 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 12.7x for the 26 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in NACOGDOCHES is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $300,612 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
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $102,332 | 2 | 8.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $86,688 | 2 | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $80,698 | 2 | 8.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $76,981 | 2 | 9.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $72,805 | 2 | 9.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $67,027 | 2 | 8.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $61,273 | 2 | 8.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $57,447 | 2 | 9.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $300,612 | 1 | 11.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $222,775 | 1 | 19.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $182,820 | 1 | 14.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $168,462 | 1 | 15.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $125,022 | 1 | 10.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $115,933 | 1 | 11.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $115,620 | 1 | 4.0x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $103,837 | 1 | 22.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $94,921 | 1 | 20.0x |
| RENAL FAILURE WITH MCC | 682 | $92,644 | 1 | 10.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $90,718 | 1 | 16.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $86,107 | 1 | 16.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $85,988 | 1 | 21.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $80,702 | 1 | 10.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $78,831 | 1 | 13.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $74,834 | 1 | 13.3x |
| CELLULITIS WITHOUT MCC | 603 | $71,102 | 1 | 14.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $59,185 | 1 | 14.5x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in NACOGDOCHES With Pricing Data
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