Christus St Michael Health System
CHRISTUS ST MICHAEL HEALTH SYSTEM in Texarkana, TX charges 7.0x the Medicare reimbursement rate across 86 analyzed procedures at this nonprofit religious hospital.
Texarkana, TX 75503 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.97x
Charge / Medicare rate
Max markup
11.15x
Worst procedure
Procedures analyzed
86
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $70,440 | $35,220 | — | 11.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $35,324 | $17,662 | — | 10.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $36,959 | $18,480 | — | 9.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $31,348 | $15,674 | — | 9.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $89,501 | $44,750 | — | 9.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,155 | $48,078 | — | 8.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $182,550 | $91,275 | — | 8.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $69,868 | $34,934 | — | 8.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $71,749 | $35,874 | — | 8.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $211,329 | $105,665 | — | 8.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $77,711 | $38,856 | — | 8.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $36,959 | $18,479 | — | 8.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $39,355 | $19,678 | — | 8.1x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $98,356 | $49,178 | — | 8.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $95,192 | $47,596 | — | 8.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $50,414 | $25,207 | — | 8x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $104,529 | $52,265 | — | 8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,642 | $11,821 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $101,686 | $50,843 | — | 7.9x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $214,361 | $107,181 | — | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,216 | $20,608 | — | 7.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $47,837 | $23,919 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $101,441 | $50,721 | — | 7.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $73,981 | $36,991 | — | 7.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $36,031 | $18,016 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $123,285 | $61,643 | — | 7.6x |
| RENAL FAILURE WITH CC | 683 | $40,363 | $20,181 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $36,506 | $18,253 | — | 7.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $131,116 | $65,558 | — | 7.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $207,303 | $103,651 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,258 | $17,129 | — | 7.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $175,433 | $87,717 | — | 7.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $44,635 | $22,318 | — | 7.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $87,562 | $43,781 | — | 7.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $86,755 | $43,377 | — | 7.1x |
| DIABETES WITH CC | 638 | $37,923 | $18,961 | — | 7.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $32,364 | $16,182 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $41,540 | $20,770 | — | 7.1x |
| CELLULITIS WITHOUT MCC | 603 | $37,096 | $18,548 | — | 7.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $96,415 | $48,207 | — | 7.1x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $45,222 | $22,611 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,590 | $16,295 | — | 7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $104,598 | $52,299 | — | 7x |
| SYNCOPE AND COLLAPSE | 312 | $36,552 | $18,276 | — | 7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $44,526 | $22,263 | — | 7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,815 | $26,907 | — | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $98,560 | $49,280 | — | 6.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $74,481 | $37,240 | — | 6.8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $30,130 | $15,065 | — | 6.8x |
| HYPERTENSION WITHOUT MCC | 305 | $31,821 | $15,910 | — | 6.7x |
Showing 50 of 86 procedures
How CHRISTUS ST MICHAEL HEALTH SYSTEM compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use