Longview Regional Medical Center
LONGVIEW REGIONAL MEDICAL CENTER in Longview, TX charges 12.4x the Medicare reimbursement rate on average, with 30% of analyzed procedures showing significant price variations.
Longview, TX 75605 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
12.37x
Charge / Medicare rate
Max markup
22.75x
Worst procedure
Procedures analyzed
56
With pricing data
Outlier procedures
30.4%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $241,776 | $120,888 | — | 22.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $236,508 | $118,254 | — | 21.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $107,419 | $53,709 | — | 20.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $613,193 | $306,597 | — | 20.3x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $277,134 | $138,567 | — | 19.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $126,844 | $63,422 | — | 19x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $670,387 | $335,193 | — | 17.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $140,908 | $70,454 | — | 15.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $91,282 | $45,641 | — | 15.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $188,691 | $94,346 | — | 15.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $271,186 | $135,593 | — | 15.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $456,072 | $228,036 | — | 14.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $76,501 | $38,250 | — | 14.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $176,155 | $88,078 | — | 14.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $60,474 | $30,237 | — | 14.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $441,902 | $220,951 | — | 14x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $476,403 | $238,202 | — | 13.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $57,647 | $28,824 | — | 13.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $287,276 | $143,638 | — | 13.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $272,003 | $136,001 | — | 13.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $36,026 | $18,013 | — | 13.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $108,208 | $54,104 | — | 13.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $614,625 | $307,313 | — | 13x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $204,764 | $102,382 | — | 12x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $371,992 | $185,996 | — | 12x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $75,332 | $37,666 | — | 11.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $66,356 | $33,178 | — | 11.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $49,569 | $24,784 | — | 11.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $454,941 | $227,470 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $478,489 | $239,245 | — | 11.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $44,648 | $22,324 | — | 11.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $62,401 | $31,201 | — | 11.1x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $313,517 | $156,758 | — | 11.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $188,683 | $94,342 | — | 11x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $126,759 | $63,379 | — | 11x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $59,944 | $29,972 | — | 10.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $70,578 | $35,289 | — | 10.4x |
| SYNCOPE AND COLLAPSE | 312 | $50,311 | $25,155 | — | 10.3x |
| CELLULITIS WITHOUT MCC | 603 | $48,550 | $24,275 | — | 9.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $58,684 | $29,342 | — | 9.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $70,413 | $35,207 | — | 9.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $66,446 | $33,223 | — | 9.4x |
| RENAL FAILURE WITH CC | 683 | $46,545 | $23,272 | — | 9.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $87,645 | $43,822 | — | 9.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $48,596 | $24,298 | — | 9.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $43,316 | $21,658 | — | 9.2x |
| RENAL FAILURE WITH MCC | 682 | $76,151 | $38,075 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $66,794 | $33,397 | — | 9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $82,249 | $41,124 | — | 8.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $62,366 | $31,183 | — | 8.6x |
Showing 50 of 56 procedures
How LONGVIEW REGIONAL MEDICAL CENTER 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.
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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