Mission Regional Medical Center
Mission Regional Medical Center in Mission, TX charges 5.8x the Medicare reimbursement rate across 23 analyzed procedures, reflecting the pricing patterns at this nonprofit-private hospital.
Mission, TX 78572 · 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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Pricing grade
D
High
Avg markup vs Medicare
5.83x
Charge / Medicare rate
Max markup
9.12x
Worst procedure
Procedures analyzed
23
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $80,186 | $40,093 | — | 9.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $74,773 | $37,387 | — | 9.1x |
| RENAL FAILURE WITH MCC | 682 | $65,651 | $32,825 | — | 6.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $58,519 | $29,260 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $87,414 | $43,707 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $216,852 | $108,426 | — | 6.5x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $35,676 | $17,838 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $69,927 | $34,964 | — | 6.3x |
| DIABETES WITH MCC | 637 | $58,790 | $29,395 | — | 6.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $73,697 | $36,848 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $54,086 | $27,043 | — | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,647 | $14,824 | — | 5.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,789 | $14,894 | — | 5.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,451 | $18,726 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $42,166 | $21,083 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,660 | $16,830 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,700 | $14,350 | — | 5.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $72,413 | $36,206 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $26,875 | $13,438 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $57,526 | $28,763 | — | 4.7x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $29,991 | $14,995 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $34,967 | $17,484 | — | 3.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $36,738 | $18,369 | — | 3.4x |
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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