Texoma Medical Center

TEXOMA MEDICAL CENTER in Denison, TX charges 10.8x the Medicare reimbursement rate on average across 120 analyzed procedures, with 11% showing significantly higher markups.

Denison, TX 75020 · Acute Care Hospitals · CMS Rating: 3/5

By Priya Iyengar , Senior Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

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.

120 procedures analyzed

CMS price transparency data

Updated 2026-04-03

10.8x

Medicare markup ratio

TX lowestTexoma Medical CenterTX highest

10.8x

Avg markup ratio

10.5x

Median markup

120

Procedures

11%

Outlier procedures

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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

Very high

Avg markup vs Medicare

10.76x

Charge / Medicare rate

Max markup

23.71x

Worst procedure

Procedures analyzed

120

With pricing data

Outlier procedures

10.8%

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
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$96,115	$48,057	—	23.7x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	390	$51,441	$25,721	—	18.7x
DYSEQUILIBRIUM	149	$73,063	$36,531	—	18.2x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	419	$123,228	$61,614	—	16.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	418	$169,748	$84,874	—	16x
HEADACHES WITHOUT MCC	103	$68,575	$34,287	—	15.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	310	$45,211	$22,606	—	15.7x
SIMPLE PNEUMONIA AND PLEURISY WITH CC	194	$81,491	$40,745	—	15.7x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	057	$126,796	$63,398	—	15.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$94,087	$47,043	—	14.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	282	$58,716	$29,358	—	14.4x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	069	$70,221	$35,111	—	14.1x
PULMONARY EMBOLISM WITHOUT MCC	176	$70,200	$35,100	—	13.1x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	394	$73,840	$36,920	—	13.1x
DIGESTIVE MALIGNANCY WITH MCC	374	$144,441	$72,221	—	13x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	287	$89,439	$44,720	—	13x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$107,772	$53,886	—	12.8x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	442	$81,178	$40,589	—	12.7x
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	283	$158,500	$79,250	—	12.7x
CHEST PAIN	313	$52,821	$26,411	—	12.6x
SYNCOPE AND COLLAPSE	312	$69,390	$34,695	—	12.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$58,248	$29,124	—	12.5x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	699	$78,241	$39,120	—	12.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	854	$152,400	$76,200	—	12.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	482	$114,239	$57,120	—	12.1x
FRACTURES OF HIP AND PELVIS WITHOUT MCC	536	$59,013	$29,507	—	12.1x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT	062	$152,993	$76,496	—	12.1x
OTHER VASCULAR PROCEDURES WITH CC	253	$217,007	$108,503	—	12.1x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	236	$318,644	$159,322	—	12x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$141,799	$70,900	—	12x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$69,527	$34,763	—	11.8x
HYPERTENSION WITHOUT MCC	305	$54,703	$27,351	—	11.7x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$146,002	$73,001	—	11.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$54,512	$27,256	—	11.7x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$57,625	$28,812	—	11.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O	246	$228,085	$114,042	—	11.7x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	438	$133,086	$66,543	—	11.6x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	092	$70,763	$35,382	—	11.5x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$61,871	$30,936	—	11.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	521	$229,064	$114,532	—	11.4x
SEIZURES WITHOUT MCC	101	$59,444	$29,722	—	11.4x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$74,130	$37,065	—	11.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$51,444	$25,722	—	11.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$64,735	$32,367	—	11.3x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$325,178	$162,589	—	11.3x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	036	$123,796	$61,898	—	11.1x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$92,036	$46,018	—	11x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	233	$756,062	$378,031	—	11x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$113,880	$56,940	—	11x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$148,725	$74,363	—	10.9x

Showing 50 of 120 procedures

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?

Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.

Why do for-profit hospitals charge more than Medicare rates?

For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.

Does insurance typically pay the full hospital charge amount?

Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.

What should I know about billing differences between hospital types?

For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

Related pricing data

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Denison, TX costsCity-level pricing data

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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