Hospital · CCN 450010
United Regional Health Care System
1600 11th Street, Wichita Falls, TX 76301 · Wichita County
Part of United Regional Health Care System · 244 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
113 admission types 54 outpatient services price file: ok
Billed per dollar paid, all admissions
3.51×
$204.1M billed against $58.2M paid across 4,507 Medicare discharges; the national figure is 5.03×.
13.8%
of adults in Wichita County have medical debt in collections
16.8%
uninsured in the county · state 18.8%
$62K
median household income
3.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
35.3%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
6.2%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
368
$58,498
$16,669
3.5× st 6.7×
291
Heart failure and shock with mcc
253
$36,407
$10,803
3.4× st 5.8×
177
Respiratory infections and inflammations with mcc
217
$47,872
$14,047
3.4× st 6.1×
193
Simple pneumonia and pleurisy with mcc
152
$42,625
$11,441
3.7× st 6.5×
189
Pulmonary edema and respiratory failure
127
$42,352
$10,773
3.9× st 5.6×
689
Kidney and urinary tract infections with mcc
125
$31,802
$10,169
3.1× st 5.6×
378
Gastrointestinal hemorrhage with cc
118
$35,478
$9,291
3.8× st 6.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
112
$28,982
$7,225
4.0× st 6.2×
683
Renal failure with cc
105
$29,452
$7,719
3.8× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
90
$41,331
$11,184
3.7× st 5.7×
682
Renal failure with mcc
89
$44,705
$13,341
3.4× st 6.2×
312
Syncope and collapse
88
$32,103
$7,465
4.3× st 7.1×
690
Kidney and urinary tract infections without mcc
84
$30,212
$6,889
4.4× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
84
$32,596
$9,478
3.4× st 6.9×
280
Acute myocardial infarction, discharged alive with mcc
84
$40,368
$13,691
2.9× st 6.9×
194
Simple pneumonia and pleurisy with cc
79
$32,509
$7,401
4.4× st 5.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
76
$27,712
$6,770
4.1× st 5.6×
190
Chronic obstructive pulmonary disease with mcc
75
$37,648
$9,289
4.1× st 4.9×
309
Cardiac arrhythmia and conduction disorders with cc
66
$27,029
$7,033
3.8× st 6.3×
481
Hip and femur procedures except major joint with cc
61
$60,415
$17,761
3.4× st 7.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
59
$42,674
$8,844
4.8× st 5.8×
305
Hypertension without mcc
56
$24,984
$6,352
3.9× st 7.4×
603
Cellulitis without mcc
52
$33,455
$8,249
4.1× st 4.9×
178
Respiratory infections and inflammations with cc
49
$35,402
$9,835
3.6× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
48
$63,756
$18,004
3.5× st 7.9×
698
Other kidney and urinary tract diagnoses with mcc
47
$43,190
$13,847
3.1× st 6.1×
638
Diabetes with cc
44
$33,270
$8,480
3.9× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
44
$54,551
$16,875
3.2× st 7.3×
812
Red blood cell disorders without mcc
42
$30,188
$8,235
3.7× st 5.1×
308
Cardiac arrhythmia and conduction disorders with mcc
41
$39,866
$10,552
3.8× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
38
$114,495
$44,328
2.6× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
37
$38,434
$10,875
3.5× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
37
$67,561
$18,525
3.6× st 9.2×
281
Acute myocardial infarction, discharged alive with cc
36
$29,773
$7,682
3.9× st 7.8×
948
Signs and symptoms without mcc
33
$27,133
$6,681
4.1× st 5.4×
101
Seizures without mcc
32
$26,862
$9,957
2.7× st 6.2×
069
Transient ischemia without thrombolytic
30
$28,041
$6,881
4.1× st 9.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
29
$46,836
$15,209
3.1× st 6.5×
039
Extracranial procedures without cc/mcc
29
$39,354
$11,152
3.5× st 8.2×
377
Gastrointestinal hemorrhage with mcc
28
$63,243
$15,464
4.1× st 7.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
28
$83,962
$22,554
3.7× st 7.8×
552
Medical back problems without mcc
28
$28,774
$8,587
3.4× st 7.0×
602
Cellulitis with mcc
27
$37,575
$13,492
2.8× st 5.5×
389
Gastrointestinal obstruction with cc
26
$31,978
$6,684
4.8× st 5.9×
207
Respiratory system diagnosis with ventilator support >96 hours
25
$172,817
$59,399
2.9× st 7.4×
304
Hypertension with mcc
25
$30,511
$9,686
3.2× st 6.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$17,768
$5,524
3.2× st 6.7×
191
Chronic obstructive pulmonary disease with cc
24
$31,226
$7,120
4.4× st 6.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
23
$38,765
$9,045
4.3× st 8.5×
100
Seizures with mcc
23
$66,845
$16,757
4.0× st 7.0×
917
Poisoning and toxic effects of drugs with mcc
23
$37,538
$13,899
2.7× st 5.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
23
$23,785
$6,039
3.9× st 7.9×
480
Hip and femur procedures except major joint with mcc
22
$69,758
$24,550
2.8× st 7.1×
331
Major small and large bowel procedures without cc/mcc
22
$55,878
$18,538
3.0× st 6.8×
313
Chest pain
22
$27,320
$6,037
4.5× st 7.4×
439
Disorders of pancreas except malignancy with cc
21
$31,154
$9,188
3.4× st 6.0×
314
Other circulatory system diagnoses with mcc
21
$46,475
$18,648
2.5× st 6.1×
394
Other digestive system diagnoses with cc
21
$31,691
$9,189
3.4× st 6.4×
092
Other disorders of nervous system with cc
21
$28,636
$8,822
3.2× st 6.6×
176
Pulmonary embolism without mcc
20
$26,383
$9,646
2.7× st 5.7×
390
Gastrointestinal obstruction without cc/mcc
20
$26,902
$4,710
5.7× st 5.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
20
$63,529
$19,646
3.2× st 8.5×
057
Degenerative nervous system disorders without mcc
20
$23,970
$11,889
2.0× st 5.9×
637
Diabetes with mcc
19
$34,365
$12,144
2.8× st 6.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
19
$61,810
$15,722
3.9× st 7.9×
811
Red blood cell disorders with mcc
19
$66,492
$12,823
5.2× st 5.9×
025
Craniotomy and endovascular intracranial procedures with mcc
19
$101,029
$36,612
2.8× st 7.4×
184
Major chest trauma with cc
19
$39,056
$9,299
4.2× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
18
$153,678
$60,749
2.5× st 7.3×
300
Peripheral vascular disorders with cc
18
$34,078
$8,929
3.8× st 6.2×
371
Major gastrointestinal disorders and peritoneal infections with mcc
18
$44,959
$16,203
2.8× st 6.1×
393
Other digestive system diagnoses with mcc
17
$49,197
$13,746
3.6× st 6.4×
699
Other kidney and urinary tract diagnoses with cc
17
$40,878
$8,530
4.8× st 5.2×
329
Major small and large bowel procedures with mcc
17
$143,125
$42,872
3.3× st 6.4×
163
Major chest procedures with mcc
17
$138,485
$39,328
3.5× st 7.1×
242
Permanent cardiac pacemaker implant with mcc
16
$78,759
$28,709
2.7× st 7.6×
639
Diabetes without cc/mcc
16
$26,802
$6,073
4.4× st 6.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
16
$42,089
$8,697
4.8× st 5.1×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$31,766
$10,140
3.1× st 5.1×
299
Peripheral vascular disorders with mcc
15
$46,132
$13,137
3.5× st 7.2×
536
Fractures of hip and pelvis without mcc
15
$24,550
$6,707
3.7× st 5.8×
884
Organic disturbances and intellectual disability
15
$29,258
$14,394
2.0× st 5.7×
482
Hip and femur procedures except major joint without cc/mcc
15
$52,011
$13,241
3.9× st 8.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
15
$179,423
$38,358
4.7× st 7.1×
149
Dysequilibrium
14
$27,115
$7,243
3.7× st 9.1×
330
Major small and large bowel procedures with cc
14
$75,980
$20,647
3.7× st 6.8×
252
Other vascular procedures with mcc
14
$103,436
$29,344
3.5× st 6.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$29,301
$8,922
3.3× st 8.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$50,917
$18,235
2.8× st 6.7×
445
Disorders of the biliary tract with cc
14
$37,396
$9,906
3.8× st 6.8×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$54,811
$15,870
3.5× st 5.9×
091
Other disorders of nervous system with mcc
14
$46,146
$15,652
2.9× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$102,900
$23,967
4.3× st 8.2×
315
Other circulatory system diagnoses with cc
13
$30,834
$9,862
3.1× st 6.3×
243
Permanent cardiac pacemaker implant with cc
13
$60,466
$19,040
3.2× st 7.6×
183
Major chest trauma with mcc
13
$55,505
$13,230
4.2× st 6.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
12
$122,399
$34,830
3.5× st 6.9×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
12
$76,485
$18,845
4.1× st 8.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$71,229
$16,944
4.2× st 7.1×
071
Other cerebrovascular disorders with cc
12
$33,152
$8,847
3.7× st 5.2×
086
Traumatic stupor and coma <1 hour with cc
12
$44,768
$10,991
4.1× st 5.8×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
12
$50,049
$11,032
4.5× st 9.6×
432
Cirrhosis and alcoholic hepatitis with mcc
12
$52,939
$16,272
3.3× st 6.5×
271
Other major cardiovascular procedures with cc
11
$118,254
$28,893
4.1× st 7.3×
885
Psychoses
11
$26,906
$11,600
2.3× st 3.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$25,424
$7,479
3.4× st 6.7×
036
Carotid artery stent procedures without cc/mcc
11
$47,214
$15,194
3.1× st 7.9×
565
Other musculoskeletal system and connective tissue diagnoses with cc
11
$33,286
$8,410
4.0× st 6.0×
460
Spinal fusion except cervical without mcc
11
$115,121
$31,201
3.7× st 6.9×
179
Respiratory infections and inflammations without cc/mcc
11
$36,711
$6,411
5.7× st 5.7×
195
Simple pneumonia and pleurisy without cc/mcc
11
$27,505
$6,440
4.3× st 5.7×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$42,576
$12,284
3.5× st 6.6×
472
Cervical spinal fusion with cc
11
$80,411
$24,590
3.3× st 7.2×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
676
$13,047
$2,528
5.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
184
$9,517
$1,468
6.5×
5191
Level 1 Endovascular Procedures
180
$17,579
$3,014
5.8×
5115
Level 5 Musculoskeletal Procedures
155
$45,795
$12,131
3.8×
5182
Level 2 Vascular Procedures
152
$5,714
$1,495
3.8×
5361
Level 1 Laparoscopy and Related Services
150
$24,696
$5,304
4.7×
5114
Level 4 Musculoskeletal Procedures
140
$28,576
$6,489
4.4×
5431
Level 1 Nerve Procedures
131
$7,824
$1,802
4.3×
5183
Level 3 Vascular Procedures
130
$12,389
$2,935
4.2×
5113
Level 3 Musculoskeletal Procedures
85
$13,041
$2,965
4.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
77
$18,626
$2,625
7.1×
5302
Level 2 Upper GI Procedures
72
$10,202
$1,699
6.0×
5116
Level 6 Musculoskeletal Procedures
68
$66,266
$17,359
3.8×
5193
Level 3 Endovascular Procedures
60
$46,733
$9,973
4.7×
5375
Level 5 Urology and Related Services
56
$21,172
$4,693
4.5×
5373
Level 3 Urology and Related Services
55
$10,790
$1,874
5.8×
5362
Level 2 Laparoscopy and Related Services
52
$29,308
$9,450
3.1×
5223
Level 3 Pacemaker and Similar Procedures
48
$34,620
$9,961
3.5×
5154
Level 4 Airway Endoscopy
48
$18,660
$3,438
5.4×
5184
Level 4 Vascular Procedures
44
$19,667
$5,130
3.8×
5374
Level 4 Urology and Related Services
40
$13,131
$3,254
4.0×
5192
Level 2 Endovascular Procedures
36
$28,427
$5,121
5.6×
5213
Level 3 Electrophysiologic Procedures
32
$108,362
$22,114
4.9×
5165
Level 5 ENT Procedures
31
$26,695
$5,467
4.9×
5153
Level 3 Airway Endoscopy
29
$11,503
$1,584
7.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
29
$20,459
$3,052
6.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
26
$25,084
$5,901
4.3×
5222
Level 2 Pacemaker and Similar Procedures
25
$25,571
$7,931
3.2×
5232
Level 2 ICD and Similar Procedures
25
$98,116
$30,619
3.2×
5112
Level 2 Musculoskeletal Procedures
23
$8,362
$1,500
5.6×
5194
Level 4 Endovascular Procedures
21
$60,290
$16,335
3.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
19
$12,120
$3,558
3.4×
5414
Level 4 Gynecologic Procedures
15
$11,325
$2,918
3.9×
5331
Complex GI Procedures
14
$29,967
$5,320
5.6×
5155
Level 5 Airway Endoscopy
11
$35,610
$6,389
5.6×
5313
Level 3 Lower GI Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 11/15/2025, template 2.0.0, 23,349 rows scanned, 4,327 distinct code–setting items kept. 6 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative
$717
$681
—
0
clean
Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)
$14,022
$13,321
—
0
clean
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative
$94
$89
—
0
clean
Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel
$21,361
$20,293
—
0
clean
Infectious disease (bacteria, fungi, parasites, and DNA viruses), microbial cell-free DNA, plasma, untargeted next-generation sequencing, report for significant positive pathogens
$2,436
$2,314
—
0
clean
Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nas
$633
$601
—
0
clean
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel
$25,903
$24,608
—
0
clean
Motor-cognitive, semi-immersive virtual reality-facilitated gait training, each 15 minutes (List separately in addition to code for primary procedure)
$158
$150
—
0
clean
Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evalu
$51,982
$49,383
—
0
clean
Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evalu
$49,126
$46,670
—
0
clean
Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evalu
$49,126
$46,670
—
0
clean
Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venogr
$42,929
$40,783
—
0
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$1,646
$1,564
—
0
clean
Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)
$1,008
$958
—
0
clean
Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous
$1,262
$1,198
—
0
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
$378
$359
—
0
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple
$531
$505
—
0
clean
Incision and removal of foreign body, subcutaneous tissues; complicated
$2,027
$1,926
—
0
clean
Debridement of extensive eczematous or infected skin; up to 10% of body surface
$755
$717
—
0
clean
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure
$1,547
$1,469
—
0
clean
Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle
$5,156
$4,898
—
0
clean
Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone
$13,989
$13,289
—
0
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less
$1,445
$1,373
—
0
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less
$16,026
$15,224
—
0
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less
$6,077
$5,773
—
0
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$570
$542
—
0
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,343
$1,276
—
0
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$2,992
$2,842
—
0
clean
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion
$397
$377
—
0
clean
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions
$383
$364
—
0
clean
Punch biopsy of skin (including simple closure, when performed); single lesion
$682
$648
—
0
clean
Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion
$2,434
$2,313
—
0
clean
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
$479
$455
—
0
clean
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less
$498
$473
—
0
clean
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less
$188
$179
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less
$897
$852
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
$451
$428
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
$648
$616
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
$706
$671
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
$3,427
$3,255
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm
$6,227
$5,916
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
$2,027
$1,926
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$6,117
$5,811
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
$3,466
$3,292
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
$4,090
$3,885
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
$6,155
$5,847
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$5,326
$5,059
—
0
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less
$6,146
$5,839
—
0
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm
$6,063
$5,760
—
0
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm
$5,985
$5,686
—
0
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm
$11,190
$10,631
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less
$4,730
$4,493
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm
$3,145
$2,988
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
$6,304
$5,989
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm
$1,953
$1,856
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm
$4,690
$4,456
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
$13,010
$12,359
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$1,953
$1,856
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
$6,418
$6,097
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
$8,092
$7,687
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$13,492
$12,817
—
0
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm
$2,841
$2,699
—
0
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm
$7,399
$7,029
—
0
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
$3,426
$3,255
—
0
clean
Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal
$10,161
$9,653
—
0
clean
Insertion of tissue expander(s) for other than breast, including subsequent expansion
$11,496
$10,921
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less
$368
$349
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
$445
$422
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm
$551
$523
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm
$582
$553
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm
$766
$727
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm
$1,018
$967
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$445
$422
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$521
$495
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$598
$568
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$781
$742
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm
$965
$917
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm
$1,848
$1,755
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
$639
$607
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
$825
$784
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
$927
$881
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm
$1,257
$1,194
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm
$1,063
$1,010
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm
$2,468
$2,345
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
$762
$724
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
$820
$779
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm
$1,073
$1,019
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm
$887
$843
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm
$1,149
$1,091
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$927
$881
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$652
$619
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$861
$818
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$1,122
$1,066
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm
$1,435
$1,364
—
0
clean
Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)
$437
$415
—
0
clean
Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)
$597
$567
—
0
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm
$715
$680
—
0
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
$1,391
$1,321
—
0
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)
$870
$827
—
0
clean
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
$1,147
$1,090
—
0
clean
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm
$2,777
$2,638
—
0
clean
Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)
$706
$671
—
0
clean
Secondary closure of surgical wound or dehiscence, extensive or complicated
$8,533
$8,106
—
0
clean
Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less
$3,919
$3,723
—
0
clean
Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less
$9,058
$8,605
—
0
clean
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
$2,841
$2,699
—
0
clean
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm
$8,386
$7,967
—
0
clean
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less
$7,260
$6,897
—
0
clean
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm
$17,613
$16,732
—
0
clean
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)
$1,953
$1,856
—
0
clean
Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less
$2,841
$2,699
—
0
clean
Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less
$3,227
$3,066
—
0
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$2,468
$2,345
—
0
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure
$1,047
$995
—
0
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
$5,074
$4,820
—
0
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of
$1,199
$1,139
—
0
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$2,468
$2,345
—
0
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface ar
$1,047
$995
—
0
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound
$6,741
$6,404
—
0
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq
$3,171
$3,013
—
0
clean
Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet
$10,445
$9,923
—
0
clean
Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)
$10,503
$9,978
—
0
clean
Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)
$11,090
$10,536
—
0
clean
Blepharoplasty, upper eyelid; with excessive skin weighting down lid
$7,606
$7,225
—
0
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
$7,916
$7,521
—
0
clean
Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)
$1,221
$1,160
—
0
clean
Dressing change (for other than burns) under anesthesia (other than local)
$755
$717
—
0
clean
Initial treatment, first degree burn, when no more than local treatment is required
$171
$162
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)
$364
$346
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)
$653
$620
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)
$613
$582
—
0
clean
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions
$176
$167
—
0
clean
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm
$2,841
$2,699
—
0
clean
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm
$2,841
$2,699
—
0
clean
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)
$205
$195
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance
$5,290
$5,025
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotacti
$4,823
$4,582
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance
$5,056
$4,803
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound
$2,982
$2,833
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance gu
$6,295
$5,981
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic re
$4,221
$4,010
—
0
clean
Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)
$13,706
$13,021
—
0
clean
Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions
$6,664
$6,331
—
0
clean
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
$6,711
$6,376
—
0
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance
$372
$353
—
0
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for prima
$1,262
$1,198
—
0
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance
$1,541
$1,464
—
0
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for prima
$1,391
$1,321
—
0
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance
$358
$340
—
0
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary
$1,255
$1,192
—
0
clean
Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance
$2,481
$2,357
—
0
clean
Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for
$2,331
$2,214
—
0
clean
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)
$13,233
$12,571
—
0
clean
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
$27,523
$26,146
—
0
clean
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle
$19,658
$18,676
—
0
clean
Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
$5,225
$4,964
—
0
clean
Insertion or replacement of breast implant on separate day from mastectomy
$15,489
$14,714
—
0
clean
Tissue expander placement in breast reconstruction, including subsequent expansion(s)
$14,982
$14,233
—
0
clean
Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy
$9,143
$8,685
—
0
clean
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
$16,183
$15,374
—
0
clean
Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-bas
$12,967
$12,319
—
0
clean
Exploration of penetrating wound (separate procedure); abdomen/flank/back
$2,468
$2,345
—
0
clean
Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)
$2,027
$1,926
—
0
clean
Showing the first 200 of 4,327 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
MS-DRG 283/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,231 exceeds the gross charge $1,467
MS-DRG 623/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,845 exceeds the gross charge $17,100
MS-DRG 842/i
warn
mrf_negotiated_above_gross
highest negotiated rate $9,806 exceeds the gross charge $8,551
MS-DRG 919/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,000 exceeds the gross charge $16,310
MS-DRG 987/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,659 exceeds the gross charge $31,555
MS-DRG 267/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $50,323; the same hospital's average submitted charge to Medicare for this DRG is $179,423 (0.3×)
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- United Regional Health Care System — standard charges file · TX · updated 11/15/2025· csv-wide · 96.3M bytes · fetched 2026-08-26 · sha256 bed212101b83…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.