24/100
#2,052 nationally
Christus Good Shepherd Medical Center
700 E Marshall Ave, Longview, TX 75601 · (903) 927-6712
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Christus Good Shepherd Medical Center billed $6.81 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.8x
- volume-weighted across all its priced work
- Procedures priced
- 107
- inpatient and outpatient combined
- Rank in TX
- #116
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 29% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 19% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,042 | $26,006 | $2,406 | +34% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
531 | $69,426 | $15,843 | +6% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
263 | $1,251 | $608 | -60% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
259 | $6,124 | $1,812 | -53% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
230 | $24,487 | $2,039 | +108% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
216 | $123,306 | $11,507 | +97% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
197 | $45,005 | $11,143 | +4% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
167 | $50,452 | $2,891 | +100% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
160 | $15,727 | $1,718 | +39% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
159 | $14,562 | $1,428 | +44% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$220,040 | $16,544 | +165% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$272,475 | $27,545 | +142% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$187,257 | $19,415 | +132% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$14,264 | $1,357 | +123% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$415,583 | $37,766 | +119% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$49,930 | $2,855 | +115% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$24,487 | $2,039 | +108% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$80,743 | $5,645 | +104% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,251 | $608 | -60% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,124 | $1,812 | -53% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$55,115 | $15,928 | -32% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$8,295 | $1,470 | -27% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$42,452 | $11,731 | -25% |
|
Cirrhosis and Alcoholic Hepatitis with Complications
MS-DRG 433 · Inpatient stay |
$34,759 | $10,091 | -24% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
$147,971 | $29,299 | -23% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$64,196 | $15,308 | -20% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.