29/100
#1,899 nationally
Christus St Michael Health System
2600 St Michael Dr, Texarkana, TX 75503 · (903) 614-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Christus St Michael Health System billed $6.85 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
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 126
- inpatient and outpatient combined
- Rank in TX
- #108
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 18% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 51% 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 |
715 | $28,472 | $2,352 | +47% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
398 | $89,269 | $13,765 | +37% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
243 | $29,018 | $2,782 | +15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
214 | $54,377 | $9,360 | +25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
177 | $65,682 | $9,685 | +41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
167 | $10,315 | $1,384 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
161 | $39,310 | $6,018 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
159 | $23,272 | $4,464 | -15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
135 | $23,040 | $2,676 | +21% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
130 | $19,432 | $3,025 | -6% |
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 |
|---|---|---|---|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$67,674 | $9,393 | +96% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$141,941 | $13,733 | +86% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$147,698 | $16,137 | +78% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$121,739 | $14,369 | +71% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$18,972 | $1,651 | +61% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$63,240 | $7,679 | +53% |
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 062 · Inpatient stay |
$142,782 | $12,258 | +52% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$48,149 | $6,451 | +49% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$19,516 | $4,915 | -44% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$63,906 | $14,644 | -33% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$103,661 | $25,233 | -29% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
$53,048 | $10,812 | -28% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$58,135 | $13,607 | -28% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$16,805 | $3,198 | -26% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$40,216 | $8,658 | -24% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$28,336 | $4,768 | -22% |
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.