76/100
#455 nationally
Guadalupe Regional Medical Center
1215 E Court St, Seguin, TX 78155 · (830) 379-2411
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Guadalupe Regional Medical Center billed $3.73 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 53
- inpatient and outpatient combined
- Rank in TX
- #13
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 72% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 74% 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 |
363 | $12,431 | $2,325 | -36% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
331 | $9,543 | $1,984 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
109 | $31,403 | $11,316 | -50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
87 | $28,308 | $9,507 | -35% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
75 | $13,433 | $2,995 | -35% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
66 | $10,106 | $1,725 | -22% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
65 | $18,072 | $2,832 | -28% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
63 | $15,221 | $2,731 | -20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
56 | $48,498 | $13,806 | -26% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
56 | $14,623 | $4,429 | -47% |
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 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$26,202 | $4,535 | +8% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$20,850 | $3,528 | about average |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$64,248 | $9,539 | -5% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$10,999 | $1,651 | -6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,839 | $1,637 | -13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$47,548 | $11,649 | -14% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,380 | $1,390 | -14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,560 | $1,380 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$9,632 | $6,746 | -68% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$13,308 | $7,940 | -65% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$19,165 | $10,849 | -64% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$20,052 | $9,939 | -59% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$12,674 | $6,713 | -57% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$17,500 | $8,382 | -57% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$36,775 | $14,042 | -54% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$15,609 | $7,229 | -53% |
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.