30/100
#1,871 nationally
Hill Country Memorial Hospital
1020 South State Highway 16, Fredericksburg, TX 78624 · (830) 997-4353
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Hill Country Memorial Hospital billed $7.11 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
- 7.1x
- volume-weighted across all its priced work
- Procedures priced
- 45
- inpatient and outpatient combined
- Rank in TX
- #104
- 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 34% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 37% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
331 | $13,133 | $2,017 | +12% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
232 | $95,645 | $11,322 | +53% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
228 | $38,773 | $2,375 | +100% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
165 | $18,732 | $1,643 | +59% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
127 | $80,633 | $18,806 | +24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
84 | $15,886 | $1,407 | +58% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
77 | $35,701 | $5,007 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
74 | $41,386 | $2,832 | +64% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
70 | $49,869 | $6,190 | +25% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
59 | $28,870 | $4,490 | +5% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$38,773 | $2,375 | +100% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$81,000 | $14,102 | +94% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$57,474 | $8,211 | +81% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$82,683 | $14,760 | +77% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$52,712 | $8,278 | +77% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$65,295 | $7,372 | +73% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$67,103 | $10,897 | +71% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$41,386 | $2,832 | +64% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$15,036 | $3,250 | -34% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$27,030 | $5,081 | -21% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$18,059 | $3,528 | -13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$32,235 | $7,827 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$35,701 | $5,007 | about average |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$39,315 | $5,939 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$28,870 | $4,490 | +5% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$107,459 | $25,731 | +7% |
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.