6/100
#2,484 nationally
Longview Regional Medical Center
2901 N Fourth St, Longview, TX 75605 · (903) 758-1818
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Longview Regional Medical Center billed $13.22 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
- 13.2x
- volume-weighted across all its priced work
- Procedures priced
- 99
- inpatient and outpatient combined
- Rank in TX
- #174
- 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 4% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 10% 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 |
389 | $29,312 | $2,411 | +51% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
268 | $83,378 | $2,865 | +230% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
243 | $25,944 | $2,060 | +121% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
172 | $137,720 | $13,483 | +111% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
148 | $317,326 | $22,448 | +155% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
148 | $169,290 | $11,628 | +171% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
131 | $176,409 | $9,445 | +161% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
125 | $211,385 | $12,246 | +121% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
120 | $58,110 | $3,000 | +181% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
110 | $25,515 | $1,412 | +153% |
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 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$121,262 | $4,923 | +250% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$60,280 | $2,781 | +232% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$83,378 | $2,865 | +230% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$371,939 | $27,545 | +230% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$265,815 | $15,948 | +220% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$80,756 | $6,084 | +208% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$156,024 | $9,375 | +203% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$514,560 | $36,440 | +191% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$53,223 | $9,317 | +4% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$47,707 | $7,628 | +14% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$96,793 | $13,984 | +24% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$89,190 | $12,055 | +25% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$62,617 | $9,124 | +29% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$62,098 | $8,783 | +31% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$61,933 | $7,150 | +36% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$65,719 | $9,428 | +41% |
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.