6/100
#2,487 nationally
Nacogdoches Medical Center
4920 Ne Stallings Drive, Nacogdoches, TX 75965 · (936) 569-9481
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Nacogdoches Medical Center billed $13.00 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
- 13.0x
- volume-weighted across all its priced work
- Procedures priced
- 40
- inpatient and outpatient combined
- Rank in TX
- #176
- 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 2% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 24% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
158 | $168,345 | $13,081 | +158% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
80 | $44,781 | $2,328 | +130% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
59 | $155,752 | $10,909 | +149% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
49 | $132,433 | $11,445 | +141% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
45 | $18,699 | $1,404 | +86% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
41 | $118,785 | $9,190 | +155% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
39 | $100,112 | $8,754 | +131% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
38 | $20,414 | $1,616 | +74% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
37 | $102,975 | $7,524 | +163% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
32 | $389,590 | $31,816 | +119% |
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 |
|---|---|---|---|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$99,689 | $5,959 | +214% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$115,365 | $6,208 | +189% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$232,469 | $14,489 | +179% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$84,342 | $6,505 | +176% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$79,562 | $5,939 | +167% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$93,196 | $5,007 | +165% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$50,528 | $2,585 | +164% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$102,975 | $7,524 | +163% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$11,620 | $1,390 | +36% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
$163,620 | $14,774 | +42% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$20,414 | $1,616 | +74% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$94,271 | $10,490 | +78% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$70,811 | $6,852 | +81% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$75,051 | $6,946 | +82% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$18,699 | $1,404 | +86% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$118,857 | $10,686 | +94% |
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.