41/100
#1,569 nationally
Nacogdoches Memorial Hospital
1204 Mound St, Nacogdoches, TX 75961 · (936) 564-4611
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Nacogdoches Memorial Hospital billed $5.22 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
- 5.2x
- volume-weighted across all its priced work
- Procedures priced
- 11
- inpatient and outpatient combined
- Rank in TX
- #92
- 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 32% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 46% of U.S. hospitals.
Better than 58% 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 |
50 | $18,890 | $2,375 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
46 | $18,578 | $2,832 | -26% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
39 | $67,101 | $13,231 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $52,484 | $10,216 | +13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
22 | $62,498 | $12,748 | +14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
22 | $36,297 | $9,968 | -16% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
15 | $40,770 | $10,193 | -16% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
13 | $82,042 | $12,994 | +34% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
12 | $13,764 | $2,766 | -28% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
11 | $45,100 | $6,912 | +40% |
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 |
|---|---|---|---|
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$45,100 | $6,912 | +40% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$82,042 | $12,994 | +34% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$62,498 | $12,748 | +14% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$52,484 | $10,216 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$67,101 | $13,231 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$18,890 | $2,375 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$36,615 | $7,973 | -7% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$40,770 | $10,193 | -16% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,764 | $2,766 | -28% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$18,578 | $2,832 | -26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$36,297 | $9,968 | -16% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$40,770 | $10,193 | -16% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$36,615 | $7,973 | -7% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$18,890 | $2,375 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$67,101 | $13,231 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$52,484 | $10,216 | +13% |
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.