79/100
#380 nationally
North Texas Medical Center
1900 Hospital Blvd, Gainesville, TX 76240 · (940) 612-8600
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, North Texas Medical Center billed $3.06 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
- 3.1x
- volume-weighted across all its priced work
- Procedures priced
- 22
- inpatient and outpatient combined
- Rank in TX
- #8
- 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 76% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 93% 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 |
244 | $7,800 | $2,231 | -34% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
96 | $13,380 | $2,616 | -31% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
72 | $45,144 | $16,988 | -31% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
50 | $33,247 | $11,611 | -31% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
32 | $37,642 | $12,214 | -19% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
25 | $21,734 | $8,374 | -27% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
24 | $7,224 | $1,834 | -39% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
23 | $32,970 | $11,967 | -24% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
23 | $25,308 | $10,097 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
17 | $6,622 | $1,563 | -34% |
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 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$17,077 | $3,072 | -11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$35,261 | $6,895 | -12% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$67,293 | $16,472 | -16% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$37,642 | $12,214 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$32,970 | $11,967 | -24% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$23,940 | $8,423 | -25% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$22,965 | $8,093 | -25% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$21,734 | $8,374 | -27% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$15,518 | $5,561 | -56% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$33,556 | $15,487 | -49% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$24,049 | $10,179 | -46% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$13,689 | $3,334 | -41% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,224 | $1,834 | -39% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$25,308 | $10,097 | -35% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$13,200 | $3,120 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,622 | $1,563 | -34% |
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.