16/100
#2,273 nationally
Palestine Regional Medical Center
2900 S Loop 256, Palestine, TX 75801 · (903) 731-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Palestine Regional Medical Center billed $7.92 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
- 7.9x
- volume-weighted across all its priced work
- Procedures priced
- 15
- inpatient and outpatient combined
- Rank in TX
- #144
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 17% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 17% 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 |
149 | $33,073 | $2,530 | +70% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
42 | $89,448 | $14,862 | +37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
40 | $66,039 | $9,805 | +42% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
28 | $60,573 | $10,038 | +40% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
27 | $55,390 | $8,969 | +36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
22 | $21,617 | $1,760 | +67% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
19 | $9,525 | $1,507 | -6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $96,550 | $12,278 | +75% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
18 | $11,065 | $1,744 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
17 | $82,984 | $10,420 | +71% |
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 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$155,359 | $9,915 | +202% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$96,550 | $12,278 | +75% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$82,984 | $10,420 | +71% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$33,073 | $2,530 | +70% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$53,558 | $6,856 | +69% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$21,617 | $1,760 | +67% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$42,516 | $6,807 | +43% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$66,039 | $9,805 | +42% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,525 | $1,507 | -6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,065 | $1,744 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$25,320 | $3,055 | +23% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$55,390 | $8,969 | +36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$89,448 | $14,862 | +37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$60,573 | $10,038 | +40% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$55,023 | $8,335 | +40% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$66,039 | $9,805 | +42% |
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.