4/100
#2,547 nationally
Rio Grande Regional Hospital
101 E Ridge Rd, Mcallen, TX 78503 · (956) 632-6000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Rio Grande Regional Hospital billed $10.85 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
- 10.9x
- volume-weighted across all its priced work
- Procedures priced
- 39
- inpatient and outpatient combined
- Rank in TX
- #191
- 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 7% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 3% 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 |
136 | $152,492 | $16,859 | +134% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
85 | $22,360 | $2,003 | +90% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
50 | $41,880 | $2,375 | +116% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
43 | $124,370 | $12,317 | +187% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
38 | $100,223 | $2,832 | +297% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
30 | $25,812 | $1,407 | +156% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $81,665 | $10,235 | +108% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
28 | $43,780 | $2,766 | +129% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
27 | $69,939 | $12,334 | +44% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
27 | $19,577 | $2,028 | +35% |
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 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$73,960 | $1,651 | +529% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$100,223 | $2,832 | +297% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$149,618 | $6,207 | +275% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$163,291 | $12,769 | +251% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$45,229 | $1,767 | +250% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$71,696 | $3,025 | +247% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$120,936 | $5,007 | +244% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$279,239 | $17,969 | +237% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$158,584 | $26,895 | +9% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$19,577 | $2,028 | +35% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$69,939 | $12,334 | +44% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$37,314 | $3,528 | +81% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$22,360 | $2,003 | +90% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$109,911 | $13,680 | +108% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$81,665 | $10,235 | +108% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$381,114 | $44,026 | +114% |
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.