45/100
#1,442 nationally
Shannon Medical Center
120 E Harris Ave., San Angelo, TX 76903 · (325) 653-6741
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Shannon Medical Center billed $5.35 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
- 5.3x
- volume-weighted across all its priced work
- Procedures priced
- 132
- inpatient and outpatient combined
- Rank in TX
- #79
- 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 28% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 48% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
775 | $14,105 | $2,099 | +20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
549 | $23,135 | $2,509 | +19% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
299 | $10,441 | $1,748 | -11% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
299 | $12,555 | $1,771 | +11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
292 | $72,783 | $14,141 | +12% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
233 | $49,349 | $9,568 | +14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
230 | $12,077 | $1,476 | +20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
208 | $46,902 | $12,010 | -25% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
185 | $19,934 | $2,998 | -21% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
162 | $14,729 | $1,432 | +31% |
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 |
|---|---|---|---|
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$83,652 | $15,970 | +67% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$53,816 | $6,714 | +62% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$30,715 | $3,191 | +49% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$69,873 | $9,451 | +44% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$194,869 | $27,657 | +41% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$70,455 | $9,915 | +37% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$55,790 | $8,700 | +33% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$74,835 | $10,547 | +33% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Hernia Procedures Except Inguinal and Femoral without Complications/mcc
MS-DRG 355 · Inpatient stay |
$34,669 | $10,007 | -48% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$22,262 | $6,068 | -42% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$31,635 | $8,554 | -41% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$108,876 | $30,163 | -39% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$91,194 | $23,285 | -37% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$72,757 | $27,937 | -35% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$22,198 | $5,442 | -35% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$51,933 | $14,162 | -35% |
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.