HCA Healthcare · Irving, TX
4 of 5
CMS star rating
80
Beds
5,327
Inpatient discharges a year
$131.4M
Net patient revenue a year
34
In-network payers
Medical City Las Colinas is an 80-bed proprietary hospital in Irving, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 508 disclosed rate categories.
The 24 services Medical City Las Colinas most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$5,979 - $13,850
from 4 insurers · median $11,193
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,096 - $19,141
from 4 insurers · median $15,278
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$41,025 - $48,395
from 4 insurers · median $43,146
11 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,979 - $13,850
from 4 insurers · median $11,193
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$10,441 - $15,278
from 4 insurers · median $13,491
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$10,912 - $20,100
from 4 insurers · median $13,006
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$828 - $1,326
from 4 insurers · median $1,247
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$11,021 - $16,184
from 4 insurers · median $13,249
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$16,912 - $23,686
from 4 insurers · median $19,979
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93306
$668 - $4,360
from 4 insurers · median $2,473
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$7,460 - $13,524
from 4 insurers · median $10,295
11 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 43239
$2,004 - $11,236
from 4 insurers · median $3,285
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$245 - $1,326
from 4 insurers · median $607
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,956 - $10,632
from 4 insurers · median $3,285
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$13,066 - $21,453
from 4 insurers · median $17,392
Typical for a hospital with this service line
CT imaging
CPT 74176
$518 - $1,290
from 4 insurers · median $881
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$208 - $386
from 4 insurers · median $238
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,564 - $10,632
from 4 insurers · median $6,377
Typical for a hospital with this service line
MRI imaging
CPT 70553
$828 - $2,179
from 4 insurers · median $1,608
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$230 - $1,439
from 4 insurers · median $864
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,172 - $17,582
from 4 insurers · median $9,530
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$2,340 - $2,708
from 2 insurers · median $2,524
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$10,453 - $18,841
from 4 insurers · median $13,052
Typical for a hospital with this service line
MRI imaging
CPT 72148
$518 - $1,730
from 4 insurers · median $1,270
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 400% | 15 | 5 |
| Insurer B* | 24 | 347% | 4 | 7 |
| Insurer C* | 24 | 230% | 7 | 13 |
| Insurer D* | 23 | 196% | 3 | 14 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Medical City Las Colinas, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$131.4M net patient revenue
Ownership and leadership
Owned by HCA Healthcare Inc
The employer identification numbers (EINs) health plans and networks list for Medical City Las Colinas in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 62-1650582Columbia Medical Center Of Las Colinas INC | 60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more | 1902857766 Columbia Medical Center Of Las Colinas Inc |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
6800 North Macarthur Boulevard, Irving, TX 75039
(972) 969-2000
How Medical City Las Colinas compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 4 measures
1 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
64%
Lower than 76% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.03
Higher than 70% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
134 min
Lower than 61% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
74%
Higher than 71% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | No different on 6 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 64% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.03 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 134 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 74% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Medical City Las Colinas's inpatient payments for its readmissions, quality and cost results.
-0.50% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.34% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Medical City Las Colinas, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 578 cases | 3.8 | 3.9 | 3.887 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 26 cases | 7.5 | 8.5 | 8.703 | Better than 76% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 54 cases | 11.2 | 11 | 10.52 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 130 cases | 14.7 | 15.2 | 14.69 | Better than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 34 cases | 8.9 | 11.6 | 12.01 | Better than 93% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 753 cases | 0.45 | 0.51 | 0.52 | No Different Than the National Rate | Better than 59% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,046 cases | 0.2 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,014 cases | 0.26 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 154 cases | 2.59 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 38 cases | 1.67 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 43 cases | 11.75 | 8.88 | 10.06 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 151 cases | 3.32 | 3.4 | 3.337 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 34 cases | 6.13 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 34 cases | 1.75 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 127 cases | 1.03 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 63 cases | -19.9 | 1.25 | -1.323 | Better than 78% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 129 cases | -6.6 | 3.85 | 2.422 | Better than 64% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 50 cases | 12.7 | 12.9 | 13.1 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 40 cases | 1 | 1 | 1.017 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 31 cases | 14.3 | 14.4 | 14.48 | Better than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 38 cases | 19.3 | 19.8 | 19.85 | Better than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 134 cases | 20.9 | 21.3 | 21.26 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 174 cases | 17.5 | 17.2 | 17.32 | Worse than 60% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.508 | 0.172 | 0.2089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.44 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,087 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.501 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.999 | 0.484 | 0.524 | No Different than National Benchmark | Worse than 97% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,147 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.812 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 13 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.359 | 1.591 | 3.62 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.647 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.031 | 0.211 | 0.3341 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.098 | 3.068 | 3.281 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 173 | 38 | 121 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.592 | 0.328 | 1.047 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.9659 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0.628 | 0.812 | 0.973 | No Different than National Benchmark | Better than 64% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 18,327 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.536 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.07 | 0.127 | 0.1195 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.371 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 16,221 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 4.82 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.415 | 0.279 | 0.2623 | No Different than National Benchmark | Worse than 68% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 531 cases | 72 | 73 | 75.97 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 531 cases | 9 | 8 | 7.771 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 531 cases | 19 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 86 | 87 | 87.82 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 531 cases | 3 | 4 | 3.712 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 531 cases | 74 | 80 | 79.96 | Worse than 82% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 89 | 91 | 90.97 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 531 cases | 7 | 4 | 4.535 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 3.275 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 531 cases | 19 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 531 cases | 71 | 79 | 79.72 | Worse than 93% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 87 | 91 | 90.24 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 531 cases | 10 | 5 | 5.687 | Worse than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 2.956 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 531 cases | 19 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 531 cases | 52 | 61 | 62.66 | Worse than 93% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 71 | 77 | 76.88 | Worse than 90% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 531 cases | 26 | 19 | 19.26 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 2.672 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 531 cases | 22 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 79 | 86 | 84.56 | Worse than 93% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 531 cases | 20 | 13 | 13.98 | Worse than 92% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 3.07 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 531 cases | 80 | 87 | 86.02 | Worse than 92% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 531 cases | 20 | 14 | 16.2 | Worse than 84% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 531 cases | 80 | 86 | 83.8 | Worse than 84% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 66 | 74 | 74.6 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 11 | 7 | 7.327 | Worse than 90% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 23 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 70 | 77 | 77.72 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 10 | 6 | 6.395 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 20 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 78 | 85 | 85.15 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 8 | 3 | 4.015 | Worse than 96% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 14 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 531 cases | 12 | 8 | 8.293 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 531 cases | 22 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 531 cases | 66 | 72 | 73.52 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 85 | 88 | 88.12 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 3.319 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 531 cases | 68 | 74 | 74.97 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 531 cases | 12 | 9 | 9.68 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 531 cases | 20 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 71 | 75 | 75.27 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 8 | 5 | 6.154 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 21 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 70 | 77 | 76.85 | Worse than 85% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 8 | 4 | 5 | Worse than 88% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 22 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 80 | 86 | 85.92 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 5 | 3 | 3.094 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 15 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 531 cases | 65 | 59 | 65.6 | Better than 69% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 531 cases | 9 | 9 | 7.774 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 531 cases | 26 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 84 | 82 | 84.26 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 531 cases | 4 | 3 | 3.821 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 531 cases | 10 | 5 | 6.017 | Worse than 87% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 531 cases | 64 | 71 | 72.87 | Worse than 76% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 83 | 87 | 87.21 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 531 cases | 26 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 531 cases | 3 | 4 | 3.694 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 531 cases | 37 | 47 | 49.46 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 531 cases | 41 | 30 | 29.64 | Worse than 94% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 531 cases | 22 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 3.266 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 531 cases | 20 | 12 | 12.55 | Worse than 95% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 531 cases | 80 | 88 | 87.45 | Worse than 95% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 593 cases | 75 | 79 | 72.24 | Worse than 57% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 425 cases | 141 | 154 | 151 | Better than 61% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 406 cases | 134 | 148 | 146 | Better than 61% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 11 cases | 223 | 247 | 331 | Better than 59% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 279 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 32,142 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 11 cases | 91 | 97 | 90.54 | Worse than 76% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,705 cases | 9 | 15 | 13.94 | Better than 86% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 286 cases | 74 | 65 | 66.54 | Better than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 75 cases | 63 | 73 | 71.35 | Worse than 70% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 41 cases | 95 | 88 | 89.11 | Better than 74% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 286 cases | 88 | 82 | 82.14 | Better than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 187 cases | 98 | 94 | 92.38 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 44 cases | 98 | 94 | 92.48 | Better than 83% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,883 cases | 95 | 90 | 78.56 | Better than 69% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 573 cases | 99 | 97 | 93.78 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.6 | 5 | 7.719 | Better than 88% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.4 | 6.6 | 6.859 | Worse than 60% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.98 | 0.99 | 1.034 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 25.32 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 6.413 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 34 | 34 | 39.47 | Worse than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.5 | 8.75 | 10.13 | Worse than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 52.5 | 40 | 48.35 | Better than 71% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.13 | 10 | 12.26 | Better than 70% of US hospitals | |
| VBP total performance scoreFY 2026 | 24.13 | 29.5 | 29.94 | Worse than 69% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 30 | 36 | 25 | 10 | 15 | 10 |
| VBP clinical outcomes weighted domain score | 7.5 | 9 | 6.25 | 2.5 | 3.75 | 2.5 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 10 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 2.5 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 22 | Not Available | Not Available | 6 | 5 | 34 |
| VBP person and community engagement weighted domain score | 5.5 | Not Available | Not Available | 1.5 | 1.25 | 8.5 |
| VBP safety domain score | 66.67 | Not Available | Not Available | 50 | 30 | 52.5 |
| VBP safety weighted domain score | 16.67 | Not Available | Not Available | 12.5 | 7.5 | 13.13 |
| VBP total performance score | 32.17 | Not Available | Not Available | 16.5 | 12.5 | 24.13 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9944 | 0.9969 | 0.999 | Better than 52% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 73 cases | 1.001 | 0.9983 | 1 | Worse than 52% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 122 cases | 1.05 | 0.9955 | 1.003 | Worse than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.05 | 1.038 | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9746 | 0.9801 | N/A | N/A | N/A | 0.9944 |
| READM-30-HF-HRRP | 1.067 | 1.03 | 1.049 | 0.999 | 1.015 | 1.001 |
| READM-30-HIP-KNEE-HRRP | 1.186 | 1.168 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.038 | 1.002 | 0.9659 | 0.9411 | 1.004 | 1.05 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Medical City Las Colinas | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.4327 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.212 | 0.346 | 0.2562 | Better than 71% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.066 | 0.559 | 0.5596 | Worse than 85% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.6118 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.03 | 0.9628 | 0.9684 | Worse than 70% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.251 | 0.7945 | 0.7483 | Worse than 76% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2294 | -0.0453 | -0.1734 | Better than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.9156 | -0.8154 | 0 | -0.799 | -0.4186 | -0.2294 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
100
Medicare-certified beds
197
Registered nurses (full-time equivalent)
1998
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Medical City Las Colinas reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,327
Inpatient discharges
Medicare 10%, Medicaid 1%
18,938
Inpatient days
65% of available bed days used
362
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837873). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Medical City Las Colinas reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,060 | 276 | 16,602 | 18,938 |
| Discharges | 535 | 74 | 4,718 | 5,327 |
| Average length of stay | 3.9 days | 3.7 days | 3.5 days | 3.6 days |
| Average daily census | 5.6 | 0.8 | 45.5 | 51.9 |
3,466
Medicare Advantage days
769 discharges
1,252
Medicaid managed care days
471 discharges
893
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 66 | 13,066 | 1,662 | 54% |
| Intensive care unit | 8 | 2,178 | 398 | 75% |
| Other special care | 6 | 1,358 | 62% | |
| Nursery | 2,336 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Medical City Las Colinas treats Medicare patients for most often, in 2024. 150 Medicare discharges in 8 published DRGs; 0% surgical; 75% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 57 | $169,294 | $14,165 | $12,528 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 18 | $119,135 | $10,474 | $8,816 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $119,819 | $7,817 | $8,867 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 13 | $183,500 | $12,609 | $13,579 | 1.70 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $107,798 | $11,730 | $7,977 | 1.50 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 12 | $102,735 | $9,763 | $7,602 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $96,210 | $6,316 | $7,120 | 0.79 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $128,239 | $9,243 | $9,490 | 1.23 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Medical City Las Colinas billed Medicare for most in 2024: 140 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 34 | 34 | $59,494 | $1,957 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 23 | 23 | $11,805 | $1,162 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 15 | $271,438 | $10,196 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 14 | $177,001 | $5,125 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 15 | 14 | $94,934 | $4,137 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 13 | 13 | $68,314 | $2,108 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 13 | $46,299 | $1,354 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $85,677 | $2,321 | $2,373 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Medical City Las Colinas in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 920 in 2020 to 1,022 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75063 | 213 | 21% | 774 | $36M | 37% | 44% |
| 75019 | 185 | 18% | 744 | $29.3M | 20% | 26% |
| 75038 | 116 | 11% | 479 | $19.8M | 23% | 29% |
| 75234 | 103 | 10% | 420 | $18.9M | 8% | 8% |
| 75062 | 84 | 8% | 363 | $17.4M | 7% | 13% |
| 75060 | 77 | 8% | 291 | $12.3M | 5% | 8% |
| 75006 | 62 | 6% | 298 | $13.7M | 4% | 4% |
| 75061 | 51 | 5% | 219 | $10M | 3% | 10% |
| 75039 | 45 | 4% | 184 | $8.1M | 34% | 48% |
| 75007 | 24 | 2% | 133 | $4.2M | 1% | |
| 75050 | 24 | 2% | 96 | $5.4M | 2% | 2% |
| 75229 | 14 | 1% | 69 | $2.2M | 2% | |
| 75067 | 12 | 1% | 45 | $2M | 1% | |
| 76010 | 12 | 1% | 42 | $1.9M | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,022 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Medical City Las Colinas reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
2
Cardiac catheterization rooms
1
Off-site locations
197
Registered nurses
21
Licensed practical nurses
6
Pharmacists
9
Respiratory therapists
5
Physical therapists
3
Occupational therapists
2
Speech pathologists and audiologists
20
Radiology technicians
1
Nuclear medicine technicians
8
Laboratory technicians
5
Medical technologists
5
Social workers
104
Other personnel
Source: CMS Provider of Services file.
180 clinicians who bill Medicare list Medical City Las Colinas as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Narotham Thudi, MD
Hematology & Oncology Physician
NPI 1861401788
See commercial rates for Narotham Thudi, MDKiran Kancharla, MD
Hematology & Oncology Physician
NPI 1629067533
See commercial rates for Kiran Kancharla, MDJayasree Grandhi, MD
Nephrology Physician
NPI 1912933177
See commercial rates for Jayasree Grandhi, MDWhitney Chouteau, D.O.
Interventional Pain Medicine Physician
NPI 1639373129
See commercial rates for Whitney Chouteau, D.O.Sumana Ketha, MD
Internal Medicine Physician
NPI 1962447805
See commercial rates for Sumana Ketha, MDRobert Bayless, M.D.
Orthopaedic Surgery Physician
NPI 1346287604
See commercial rates for Robert Bayless, M.D.Michael Jubang, MD
Diagnostic Radiology Physician
NPI 1457542631
See commercial rates for Michael Jubang, MDHardeep Dhaliwal, MD
Internal Medicine Physician
NPI 1518943778
See commercial rates for Hardeep Dhaliwal, MDRajeev Joshi, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1033282678
See commercial rates for Rajeev Joshi, M.D.Dhaval Satani, M.D.
Internal Medicine Physician
NPI 1316250707
See commercial rates for Dhaval Satani, M.D.Renuka Basavaraju, M.D.
Rheumatology Physician
NPI 1982720199
See commercial rates for Renuka Basavaraju, M.D.Han Tan, MD
Cardiovascular Disease Physician
NPI 1629011440
See commercial rates for Han Tan, MDDavid Musselman, MD
Interventional Cardiology Physician
NPI 1831137124
See commercial rates for David Musselman, MDJodie Hurwitz, MD
Clinical Cardiac Electrophysiology Physician
NPI 1700833308
See commercial rates for Jodie Hurwitz, MDVenkat Rapuri, M.D.
Orthopaedic Surgery Physician
NPI 1043415250
See commercial rates for Venkat Rapuri, M.D.Ashley So, MD
Internal Medicine Physician
NPI 1790719789
See commercial rates for Ashley So, MDPooja Sharma, M.D.
Diagnostic Radiology Physician
NPI 1447391487
See commercial rates for Pooja Sharma, M.D.Shailendra Chavda, M.D
Internal Medicine Physician
NPI 1922132562
See commercial rates for Shailendra Chavda, M.DHo Bing Oei, MD
Rheumatology Physician
NPI 1811191786
See commercial rates for Ho Bing Oei, MDDalya Elhady, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1871970814
See commercial rates for Dalya Elhady, M.D.Martin Sigler, M.D.
Diagnostic Radiology Physician
NPI 1245299692
See commercial rates for Martin Sigler, M.D.Steven Sanders, M.D.
Orthopaedic Surgery Physician
NPI 1346282225
See commercial rates for Steven Sanders, M.D.Kenneth Dott, D.O.
Family Medicine Physician
NPI 1326167750
See commercial rates for Kenneth Dott, D.O.Khanh Hoang, MD
Cardiovascular Disease Physician
NPI 1609814912
See commercial rates for Khanh Hoang, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Medical City Las Colinas reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.5B | 1142.3% |
| Inpatient | $685.9M | 521.9% |
| Outpatient | $815.3M | 620.3% |
| Contractual allowances and discounts | -$1.4B | -1042.3% |
| Net patient revenue | $131.4M | 100.0% |
| Operating expenses | -$111.1M | -84.6% |
| Operating income from patient care | $20.3M | 15.4% |
| Other income | $556,931 | 0.4% |
| Net income | $20.8M | 15.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $129M | 8.4% |
| Medicaid (including managed care) | $76.9M | 5.0% |
| Other payers and self-pay | $1.3B | 86.6% |
| Total charges | $1.5B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Medical City Las Colinas's latest cost report.
15.4%
Operating margin
Operating income from patient care / net patient revenue
15.8%
Total margin
Net income / net patient revenue plus other income
20.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
36% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.33
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
33.9%
Return on assets
Net income for a year / total assets
199.0%
Return on equity
Net income for a year / fund balance
3.91
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.93
Current ratio
Current assets / current liabilities
1.53
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-12 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
47 days
Days in patient receivables
Net patient receivables / daily net patient revenue
30 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.15
Asset turnover
Total revenue for a year / total assets
12.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Medical City Las Colinas owned and owed at the end of its reporting period (Dec 2025), across all fund types: $61.5M in total assets and a $10.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$3.5M | -5.6% |
| Patient receivables, net | $16.8M | 27.3% |
| Inventory | $2.9M | 4.7% |
| Total current assets | $16.8M | 27.4% |
| Property and equipment, net of depreciation | $42.9M | 69.8% |
| Investments and other assets | $1.7M | 2.8% |
| Total assets | $61.5M | 100.0% |
| Current liabilities | $8.7M | 14.2% |
| Long-term debt | $41M | 66.7% |
| Total liabilities | $51M | 83.0% |
| Fund balance (net assets) | $10.5M | 17.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Medical City Las Colinas provided without full payment, as reported on Worksheet S-10 of its cost report.
$14.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$19M
Bad debt
Patient bills written off as uncollectible, at charges
-$1.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$36,800
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$40,675
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$16M
Total unreimbursed and uncompensated care
14.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Medical City Las Colinas's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $104.9M | $121M | $125.2M | $108.1M | $129.5M | $131.4M |
| Operating expenses | $89.7M | $98.7M | $100.1M | $102.6M | $105.1M | $111.1M |
| Operating margin | 14.5% | 18.4% | 20.0% | 5.1% | 18.8% | 15.4% |
| Net income | $15.6M | $22.8M | $25.6M | $6M | $24.9M | $20.8M |
| Total assets | $59.3M | $58.9M | $59.3M | $61.9M | $66M | $61.5M |
| Discharges | 5,794 | 5,719 | 5,675 | 4,437 | 4,913 | 5,327 |
| Inpatient days | 21,517 | 23,771 | 20,916 | 16,933 | 18,712 | 18,938 |
| Medicare Advantage days | 2,241 | 3,231 | 2,757 | 3,517 | 3,320 | 3,466 |
| Beds | 84 | 84 | 84 | 80 | 80 | 80 |
| Employees (FTE) | 362 | 364 | 361 | 356 | 366 | 362 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Medical City Las Colinas reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $2.6M | $11.1M | $115.6M | 0.10 | 19,272 |
| Emergency | $3.6M | $8.4M | $142.6M | 0.06 | 12,437 |
| Delivery room & labor room | $2.4M | $6.9M | $24.4M | 0.28 | 10,130 |
| Medical supplies charged to patient | $5.1M | $87.1M | 0.06 | ||
| Drugs charged to patients | $1.3M | $5M | $60.7M | 0.08 | 1,559 |
| Laboratory | $1.2M | $4.9M | $311.8M | 0.02 | 5,180 |
| Impl. dev. charged to patients | $4.8M | $98.4M | 0.05 | ||
| Radiology-diagnostic | $926,377 | $2.3M | $31.6M | 0.07 | 6,601 |
| Solis mammography | $2.2M | $31.8M | 0.07 | 4,447 | |
| Respiratory therapy | $913,384 | $1.9M | $21.8M | 0.09 | 2,137 |
| Ultra sound | $1M | $1.8M | $60M | 0.03 | 575 |
| Cardiac catheterization | $435,961 | $1.7M | $22.2M | 0.07 | 3,251 |
| Physical therapy | $660,647 | $1.5M | $7.8M | 0.20 | 2,837 |
| Ct scan | $756,392 | $1.4M | $252M | 0.01 | 494 |
| Recovery room | $531,470 | $1.4M | $12.7M | 0.11 | 2,531 |
| Observation beds (non-distinct part | $1.1M | $5.5M | 0.20 | ||
| Renal dialysis | $280,753 | $781,027 | $2.8M | 0.28 | 390 |
| Gastro intestinal services | $193,957 | $594,726 | $4.3M | 0.14 | 791 |
| Mri | $191,449 | $512,764 | $14.2M | 0.04 | 1,798 |
| Whole blood & packed red blood cell | $456,872 | $4.1M | 0.11 | 129 | |
| Radioisotope | $120,857 | $396,329 | $10.2M | 0.04 | 554 |
| Anesthesiology | $42,219 | $357,842 | $28.3M | 0.01 | 495 |
| Electrocardiology | $147,224 | $297,716 | $19.9M | 0.01 | 294 |
| Intravenous therapy | $244,776 | $7.4M | 0.03 | 114 | |
| Clinic | $82,271 | 1,726 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6M | $17.4M | $94M | 0.19 | 35,980 |
| Intensive care unit | $1.9M | $4.9M | $28.6M | 0.17 | 5,632 |
| Neonatal intensive care unit | $1.4M | $3.1M | $19M | 0.16 | 1,393 |
| Nursery | $478,114 | $13.7M | 0.03 | 2,352 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.2M | $16.7M | 36,624 | $55.25 | 8,282 |
| Employee benefits department | $102,960 | $4.8M | 985 | $63.70 | 6,543 |
| Operation of plant | $362,814 | $4.6M | 10,042 | $36.19 | 37,054 |
| Cap rel costs-mvble equip | $4.3M | ||||
| Nursing administration | $2.7M | $3.3M | 56,280 | $51.86 | 3,011 |
| Cap rel costs-bldg & fixt | $2.8M | 189,150 | |||
| Housekeeping | $541,987 | $989,890 | 30,132 | $18.02 | 1,414 |
| Medical records & library | $685,780 | 436 | |||
| Dietary | $592,511 | $389,397 | 8,607 | $21.08 | 3,676 |
| Laundry & linen service | $21,715 | $348,169 | 1,268 | $17.15 | 558 |
| Cafeteria | $319,772 | 14,514 | $21.12 | 3,694 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837873, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Medical City Las Colinas for an inpatient stay.
1.57
Case mix index
Higher than 37% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
28.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
526
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.52 | 1.53 | 1.81 | 1.80 | 1.72 | 1.73 | 1.57 |
| Wage index | 0.961 | 0.955 | 0.953 | 0.933 | 0.936 | 0.972 | 0.991 |
| Readmissions adjustment | -0.92% | -1.29% | -0.71% | -0.15% | -0.03% | -0.18% | -0.50% |
| Value-based purchasing adjustment | +0.10% | +0.06% | +0.06% | -0.79% | -0.43% | -0.88% | -0.34% |
| Medicare inpatient stays | 662 | 662 | 566 | 594 | 554 | 503 | 526 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Medical City Las Colinas reports to Medicare as owners or with operational control.
HCA Healthcare Inc
5% or greater indirect ownership interest, 100%, since 2011
HCA Inc
5% or greater indirect ownership interest, 100%, since 2007
Healthserv Acquisition LLC
5% or greater indirect ownership interest, 100%, since 2006
Healthtrust Inc - The Hospital Company
5% or greater indirect ownership interest, 100%, since 2007
Frisco Holding II
5% or greater indirect ownership interest, 16.3%, since 2026
Hercules Holding II
5% or greater indirect ownership interest, 14.4%, since 2026
Sources: CMS Hospital All Owners.
The officers and board members on Medical City Las Colinas's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 32 of 38 are shown.
Helipad
Las Colinas Medical Center
FAA location ID XA21, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Medical City Las Colinas's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medical City Las Colinas range from $828 to $2,179 across 4 insurers. Blue Cross Blue Shield's rate is $1,399. The median at nearby comparable hospitals is $1,976. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medical City Las Colinas range from $828 to $1,326 across 4 insurers. Cigna's rate is $1,237. The median at nearby comparable hospitals is $2,398. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Medical City Las Colinas range from $1,956 to $10,632 across 4 insurers. Blue Cross Blue Shield's rate is $1,956. The median at nearby comparable hospitals is $2,759. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Medical City Las Colinas range from $5,979 to $13,850 across 4 insurers. UnitedHealthcare's rate is $11,396. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medical City Las Colinas range from $208 to $386 across 4 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $282. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Medical City Las Colinas range from $41,025 to $48,395 across 4 insurers. Aetna's rate is $48,395. The median at nearby comparable hospitals is $49,442. What a patient pays depends on their plan's deductible, coinsurance and network status.
Medical City Las Colinas has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Medical City Las Colinas for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Medical City Las Colinas's base inpatient payments by an estimated 0.50% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (57 discharges), heart failure and shock with mcc (18 discharges), septicemia or severe sepsis without mv >96 hours without mcc (14 discharges).
Medical City Las Colinas's Medicare case mix index is 1.57 for fiscal year 2027, higher than 37% of hospitals paid under the inpatient prospective payment system.
Medical City Las Colinas reported 5,327 inpatient discharges and 18,938 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Medical City Las Colinas reported 362 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Medical City Las Colinas reported $131.4M in net patient revenue on $1.5B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 15.4%, and net income of $20.8M.
Medical City Las Colinas reported $16M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $14.7M of charity care at cost.
Medical City Las Colinas's Medicare enrollment lists Erol Akdamar as Division President since 2013.
Insurers' price transparency files list Medical City Las Colinas under employer identification number 62-1650582 (Columbia Medical Center Of Las Colinas INC). 60 health plans and networks list 62-1650582 for it.
180 clinicians who bill Medicare list Medical City Las Colinas as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (38), family medicine physician (30), certified registered nurse anesthetist (9).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Medical City Las Colinas, effective 2025.
In its Medicare enrollment, Medical City Las Colinas reports HCA Healthcare Inc as 5% or greater indirect ownership interest (100%).
CMS lists 24 services at Medical City Las Colinas, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Medical City Las Colinas came from ZIP codes 75063 (213), 75019 (185), 75038 (116).
Medical City Las Colinas has 80 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 100 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Medical City Las Colinas is located at 6800 North Macarthur Boulevard, Irving, TX 75039. Its main phone number is (972) 969-2000.
Medical City Las Colinas's CMS Certification Number (CCN), also called its Medicare provider number, is 450822.
The National Provider Identifier (NPI) on file for Medical City Las Colinas is 1902857766.
Medical City Las Colinas is affiliated with HCA Healthcare.
Medical City Las Colinas lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
508 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers