Steward Health Care System · Port Arthur, TX
3 of 5
CMS star rating
146
Beds
3,897
Inpatient discharges a year
$96.8M
Net patient revenue a year
33
In-network payers
The Medical Center Of Southeast Texas is a 146-bed physician hospital in Port Arthur, TX, affiliated with Steward Health Care System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 419 disclosed rate categories.
The 24 services The Medical Center Of Southeast Texas 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
$3,766 - $5,609
from 4 insurers · median $4,771
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
$5,535 - $8,303
from 4 insurers · median $7,429
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 216
$61,788 - $84,714
from 4 insurers · median $68,636
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$273 - $4,259
from 4 insurers · median $1,551
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,766 - $5,609
from 4 insurers · median $4,771
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
CT imaging
CPT 70450
$84 - $1,635
from 4 insurers · median $743
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$13,930 - $79,729
from 4 insurers · median $24,797
Hospital reports neurosurgical services to CMS
Mammography
CPT 77067
$85 - $952
from 4 insurers · median $525
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$15,048 - $21,299
from 3 insurers · median $21,092
Hospital reports neurosurgical services to CMS
X-ray and bone density
CPT 71046
$66 - $978
from 4 insurers · median $547
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,113 - $7,511
from 4 insurers · median $7,245
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$13,333 - $21,136
from 4 insurers · median $17,333
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74176
$180 - $3,200
from 4 insurers · median $1,074
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$984 - $3,224
from 4 insurers · median $2,483
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$770 - $3,224
from 3 insurers · median $1,888
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$984 - $3,224
from 3 insurers · median $2,003
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$2,307 - $12,305
from 4 insurers · median $10,166
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 73630
$63 - $1,743
from 4 insurers · median $959
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$279 - $4,414
from 4 insurers · median $1,545
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$136 - $3,323
from 4 insurers · median $756
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$468 - $1,324
from 4 insurers · median $1,196
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73562
$66 - $1,730
from 4 insurers · median $945
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$84 - $1,357
from 4 insurers · median $647
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$749 - $3,224
from 4 insurers · median $2,324
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* | 22 | 1159% | 12 | 4 |
| Insurer B* | 23 | 493% | 16 | 3 |
| Insurer C* | 24 | 310% | 11 | 10 |
| Insurer D* | 24 | 78% | 4 | 15 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 16 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 The Medical Center Of Southeast Texas, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by DNV
Finances
$96.8M net patient revenue
Ownership and leadership
Owned by Healthcare Systems Of America -texas LLC
The employer identification numbers (EINs) health plans and networks list for The Medical Center Of Southeast Texas 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 |
|---|---|---|
| 27-0060569The Medical Center Of Southeast Texas | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1861467573 The Medical Center Of Southeast Texas LP1316026941 The Medical Center Of Southeast Texas LP1114006749 The Medical Center Of Southeast Texas LPand 1 more |
| 99-4785659The Medical Center Of Southeast Texas | 27Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 22 more | 1194548073 Hsa Port Arthur LLC1861467573 The Medical Center Of Southeast Texas LP1114006749 The Medical Center Of Southeast Texas LPand 2 more |
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.
2555 Jimmy Johnson Boulevard, Port Arthur, TX 77640
(409) 853-5900
How The Medical Center Of Southeast Texas compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 8 measures
1 better, 6 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
53%
Lower than 96% 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)
1.08
Higher than 77% 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
190 min
Higher than 75% 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
35%
Lower than 95% 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 | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Mixed on 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 53% | 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) | 1.08 | 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 | 190 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 35% | 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 The Medical Center Of Southeast Texas's inpatient payments for its readmissions, quality and cost results.
-0.57% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.23% 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 The Medical Center Of Southeast Texas, 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 | This hospital | 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 · 741 cases | 4.4 | 3.9 | 3.887 | Worse than 72% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 38 cases | 12.2 | 11.8 | 11.91 | Worse than 64% of US hospitals | |
| 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 · 55 cases | 8.1 | 8.5 | 8.703 | Better than 59% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 101 cases | 11.1 | 11 | 10.52 | Worse than 51% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 86 cases | 12.7 | 15.2 | 14.69 | Better than 85% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 78 cases | 16.1 | 11.6 | 12.01 | Worse than 92% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,134 cases | 0.4 | 0.51 | 0.52 | No Different Than the National Rate | Better than 67% 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 · 1,527 cases | 0.26 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 85% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,586 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 · 202 cases | 2.18 | 2.29 | 2.31 | No Different Than the National Rate | Better than 69% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 67 cases | 2.1 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 72 cases | 12.07 | 8.88 | 10.06 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 209 cases | 3.27 | 3.4 | 3.337 | No Different Than the National Rate | Better than 62% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 65 cases | 6.93 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 37 cases | 1.74 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 141 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 | This hospital | 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 · 129 cases | -28.2 | 1.25 | -1.323 | Better than 86% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 98 cases | -17.2 | 3.85 | 2.422 | Better than 77% 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 · 1,071 cases | 12.2 | 12.9 | 13.1 | No Different Than the National Rate | Better than 86% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 105 cases | 0.9 | 1 | 1.017 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 92 cases | 14.1 | 14.4 | 14.48 | Better than 61% 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 · 158 cases | 20.2 | 19.8 | 19.85 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 220 cases | 21.9 | 21.3 | 21.26 | Worse than 68% 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 · 147 cases | 17.3 | 17.2 | 17.32 | Worse than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | 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 | Not Available | 0.2089 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 730 | 1,370 | 5,045 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.57 | 0.9835 | 5.124 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.481 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| 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 | 1,328 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.966 | 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 | 12 | 61 | 131 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.281 | 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 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 45 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.351 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 0.9659 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| 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 | 16,880 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.475 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 0.1 | 0.127 | 0.1195 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.068 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 13,788 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.645 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 3 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.392 | 0.279 | 0.2623 | No Different than National Benchmark | Worse than 66% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 308 cases | 71 | 73 | 75.97 | Worse than 58% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 308 cases | 9 | 8 | 7.771 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 308 cases | 20 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 87 | 87 | 87.82 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 308 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 308 cases | 80 | 80 | 79.96 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 91 | 91 | 90.97 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 308 cases | 6 | 4 | 4.535 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 308 cases | 3 | 3 | 3.275 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 308 cases | 14 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 308 cases | 78 | 79 | 79.72 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 91 | 91 | 90.24 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 308 cases | 4 | 5 | 5.687 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 308 cases | 3 | 3 | 2.956 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 308 cases | 18 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 308 cases | 61 | 61 | 62.66 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 77 | 77 | 76.88 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 308 cases | 19 | 19 | 19.26 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 308 cases | 3 | 3 | 2.672 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 308 cases | 20 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 83 | 86 | 84.56 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 308 cases | 16 | 13 | 13.98 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 308 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 308 cases | 84 | 87 | 86.02 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 308 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 · 308 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 · 308 cases | 75 | 74 | 74.6 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 308 cases | 5 | 7 | 7.327 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 308 cases | 20 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 308 cases | 75 | 77 | 77.72 | Worse than 64% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 308 cases | 6 | 6 | 6.395 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 308 cases | 19 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 308 cases | 84 | 85 | 85.15 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 308 cases | 3 | 3 | 4.015 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 308 cases | 13 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 308 cases | 11 | 8 | 8.293 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 308 cases | 28 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 308 cases | 61 | 72 | 73.52 | Worse than 87% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 85 | 88 | 88.12 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 308 cases | 2 | 3 | 3.319 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 308 cases | 75 | 74 | 74.97 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 308 cases | 7 | 9 | 9.68 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 308 cases | 18 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 308 cases | 79 | 75 | 75.27 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 308 cases | 6 | 5 | 6.154 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 308 cases | 15 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 308 cases | 77 | 77 | 76.85 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 308 cases | 7 | 4 | 5 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 308 cases | 16 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 308 cases | 86 | 86 | 85.92 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 308 cases | 4 | 3 | 3.094 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 308 cases | 10 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 308 cases | 66 | 59 | 65.6 | Better than 72% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 308 cases | 7 | 9 | 7.774 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 308 cases | 27 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 86 | 82 | 84.26 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 308 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 · 308 cases | 12 | 5 | 6.017 | Worse than 93% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 308 cases | 53 | 71 | 72.87 | Worse than 96% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 308 cases | 79 | 87 | 87.21 | Worse than 93% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 308 cases | 35 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 308 cases | 2 | 4 | 3.694 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 308 cases | 48 | 47 | 49.46 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 308 cases | 31 | 30 | 29.64 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 308 cases | 21 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 308 cases | 3 | 3 | 3.266 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 308 cases | 13 | 12 | 12.55 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 308 cases | 87 | 88 | 87.45 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | 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 · 5,009 cases | 14 | 8 | 6.38 | Worse than 89% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 939 cases | 3 | 1 | 1.192 | Worse than 92% of US hospitals | |
| 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 · 924 cases | 73 | 79 | 72.24 | Worse than 60% 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 · 384 cases | 200 | 154 | 151 | Worse than 77% 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 · 349 cases | 190 | 148 | 146 | Worse than 75% 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 · 18 cases | 294 | 247 | 331 | Worse than 66% 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 · 17 cases | 316 | 293 | 279 | Worse than 59% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 24,271 cases | 5 | 1 | 1.372 | Worse than 94% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 18 cases | 39 | 74 | 69.2 | Worse than 93% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 66 cases | 89 | 97 | 90.54 | Worse than 80% 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 · 617 cases | 13 | 15 | 13.94 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 109 cases | 35 | 65 | 66.54 | Worse than 95% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 34 cases | 35 | 73 | 71.35 | Worse than 98% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 109 cases | 75 | 82 | 82.14 | Worse than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 58 cases | 81 | 94 | 92.38 | Worse than 91% 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 · 53 cases | 92 | 94 | 92.48 | Worse than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.56 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.8 | 5 | 7.719 | Better than 64% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.859 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.11 | 0.99 | 1.034 | Worse than 93% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 34 | 20 | 25.32 | Better than 75% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 8.5 | 5 | 6.413 | Better than 75% 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 | 32 | 34 | 39.47 | Worse than 54% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8 | 8.75 | 10.13 | Worse than 54% of US hospitals | |
| VBP safety domain scoreFY 2026 | 36.67 | 40 | 48.35 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.167 | 10 | 12.26 | Worse than 55% of US hospitals | |
| VBP total performance scoreFY 2026 | 25.67 | 29.5 | 29.94 | Worse than 64% of US hospitals |
| By fiscal year | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|
| VBP clinical outcomes domain score | 26 | 30 | 20 | 34 |
| VBP clinical outcomes weighted domain score | 6.5 | 7.5 | 5 | 8.5 |
| VBP efficiency and cost reduction domain score | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | Not Available | 9 | 10 | 32 |
| VBP person and community engagement weighted domain score | Not Available | 2.25 | 2.5 | 8 |
| VBP safety domain score | Not Available | 57.5 | 62.5 | 36.67 |
| VBP safety weighted domain score | Not Available | 14.38 | 15.63 | 9.167 |
| VBP total performance score | Not Available | 24.13 | 23.13 | 25.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 62 cases | 1.056 | 0.9995 | 1.013 | Worse than 81% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.085 | 1 | 1.01 | Worse than 83% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 85 cases | 1.028 | 0.9969 | 0.999 | Worse than 75% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 149 cases | 1.008 | 0.9983 | 1 | Worse than 57% 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 · 112 cases | 0.9788 | 0.9955 | 1.003 | Better than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.17 | 1.137 | 1.08 | 1.061 | 1.041 | 1.056 |
| READM-30-CABG-HRRP | 1.041 | 0.9099 | 0.9219 | 0.9631 | 1.067 | 1.085 |
| READM-30-COPD-HRRP | 0.8961 | 0.9177 | 0.9146 | 0.9631 | 0.9506 | 1.028 |
| READM-30-HF-HRRP | 0.9855 | 1.013 | 1.042 | 1.07 | 1.045 | 1.008 |
| READM-30-HIP-KNEE-HRRP | 1.294 | 1.27 | 1.072 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9528 | 0.9572 | 0.9718 | 0.9924 | 1.03 | 0.9788 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | 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 | 0.34 | 0.346 | 0.2562 | Better than 51% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.512 | 0.559 | 0.5596 | Better than 54% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.557 | 0.6405 | 0.6118 | Better than 58% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.075 | 0.9628 | 0.9684 | Worse than 77% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.7483 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.4714 | -0.0453 | -0.1734 | Better than 78% 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 | -0.3582 | -0.5319 | 0 | -0.0068 | -0.0713 | -0.4714 |
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.
DNV (since 2018)
Accreditation
None
Medical school affiliation
Physician ownership
Ownership type
174
Medicare-certified beds
187
Registered nurses (full-time equivalent)
1969
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What The Medical Center Of Southeast Texas reported to Medicare in its latest cost report, covering Oct 30, 2024 to Nov 30, 2025.
3,897
Inpatient discharges
Medicare 16%, Medicaid 0%
15,415
Inpatient days
27% of available bed days used
419
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835183). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges The Medical Center Of Southeast Texas reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,546 | 20 | 12,849 | 15,415 |
| Discharges | 632 | 9 | 3,256 | 3,897 |
| Average length of stay | 4.0 days | 2.2 days | 3.9 days | 4.0 days |
| Average daily census | 6.4 | 0.1 | 32.4 | 38.8 |
2,701
Medicare Advantage days
603 discharges
3,311
Medicaid managed care days
643 discharges
1,859
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 110 | 11,373 | 2,205 | 26% |
| Intensive care unit | 24 | 2,213 | 341 | 23% |
| Other special care | 12 | 1,186 | 25% | |
| Nursery | 643 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835183, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What The Medical Center Of Southeast Texas treats Medicare patients for most often, in 2024. 263 Medicare discharges in 13 published DRGs; 0% surgical; 89% 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 | 73 | $82,443 | $13,139 | $19,374 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 43 | $60,577 | $9,262 | $14,236 | 1.28 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $42,196 | $8,229 | $9,916 | 1.10 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $47,199 | $8,114 | $11,092 | 1.17 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 15 | $74,176 | $11,552 | $17,431 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $38,559 | $5,329 | $9,061 | 0.78 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $54,434 | $5,189 | $12,792 | 0.80 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 12 | $57,485 | $8,855 | $13,509 | 1.33 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $44,831 | $6,436 | $10,535 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $57,381 | $8,506 | $13,485 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $40,437 | $5,182 | $9,503 | 0.74 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $61,115 | $9,248 | $14,362 | 1.32 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $53,036 | $11,500 | $12,463 | 1.65 |
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) The Medical Center Of Southeast Texas billed Medicare for most in 2024: 323 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 99 | 98 | $43,616 | $2,014 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 42 | 41 | $23,711 | $1,841 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 32 | 31 | $103,472 | $7,684 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 30 | 30 | $78,133 | $7,649 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 27 | 25 | $31,765 | $2,210 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 25 | 25 | $25,656 | $1,338 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 24 | $27,074 | $2,232 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 21 | 21 | $52,068 | $4,952 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 12 | 11 | $80,995 | $9,809 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | $22,905 | $1,114 | $1,196 |
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 The Medical Center Of Southeast Texas 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 3,094 in 2020 to 1,000 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 77642 | 281 | 28% | 1,129 | $17.8M | 23% | 52% |
| 77627 | 190 | 19% | 689 | $10.5M | 18% | 38% |
| 77640 | 170 | 17% | 754 | $11.1M | 23% | 52% |
| 77619 | 121 | 12% | 585 | $8.6M | 20% | 47% |
| 77651 | 93 | 9% | 426 | $6.5M | 16% | 40% |
| 77630 | 57 | 6% | 249 | $3.2M | 4% | 25% |
| 77611 | 31 | 3% | 143 | $2.4M | 8% | 40% |
| 77632 | 23 | 2% | 72 | $1.4M | 3% | 11% |
| 77705 | 23 | 2% | 84 | $1.4M | 2% | 8% |
| 77662 | 11 | 1% | 34 | $884,601 | 1% | 5% |
Source: CMS Hospital Service Area file. Shares are of the 1,000 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 The Medical Center Of Southeast Texas reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.
14
Operating rooms
7
Endoscopy rooms
3
Cardiac catheterization rooms
20
Psychiatric unit beds
11
Rehabilitation unit beds
2
Off-site locations
187
Registered nurses
50
Licensed practical nurses
1
Nurse practitioners
6
Pharmacists
24
Respiratory therapists
4
Physical therapists
1
Occupational therapists
15
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
15
Medical technologists
2
Dietitians
309
Other personnel
Source: CMS Provider of Services file.
89 clinicians who bill Medicare list The Medical Center Of Southeast Texas 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.
Srinivas Kodali, M.D
Hematology & Oncology Physician
NPI 1295979813
See commercial rates for Srinivas Kodali, M.DMilton Herndon, DO PA
Facial Plastic Surgery Physician
NPI 1235154758
See commercial rates for Milton Herndon, DO PAMsonthi Levine, MD
Internal Medicine Physician
NPI 1962430413
See commercial rates for Msonthi Levine, MDPradip Morbia, MD
Cardiovascular Disease Physician
NPI 1396740239
See commercial rates for Pradip Morbia, MDDia Abochamh, MD
Cardiovascular Disease Physician
NPI 1417952029
See commercial rates for Dia Abochamh, MDChristopher Bell, D.O.
Family Medicine Physician
NPI 1467450908
See commercial rates for Christopher Bell, D.O.Stephen O'Neil, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1972506699
See commercial rates for Stephen O'Neil, M.D.Murlidhar Amin, MD
Cardiovascular Disease Physician
NPI 1477550697
See commercial rates for Murlidhar Amin, MDNidal Buheis, M.D.
Cardiovascular Disease Physician
NPI 1861409278
See commercial rates for Nidal Buheis, M.D.Srinivasa Kothapalli, M.D.
Cardiovascular Disease Physician
NPI 1528036118
See commercial rates for Srinivasa Kothapalli, M.D.Michael Mcmahon, M.D.
Internal Medicine Physician
NPI 1548240641
See commercial rates for Michael Mcmahon, M.D.Kristopher Dela Cruz, M.D.
Internal Medicine Physician
NPI 1821403809
See commercial rates for Kristopher Dela Cruz, M.D.Wesley Palmer, D.O.
Family Medicine Physician
NPI 1235111923
See commercial rates for Wesley Palmer, D.O.Nabeel Abdullah, MD
Cardiovascular Disease Physician
NPI 1952306565
See commercial rates for Nabeel Abdullah, MDJohn Badlissi, MD
Internal Medicine Physician
NPI 1578753265
See commercial rates for John Badlissi, MDLeonard Thome, M.D.
Interventional Cardiology Physician
NPI 1982701652
See commercial rates for Leonard Thome, M.D.Roussel Clement, MD
Internal Medicine Physician
NPI 1710977913
See commercial rates for Roussel Clement, MDSambasiva Sukhavasi, M.D.
Pulmonary Disease Physician
NPI 1508862954
See commercial rates for Sambasiva Sukhavasi, M.D.Kelly Bock, NP-C
Family Nurse Practitioner
NPI 1205121548
See commercial rates for Kelly Bock, NP-CMelissa Mckey, RN, MSN, FNP-C
Family Nurse Practitioner
NPI 1699198754
See commercial rates for Melissa Mckey, RN, MSN, FNP-CMichael Badlissi, M.D.
Internal Medicine Physician
NPI 1770710337
See commercial rates for Michael Badlissi, M.D.Zainab Kayani, DO
Nephrology Physician
NPI 1720279912
See commercial rates for Zainab Kayani, DOJoseph Nightingale, MD
Diagnostic Radiology Physician
NPI 1073577656
See commercial rates for Joseph Nightingale, MDMohammed Islam, MD
Cardiovascular Disease Physician
NPI 1255330569
See commercial rates for Mohammed Islam, 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 The Medical Center Of Southeast Texas reported to Medicare for Oct 30, 2024 to Nov 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $610.2M | 630.6% |
| Inpatient | $241.5M | 249.5% |
| Outpatient | $368.7M | 381.1% |
| Contractual allowances and discounts | -$513.4M | -530.6% |
| Net patient revenue | $96.8M | 100.0% |
| Operating expenses | -$107M | -110.6% |
| Operating income from patient care | -$10.3M | -10.6% |
| Other income | $245 | 0.0% |
| Net income | -$10.3M | -10.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $78.4M | 12.9% |
| Medicaid (including managed care) | $94.1M | 15.4% |
| Other payers and self-pay | $437.7M | 71.7% |
| Total charges | $610.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835183, 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 The Medical Center Of Southeast Texas's latest cost report, which covers 397 days; income and expense figures are scaled to a year.
-10.6%
Operating margin
Operating income from patient care / net patient revenue
-10.6%
Total margin
Net income / net patient revenue plus other income
1.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
41% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.93
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-37.2%
Return on assets
Net income for a year / total assets
-21.2%
Return on equity
Net income for a year / fund balance
2.80
Current ratio
Current assets / current liabilities
90 days
Days in patient receivables
Net patient receivables / daily net patient revenue
36 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
3.51
Asset turnover
Total revenue for a year / total assets
0.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835183, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What The Medical Center Of Southeast Texas owned and owed at the end of its reporting period (Nov 2025), across all fund types: $25.4M in total assets and a $44.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Patient receivables, net | $21.9M | 86.4% |
| Total current assets | $25.4M | 100.0% |
| Total assets | $25.4M | 100.0% |
| Current liabilities | $9M | 35.7% |
| Total liabilities | -$19.2M | -75.5% |
| Fund balance (net assets) | $44.5M | 175.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835183, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care The Medical Center Of Southeast Texas provided without full payment, as reported on Worksheet S-10 of its cost report.
$39,735
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$39,735
Total unreimbursed and uncompensated care
0.0% 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 835183, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
The Medical Center Of Southeast Texas's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Nov 2020 | Nov 2021 | Nov 2022 | Nov 2023 | Oct 2024 | Nov 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $124.1M | $142M | $131.2M | $127.2M | $70.9M | $96.8M |
| Operating expenses | $133.6M | $134.7M | $136.6M | $151.5M | $65.8M | $107M |
| Operating margin | -7.6% | 5.2% | -4.1% | -19.1% | 7.3% | -10.6% |
| Net income | $1.3M | $8.4M | $1.3M | -$22.4M | -$20.7M | -$10.3M |
| Total assets | $40.3M | $58.1M | $177.3M | $177M | $25.4M | $25.4M |
| Discharges | 6,159 | 6,164 | 5,150 | 4,368 | 3,402 | 3,897 |
| Inpatient days | 28,307 | 29,222 | 24,916 | 19,593 | 14,582 | 15,415 |
| Medicare Advantage days | 7,672 | 8,761 | 9,043 | 7,087 | 4,711 | 2,701 |
| Beds | 216 | 216 | 216 | 196 | 216 | 146 |
| Employees (FTE) | 621 | 689 | 603 | 550 | 428 | 419 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835183, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center The Medical Center Of Southeast Texas 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 | $2.4M | $16M | $68.3M | 0.23 | 84,006 |
| Emergency | $4.4M | $9.9M | $60.4M | 0.16 | 15,439 |
| Delivery room & labor room | $2.1M | $6M | $7.4M | 0.81 | 15,295 |
| Radiology-diagnostic | $2.2M | $5.8M | $64.9M | 0.09 | 21,343 |
| Laboratory | $1.8M | $5.3M | $105.4M | 0.05 | 4,811 |
| Impl. dev. charged to patients | $4.6M | $8.2M | 0.57 | ||
| Drugs charged to patients | $4.4M | $28.1M | 0.16 | ||
| Cardiac cath lab | $954,338 | $3.1M | $59.1M | 0.05 | 5,530 |
| Observation beds (non-distinct part | $2.7M | $4.8M | 0.56 | ||
| Medical supplies charged to patient | $2.4M | $4.3M | 0.56 | ||
| Respiratory therapy | $1.2M | $2.4M | $21M | 0.11 | 2,180 |
| Ct scan | $258,857 | $1.7M | $94.7M | 0.02 | 728 |
| Physical therapy | $479,649 | $1.3M | $4.5M | 0.28 | 8,579 |
| Blood storing processing & trans. | $850,204 | $4.7M | 0.18 | 136 | |
| Psychiatric day care program | $827,336 | $2.9M | 0.28 | 3,934 | |
| Renal dialysis | $223,935 | $454,849 | $2.2M | 0.21 | 800 |
| Mri | $76,471 | $314,966 | $8M | 0.04 | 679 |
| Electrocardiology | $18,758 | $259,692 | $20.8M | 0.01 | 3,402 |
| Speech pathology | $108,294 | $195,182 | $455,415 | 0.43 | |
| Electroencephalography | $23,699 | $153,457 | $565,430 | 0.27 | 2,392 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $4.7M | $19.2M | $23M | 0.83 | 125,279 |
| Intensive care unit | $2.6M | $5.5M | $7.1M | 0.77 | 8,888 |
| Neonatal intensive care unit | $1.4M | $2.4M | $8.6M | 0.28 | 4,080 |
| Nursery | $700,847 | $670,683 | 1.04 | 3,450 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.4M | $12.9M | 111,521 | $30.04 | 74,151 |
| Cap rel costs-bldg & fixt | $9.4M | 450,961 | |||
| Employee benefits department | $231,405 | $9.1M | 5,744 | $40.29 | 2,906 |
| Operation of plant | $1M | $3.3M | 32,510 | $31.68 | 38,412 |
| Cap rel costs-mvble equip | $1.9M | ||||
| Nursing administration | $1.5M | $1.7M | 28,125 | $52.36 | 338 |
| Pharmacy | $1.4M | $1.6M | 27,011 | $50.57 | 3,464 |
| Medical records & library | $874,910 | $1.2M | 30,994 | $28.23 | 3,271 |
| Central services & supply | $481,302 | $575,684 | 20,506 | $23.47 | 4,176 |
| Dietary | $343,614 | $550,630 | 22,203 | $15.48 | 5,526 |
| Laundry & linen service | $291,176 | 570 | |||
| Housekeeping | $78,230 | 3,117 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835183, 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 The Medical Center Of Southeast Texas for an inpatient stay.
1.38
Case mix index
Higher than 16% 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).
39.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
559
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 | 1.63 | 1.63 | 1.68 | 1.71 | 1.74 | 1.53 | 1.38 |
| Wage index | 0.861 | 0.832 | 0.849 | 0.880 | 0.896 | 0.972 | 0.991 |
| Readmissions adjustment | -1.41% | -1.35% | -0.96% | -0.47% | -0.46% | -0.71% | -0.57% |
| Value-based purchasing adjustment | -0.31% | 0.00% | 0.00% | +0.75% | +0.29% | +0.07% | -0.23% |
| Medicare inpatient stays | 1,675 | 1,675 | 1,440 | 1,120 | 914 | 646 | 559 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations The Medical Center Of Southeast Texas reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Healthcare Systems Of America -texas LLC
5% or greater direct ownership interest, 100%, since 2024
Healthcare Systems Of America
5% or greater indirect ownership interest, since 2024
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on The Medical Center Of Southeast Texas'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.
Helipad
Medical Center Of Southeast Texas
FAA location ID 4XA6, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Medical ctr of se texas psych
CCN 45S518, certified 2005, Medicare prospective payment
Source: Worksheet S-2 Part I of The Medical Center Of Southeast Texas's latest Medicare cost report (HCRIS).
About The Medical Center Of Southeast Texas's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at The Medical Center Of Southeast Texas range from $279 to $4,414 across 4 insurers. UnitedHealthcare's rate is $279. The median at nearby comparable hospitals is $931. 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 The Medical Center Of Southeast Texas range from $273 to $4,259 across 4 insurers. Aetna's rate is $875. The median at nearby comparable hospitals is $1,155. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at The Medical Center Of Southeast Texas range from $984 to $3,224 across 4 insurers. UnitedHealthcare's rate is $2,003. The median at nearby comparable hospitals is $2,437. 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 The Medical Center Of Southeast Texas range from $3,766 to $5,609 across 4 insurers. Cigna's rate is $5,609. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at The Medical Center Of Southeast Texas range from $85 to $952 across 4 insurers. Blue Cross Blue Shield's rate is $287. The median at nearby comparable hospitals is $312. 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 The Medical Center Of Southeast Texas range from $13,333 to $21,136 across 4 insurers. Blue Cross Blue Shield's rate is $13,333. The median at nearby comparable hospitals is $23,829. What a patient pays depends on their plan's deductible, coinsurance and network status.
The Medical Center Of Southeast Texas has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at The Medical Center Of Southeast Texas for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts The Medical Center Of Southeast Texas's base inpatient payments by an estimated 0.57% 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 (73 discharges), heart failure and shock with mcc (43 discharges), chronic obstructive pulmonary disease with mcc (18 discharges).
The Medical Center Of Southeast Texas's Medicare case mix index is 1.38 for fiscal year 2027, higher than 16% of hospitals paid under the inpatient prospective payment system.
The Medical Center Of Southeast Texas reported 3,897 inpatient discharges and 15,415 inpatient days from Oct 30, 2024 to Nov 30, 2025.
The Medical Center Of Southeast Texas reported 419 full-time-equivalent employees on payroll from Oct 30, 2024 to Nov 30, 2025.
The Medical Center Of Southeast Texas reported $96.8M in net patient revenue on $610.2M of gross charges for Oct 30, 2024 to Nov 30, 2025, an operating margin of -10.6%, and net income of -$10.3M.
The Medical Center Of Southeast Texas reported $39,735 of unreimbursed and uncompensated care for Oct 30, 2024 to Nov 30, 2025, including $39,735 of charity care at cost.
Insurers' price transparency files list The Medical Center Of Southeast Texas under employer identification number 27-0060569 (The Medical Center Of Southeast Texas), and 1 other tax ID. 53 health plans and networks list 27-0060569 for it.
89 clinicians who bill Medicare list The Medical Center Of Southeast Texas as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (16), family medicine physician (11), family nurse practitioner (10).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for The Medical Center Of Southeast Texas, effective 2018.
In its Medicare enrollment, The Medical Center Of Southeast Texas reports Healthcare Systems Of America -texas LLC as 5% or greater direct ownership interest (100%).
CMS lists 45 services at The Medical Center Of Southeast Texas, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at The Medical Center Of Southeast Texas came from ZIP codes 77642 (281), 77627 (190), 77640 (170).
The Medical Center Of Southeast Texas has 146 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 174 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
The Medical Center Of Southeast Texas is located at 2555 Jimmy Johnson Boulevard, Port Arthur, TX 77640. Its main phone number is (409) 853-5900.
The Medical Center Of Southeast Texas's CMS Certification Number (CCN), also called its Medicare provider number, is 450518.
The National Provider Identifier (NPI) on file for The Medical Center Of Southeast Texas is 1861467573.
The Medical Center Of Southeast Texas is affiliated with Steward Health Care System.
The Medical Center Of Southeast Texas lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
419 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