Rio Grande Regional Hospital
Mcallen, Texas 78503
CCN: 450711 Acute Care Hospitals Emergency Services
4/5
CMS Star Rating
Above Average
20
DRG Categories
677
Total Discharges
$122,056
Avg Charges
$14,410
Avg Payment
$12,274
Avg Medicare
8.47x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as Average Safety of Care
Above Average Readmissions
Below Average Patient Experience
Reported Texas Average Rating
3.24 / 5 This hospital is above average
22 five-star hospitals of rated in Texas
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Proprietary
Compared to Texas Average
How this hospital compares to the average of 240 hospitals in Texas
Average Charges
$122,056 +7%
State avg: $114,009
Average Payment
$14,410 -21%
State avg: $18,197
Charge-to-Payment Ratio
8.47x Above avg
State avg: 6.5x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 212 | $150,043 | $15,392 | 9.75x |
| 682 | RENAL FAILURE WITH MCC | 49 | $97,197 | $12,084 | 8.04x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 47 | $117,788 | $10,783 | 10.92x |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 39 | $71,536 | $10,903 | 6.56x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 34 | $115,424 | $10,921 | 10.57x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 34 | $82,638 | $9,120 | 9.06x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 31 | $358,012 | $43,200 | 8.29x |
| 683 | RENAL FAILURE WITH CC | 29 | $63,089 | $8,457 | 7.46x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 26 | $122,973 | $12,615 | 9.75x |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | 24 | $175,257 | $24,813 | 7.06x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 22 | $69,839 | $7,737 | 9.03x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 20 | $150,079 | $14,934 | 10.05x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 19 | $59,016 | $7,652 | 7.71x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 18 | $104,349 | $13,911 | 7.5x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 17 | $101,917 | $13,496 | 7.55x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 12 | $280,500 | $24,670 | 11.37x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 11 | $67,686 | $10,183 | 6.65x |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 11 | $76,186 | $14,944 | 5.1x |
| 603 | CELLULITIS WITHOUT MCC | 11 | $72,452 | $8,747 | 8.28x |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | 11 | $105,142 | $13,639 | 7.71x |
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.