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Nacogdoches Medical Center

4920 Ne Stallings Drive · Nacogdoches, TX 75965

🤖AI Overview

⚠️ This hospital charges 12.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$186.2M
Medicare Payments
$14.5M
Discharges
1,340
Avg Length of Stay
4.5 days
Markup Ratio
12.8x
Risk Score
1.99

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Nacogdoches Medical Center charges an average of $138,964 per discharge, but Medicare only pays $10,818 — a markup of 12.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
12.8x
State Avg
7.6x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$138,964
State Avg
$110,346
National Avg
$69,838
Avg Length of Stay
This Hospital
4.5 days
State Avg
5.0 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
9.7%
65–74
30.5%
75–84
36.2%
85+
23.6%

Gender

52.4%
Female
47.6%
Male

Dual Eligibility

23.6%
Dual Eligible
76.4%
Non-Dual

Race & Ethnicity

White
84.1%
Black
11.6%
Hispanic
3.1%
Other
1.1%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
57.4%
Diabetes
49.7%
Chronic Kidney Disease
45.2%
Ischemic Heart Disease
44.5%
Heart Failure
43.3%
COPD
42.2%
Atrial Fibrillation
40.2%
Anxiety
37.8%
Mood Disorders
37.7%
Depression
34.7%
Alzheimer's/Dementia
28.4%
Stroke/TIA
24.9%
Cancer
20.4%
Tobacco Use
20.0%
Osteoporosis
15.8%
Asthma
12.9%
Substance Use
7.6%
Bipolar Disorder
7.2%
Schizophrenia/Psychosis
6.4%
Parkinson's
5.7%
ADHD/Conduct Disorders
1.8%
PTSD
1.5%
Personality Disorders
1.1%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.