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D

Ut Health East Texas Carthage Hospital

409 Cottage Rd · Carthage, TX 75633

🤖AI Overview

⚠️ This hospital charges 4.7x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$4.7M
Medicare Payments
$994,421
Discharges
94
Avg Length of Stay
3.1 days
Markup Ratio
4.7x
Risk Score
1.98

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Ut Health East Texas Carthage Hospital charges an average of $50,188 per discharge, but Medicare only pays $10,579 — a markup of 4.7x. 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
4.7x
State Avg
7.6x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$50,188
State Avg
$110,346
National Avg
$69,838
Avg Length of Stay
This Hospital
3.1 days
State Avg
5.0 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
13.4%
65–74
18.3%
75–84
37.8%
85+
30.5%

Gender

67.1%
Female
32.9%
Male

Dual Eligibility

29.3%
Dual Eligible
70.7%
Non-Dual

Race & Ethnicity

White
79.3%
Black
15.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
68.3%
Heart Failure
48.8%
Diabetes
46.3%
Chronic Kidney Disease
46.3%
COPD
43.9%
Anxiety
43.9%
Mood Disorders
40.2%
Depression
37.8%
Ischemic Heart Disease
35.4%
Alzheimer's/Dementia
32.9%
Atrial Fibrillation
30.5%
Tobacco Use
25.6%
Stroke/TIA
23.2%
Asthma
18.3%
Osteoporosis
18.3%
Cancer
13.4%
Bipolar Disorder
12.2%
Substance Use
12.2%
Schizophrenia/Psychosis
8.5%
Parkinson's
4.9%
ADHD/Conduct Disorders
2.4%
Personality Disorders
1.2%
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.