facebook tracking Adrenal and pituitary procedures without complications cost in Texas: 2 hospitals compared (DRG 615)

Adrenal and pituitary procedures without complications in Texas

What 2 hospitals in Texas charged and were paid for a Medicare hospital stay for adrenal and pituitary procedures without complications (DRG 615), from 2024 Medicare claims.

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DRG 615 Inpatient 2024 Medicare data
Average charge $51,324 Hospital list price billed
Average payment $11,788 Medicare + patient + other payers
Medicare paid $8,500 Average per stay
Volume 23 Medicare hospital stays

Hospitals in Texas billed an average of $51,324 for adrenal and pituitary procedures without complications, about 4.4 times the average total payment of $11,788. That payment is 28% below the U.S. average of $16,448.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $11,788Billed $51,324

About 23¢ was paid for every $1 hospitals in Texas billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:

Texas hospitals: adrenal and pituitary procedures without complications

Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
UT Southwestern University HospitalDallas 12 $47,966 $13,359 $9,149
Methodist Stone Oak HospitalSan Antonio 11 $54,988 $10,074 $7,792
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Adrenal and pituitary procedures without complications in other states

Questions

How much does adrenal and pituitary procedures without complications cost in Texas?

In 2024 Medicare data, a hospital stay for adrenal and pituitary procedures without complications (DRG 615) at 2 hospitals in Texas was billed at $51,324 on average, while the average total payment was $11,788, of which Medicare paid $8,500. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 4.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.