facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Texas: 16 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Texas

What 16 hospitals in Texas charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $107,277 Hospital list price billed
Average payment $17,550 Medicare + patient + other payers
Medicare paid $12,844 Average per stay
State rank #9 of 29 1 = lowest average payment

Hospitals in Texas billed an average of $107,277 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 6.1 times the average total payment of $17,550. That payment is 7% below the U.S. average of $18,910.

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 $17,550Billed $107,277

About 16¢ 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: amputation of lower limb for endocrine, nutritional and metabolic disorders with 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
Methodist HospitalSan Antonio 44 $161,917 $14,686 $12,923
Trinity Mother Frances SystTyler 28 $120,664 $13,641 $12,238
Scott & White Memorial HospitalTemple 21 $65,953 $18,191 $15,021
Baylor University Medical CenterDallas 20 $97,853 $20,020 $15,397
Baptist Medical CenterSan Antonio 19 $201,242 $17,634 $10,849
Mem Hermann Southwest HospHouston 19 $70,515 $19,588 $11,785
Bsa HospitalAmarillo 18 $51,827 $17,092 $9,222
Shannon Medical CenterSan Angelo 16 $73,575 $15,595 $12,024
Texas Health Harris Methodist Fort WorthFort Worth 14 $81,301 $20,893 $9,788
UT Southwestern University HospitalDallas 12 $75,416 $23,856 $11,707
East Texas Medical CenterTyler 12 $137,723 $12,323 $11,120
University Health SystemSan Antonio 12 $77,912 $31,499 $25,664
CHRISTUS St Michael Health SystemTexarkana 12 $86,312 $13,640 $12,618
North Austin Medical CenterAustin 12 $131,664 $14,617 $12,818
Baylor All Saints Medical Center at FwFort Worth 11 $67,847 $17,031 $12,014
Methodist Hospital,TheHouston 11 $93,963 $20,501 $11,784
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Lowest and highest payments in Texas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

East Texas Medical CenterTyler, TX$12,323
CHRISTUS St Michael Health SystemTexarkana, TX$13,640
Trinity Mother Frances SystTyler, TX$13,641
North Austin Medical CenterAustin, TX$14,617
Methodist HospitalSan Antonio, TX$14,686

Highest

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Texas?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 16 hospitals in Texas was billed at $107,277 on average, while the average total payment was $17,550, of which Medicare paid $12,844. 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 6.1 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.