Cellulitis with major complications in Texas
What 33 hospitals in Texas charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.
Average charge
$68,938
Hospital list price billed
Average payment
$12,515
Medicare + patient + other payers
Medicare paid
$10,377
Average per stay
State rank
#16 of 40
1 = lowest average payment
Hospitals in Texas billed an average of $68,938 for cellulitis with major complications, about 5.5 times the average total payment of $12,515. That payment is 10% below the U.S. average of $13,872.
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 $12,515Billed $68,938
About 18¢ 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: cellulitis with major 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 | 43 | $100,436 | $11,506 | $9,736 |
| Mem Hermann Southwest HospHouston | 37 | $56,421 | $13,916 | $12,321 |
| Methodist Sugar Land HospitalSugar Land | 28 | $63,061 | $10,716 | $9,783 |
| United Regional Hlth Care SystWichita Falls | 27 | $37,575 | $13,492 | $10,657 |
| Trinity Mother Frances SystTyler | 25 | $91,967 | $10,842 | $9,610 |
| Methodist Willowbrook HospitalHouston | 25 | $55,914 | $10,733 | $9,558 |
| Texas Health Harris Methodist Fort WorthFort Worth | 24 | $49,941 | $12,722 | $10,231 |
| Methodist Hospital,TheHouston | 22 | $59,678 | $14,260 | $11,317 |
| Texoma Healthcare SystemDenison | 20 | $114,961 | $11,709 | $10,198 |
| Texas Health Presbyterian Hospital DallasDallas | 20 | $51,120 | $13,466 | $9,412 |
| St Davids HospitalAustin | 19 | $70,272 | $11,016 | $9,205 |
| Baptist Medical CenterSan Antonio | 18 | $112,154 | $11,415 | $10,010 |
| Hendrick Health SystemAbilene | 18 | $92,435 | $11,394 | $10,186 |
| Huguley Health SystemFort Worth | 17 | $41,856 | $11,066 | $9,983 |
| UT Southwestern University HospitalDallas | 16 | $40,455 | $14,812 | $8,539 |
| Scott & White Memorial HospitalTemple | 16 | $56,793 | $15,560 | $12,303 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 16 | $57,991 | $9,775 | $8,653 |
| University of Texas Medical Branch GalGalveston | 15 | $37,032 | $18,543 | $14,294 |
| Baylor University Medical CenterDallas | 15 | $44,240 | $15,859 | $12,547 |
| Covenant Medical CenterLubbock | 15 | $127,648 | $11,074 | $9,578 |
| Bsa HospitalAmarillo | 15 | $53,060 | $14,675 | $7,149 |
| Houston Methodist Baytown HospitalBaytown | 15 | $64,698 | $11,898 | $11,085 |
| Baylor Regional Medical Center at GrapevineGrapevine | 14 | $42,308 | $9,581 | $8,648 |
| Texas Health Presbyterian Hospital PlanoPlano | 14 | $46,895 | $10,937 | $9,772 |
| University Health SystemSan Antonio | 13 | $50,187 | $24,765 | $19,099 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 13 | $58,001 | $11,637 | $10,443 |
| Houston Methodist West HospitalHouston | 13 | $68,507 | $11,814 | $10,685 |
| Medical Center of McKinneyMcKinney | 12 | $87,689 | $11,066 | $9,842 |
| Denton Community HospitalDenton | 12 | $53,578 | $10,916 | $9,918 |
| Baylor Regional Medical Center at PlanoPlano | 12 | $42,055 | $9,523 | $8,029 |
| Clear Lake Regional Medical CenterWebster | 11 | $94,069 | $11,525 | $10,333 |
| Medical Center of PlanoPlano | 11 | $110,379 | $10,409 | $9,188 |
| Kingwood Medical CenterKingwood | 11 | $152,350 | $12,153 | $10,562 |
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
| Baylor Regional Medical Center at PlanoPlano, TX | $9,523 |
|---|---|
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $9,581 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $9,775 |
| Medical Center of PlanoPlano, TX | $10,409 |
| Methodist Sugar Land HospitalSugar Land, TX | $10,716 |
Highest
| University Health SystemSan Antonio, TX | $24,765 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $18,543 |
| Baylor University Medical CenterDallas, TX | $15,859 |
| Scott & White Memorial HospitalTemple, TX | $15,560 |
| UT Southwestern University HospitalDallas, TX | $14,812 |
Cellulitis with major complications in other states
Questions
How much does cellulitis with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 33 hospitals in Texas was billed at $68,938 on average, while the average total payment was $12,515, of which Medicare paid $10,377. 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 5.5 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.