facebook tracking Chronic obstructive pulmonary disease with complications cost in Texas: 20 hospitals compared (DRG 191)

Chronic obstructive pulmonary disease with complications in Texas

What 20 hospitals in Texas charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.

DRG 191 Inpatient 2024 Medicare data
Average charge $48,141 Hospital list price billed
Average payment $7,863 Medicare + patient + other payers
Medicare paid $6,198 Average per stay
State rank #22 of 33 1 = lowest average payment

Hospitals in Texas billed an average of $48,141 for chronic obstructive pulmonary disease with complications, about 6.1 times the average total payment of $7,863. That payment is 5% below the U.S. average of $8,280.

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 $7,863Billed $48,141

About 16¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: chronic obstructive pulmonary disease 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
Mem Hermann Baptist HospitalBeaumont 29 $48,117 $8,308 $6,944
United Regional Hlth Care SystWichita Falls 24 $31,226 $7,120 $5,692
Hendrick Health SystemAbilene 23 $70,919 $6,781 $5,634
Methodist HospitalSan Antonio 19 $64,422 $7,193 $5,929
Shannon Medical CenterSan Angelo 18 $53,816 $6,714 $5,439
UT Southwestern University HospitalDallas 17 $26,674 $8,292 $5,542
Texas Health Harris Methodist Fort WorthFort Worth 17 $33,145 $7,832 $6,926
Clear Lake Regional Medical CenterWebster 16 $82,065 $8,281 $5,435
Scott & White Memorial HospitalTemple 15 $43,935 $9,431 $7,635
Texoma Healthcare SystemDenison 15 $64,375 $5,533 $4,411
Hunt Regional Medical CenterGreenville 15 $27,502 $7,333 $5,874
Baylor University Medical CenterDallas 14 $32,601 $10,492 $6,934
Texas Health Harris Methodist Hospital Southwest FFort Worth 13 $33,456 $7,094 $6,090
CHRISTUS St Michael Health SystemTexarkana 13 $43,585 $6,706 $5,421
Mem Hermann Southwest HospHouston 12 $29,101 $8,751 $7,857
Texas Health Presbyterian Hospital DallasDallas 12 $35,104 $7,732 $6,704
Baylor Regional Medical Center at PlanoPlano 12 $32,640 $5,541 $4,589
Methodist Dallas Medical CenterDallas 11 $59,072 $12,353 $9,736
Methodist Hospital,TheHouston 11 $77,549 $10,109 $5,613
Kingwood Medical CenterKingwood 11 $72,907 $8,045 $6,686
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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

Highest

Chronic obstructive pulmonary disease with complications in other states

Questions

How much does chronic obstructive pulmonary disease with complications cost in Texas?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 20 hospitals in Texas was billed at $48,141 on average, while the average total payment was $7,863, of which Medicare paid $6,198. 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.