Average charge
$42,142
Hospital list price billed
Average allowed
$4,995
Medicare's payment + patient's share
Medicare paid
$3,971
Average per service
State rank
#21 of 48
1 = lowest average payment
Hospitals in Texas billed an average of $42,142 for complex gi procedures, about 8.4 times the average medicare-allowed amount of $4,995 . That payment is 7% below the U.S. average of $5,364.
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 $4,995 Billed $42,142
About 12¢ was paid for every $1 hospitals in Texas billed for this service.
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Wyoming (6)
Texas hospitals: complex gi procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
Univ of Tx M D Anderson Ctr Houston 117
$30,617
$5,213 $4,141
Methodist Hospital,The Houston 95
$37,902
$4,840 $3,856
Plaza Medical Center of Fort Worth Fort Worth 91
$33,198
$5,145 $4,093
Baylor University Medical Center Dallas 80
$28,355
$4,889 $3,865
St Lukes Episcopal Hospital Houston 73
$42,187
$4,923 $3,918
Trinity Mother Frances Syst Tyler 62
$53,513
$4,546 $3,623
Methodist Hospital San Antonio 58
$45,235
$4,945 $3,940
Mem Hermann Southwest Hosp Houston 54
$39,562
$5,109 $4,055
UT Southwestern University Hospital Dallas 47
$31,704
$5,042 $3,999
University Health System San Antonio 42
$14,261
$4,945 $3,940
Memorial Hermann Texas Medical Center Houston 41
$40,453
$5,027 $4,005
Methodist Dallas Medical Center Dallas 37
$29,220
$5,129 $4,081
East Texas Medical Center Tyler 37
$61,535
$4,945 $3,937
Methodist Stone Oak Hospital San Antonio 36
$46,605
$4,945 $3,940
Bsa Hospital Amarillo 34
$40,872
$4,800 $3,820
Methodist Richardson Medical Center Richardson 32
$41,648
$5,032 $4,010
Baylor All Saints Medical Center at Fw Fort Worth 30
$23,878
$5,145 $4,099
Scott & White Memorial Hospital Temple 27
$29,410
$5,201 $4,144
Baptist Medical Center San Antonio 24
$68,481
$4,945 $3,938
St Davids Hospital Austin 21
$68,634
$5,016 $3,997
Medical Center of Plano Plano 20
$112,542
$4,934 $3,881
Texas Health Presbyterian Hospital Dallas Dallas 19
$34,290
$4,914 $3,871
St David's South Austin Medical Center Austin 19
$85,188
$5,016 $3,997
Covenant Medical Center Lubbock 18
$76,809
$4,509 $3,502
Medical City Dallas Hospital Dallas 17
$65,102
$5,129 $4,086
Texas Health Harris Methodist Fort Worth Fort Worth 16
$34,778
$5,129 $4,086
North Austin Medical Center Austin 16
$100,710
$5,016 $3,997
Hendrick Health System Abilene 15
$59,563
$5,349 $4,262
Crescent Medical Center Lancaster Lancaster 15
$22,585
$4,851 $3,809
United Regional Hlth Care Syst Wichita Falls 14
$29,967
$5,320 $4,239
University of Texas Medical Branch Gal Galveston 14
$51,402
$5,285 $4,211
University Medical Center of El Paso El Paso 14
$26,913
$4,945 $3,940
Baylor Regional Medical Center at Plano Plano 14
$31,816
$5,129 $4,086
University Medical Center at Brackenridge Austin 11
$39,899
$5,016 $3,997
Memorial Hermann Katy Hospital Katy 11
$46,861
$5,285 $4,211
The Hospitals of Providence Transmountain Campus El Paso 11
$71,940
$4,945 $3,940
Houston Methodist the Woodlands Hospital The Woodlands 11
$58,341
$4,804 $3,815
St Joseph Regional Health Center Bryan –
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Parkland Health and Hospital System Dallas –
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Citizens Medical Center Victoria –
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Laredo Medical Center Laredo –
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Good Shepherd Medical Center Marshall Marshall –
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Valley Baptist Medical Center Harlingen –
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CHRISTUS Hospital Beaumont –
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Jps Health Network Fort Worth –
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Providence Health Center Waco –
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CHRISTUS Spohn Hospital Corpus Christi Corpus Christi –
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Seton Medical Center Austin Austin –
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Texas Health Arlington Memorial Hospital Arlington –
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Brazosport Regional Health System Lake Jackson –
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Baylor Medical Center at Irving Irving –
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CHRISTUS Spohn Hospital Beeville –
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North Texas Medical Center Gainesville –
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HCA Houston Healthcare Southeast Pasadena –
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Guadalupe Regional Medical Center Seguin –
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Connally Memorial Medical Center Floresville –
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South Texas Health System Edinburg –
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Midland Memorial Hospital Midland –
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Adventhealth Central Texas Killeen –
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East Texas Medical Center Jacksonville Jacksonville –
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Wadley Regional Medical Center Texarkana –
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Weatherford Regional Medical Center Weatherford –
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Northwest Texas Hlthcare Syst Amarillo –
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CHI St Lukes Health Memorial Lufkin Lufkin –
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Memorial Hospital Gonzales –
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CHRISTUS Santa Rosa Hospital San Antonio –
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CHRISTUS Santa Rosa Hospital-San Marcos San Marcos –
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Harris County Hospital District Houston –
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Texoma Healthcare System Denison –
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Mem Hermann Baptist Hospital Beaumont –
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Huntsville Memorial Hospital Huntsville –
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Childress Regional Medical Center Childress –
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Baylor Medical Center at Waxahachie Waxahachie –
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East Texas Medical Center Athens Athens –
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Medical Center of McKinney McKinney –
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Houston Methodist Baytown Hospital Baytown –
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Navarro Regional Hospital Corsicana –
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Etmc Henderson Henderson –
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Woodland Heights Medical Center Lufkin –
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Baylor Regional Medical Center at Grapevine Grapevine –
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Palo Pinto General Hospital Mineral Wells –
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Shannon Medical Center San Angelo –
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Brownwood Regional Medical Center Brownwood –
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Hill Country Memorial Hospital Fredericksburg –
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Mem Hermann Mem City Hosp Houston –
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Clear Lake Regional Medical Center Webster –
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Denton Regional Medical Center Denton –
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Texas Health Harris Methodist Hurst-Euless-Bedford Bedford –
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West Houston Medical Center Houston –
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Freestone Medical Center Fairfield –
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HCA Houston Healthcare Medical Center Houston –
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Odessa Regional Hospital Odessa –
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Valley Regional Medical Center Brownsville –
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Tomball Regional Hospital Tomball –
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Memorial Hermann Northeast Humble –
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University Medical Center Lubbock –
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Dallas Regional Medical Center Mesquite –
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Longview Regional Medical Center Longview –
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Houston Methodist Clear Lake Hospital Houston –
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Rio Grande Regional Hospital McAllen –
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Methodist Charlton Medical Center Dallas –
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Lake Pointe Medical Center Rowlett –
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Denton Community Hospital Denton –
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Palestine Regional Medical Center Palestine –
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Texas Health Presbyterian Hospital Plano Plano –
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Texas Health Harris Methodist Hospital Southwest F Fort Worth –
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Corpus Christi Medical Center,The Corpus Christi –
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CHRISTUS St Michael Health System Texarkana –
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Methodist Sugar Land Hospital Sugar Land –
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Methodist Willowbrook Hospital Houston –
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Memorial Hermann Sugar Land Hospital Sugar Land –
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St Luke's the Woodlands Hospital Conroe –
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Seton Northwest Hospital Austin –
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Doctors Hospital at Renaissance Edinburg –
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Baylor Medical Center at Trophy Club Roanoke –
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Centennial Medical Center Frisco –
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Methodist Mansfield Medical Center Mansfield –
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The Heart Hospital Baylor Plano Plano –
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Scott & White Hospital-Round Rock Round Rock –
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Seton Medical Center Williamson Round Rock –
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Cedar Park Regional Medical Center Cedar Park –
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Texas Health Presbyterian Hospital Rockwall Rockwall –
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St Luke's Sugar Land Hospital Sugar Land –
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Texas Health Presbyterian Hospital Flower Mound Flower Mound –
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Baylor Scott and White Surgical Hospital at Sherma Sherman –
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Houston Methodist West Hospital Houston –
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Baylor Scott and White Medical Center McKinney Mc Kinney –
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Texas Health Harris Methodist Hospital Alliance Fort Worth –
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Resolute Health Hospital New Braunfels –
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Medical City Alliance Fort Worth –
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HCA Houston Healthcare Pearland Pearland –
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Baylor Scott & White Medical Center - Marble Falls Marble Falls –
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Texas Health Hospital Mansfield Mansfield –
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Lowest and highest allowed amounts in Texas
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
Covenant Medical Center Lubbock, TX $4,509 Trinity Mother Frances Syst Tyler, TX $4,546 Bsa Hospital Amarillo, TX $4,800 Houston Methodist the Woodlands Hospital The Woodlands, TX $4,804 Methodist Hospital,The Houston, TX $4,840
Highest
Hendrick Health System Abilene, TX $5,349 United Regional Hlth Care Syst Wichita Falls, TX $5,320 University of Texas Medical Branch Gal Galveston, TX $5,285 Memorial Hermann Katy Hospital Katy, TX $5,285 Univ of Tx M D Anderson Ctr Houston, TX $5,213
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Texas? In 2024 Medicare data, complex gi procedures (APC 5331) at 133 hospitals in Texas was billed at $42,142 on average, while the average medicare-allowed amount was $4,995, of which Medicare paid $3,971. 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 service in Texas, average charges were 8.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data .
