Complications of treatment with major complications in Texas
What 28 hospitals in Texas charged and were paid for a Medicare hospital stay for complications of treatment with major complications (DRG 919), from 2024 Medicare claims.
Average charge
$108,790
Hospital list price billed
Average payment
$18,223
Medicare + patient + other payers
Medicare paid
$14,415
Average per stay
State rank
#12 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $108,790 for complications of treatment with major complications, about 6.0 times the average total payment of $18,223. That payment is 14% below the U.S. average of $21,165.
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 $18,223Billed $108,790
About 17¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: complications of treatment 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 | 77 | $133,646 | $15,760 | $13,543 |
| UT Southwestern University HospitalDallas | 60 | $71,159 | $20,227 | $14,146 |
| Baylor University Medical CenterDallas | 31 | $125,113 | $30,143 | $22,155 |
| Mem Hermann Southwest HospHouston | 26 | $69,060 | $16,214 | $14,351 |
| Methodist Hospital,TheHouston | 26 | $86,883 | $17,456 | $13,604 |
| St Lukes Episcopal HospitalHouston | 23 | $124,526 | $22,620 | $15,961 |
| East Texas Medical CenterTyler | 21 | $117,711 | $14,665 | $13,317 |
| Las Palmas Medical CenterEl Paso | 19 | $179,683 | $15,828 | $12,681 |
| Medical City Dallas HospitalDallas | 19 | $249,829 | $17,684 | $15,709 |
| Baptist Medical CenterSan Antonio | 18 | $159,526 | $14,740 | $13,510 |
| Methodist Willowbrook HospitalHouston | 18 | $78,483 | $13,944 | $13,038 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 18 | $99,544 | $13,422 | $11,019 |
| Covenant Medical CenterLubbock | 17 | $180,820 | $15,332 | $11,700 |
| Scott & White Memorial HospitalTemple | 17 | $121,346 | $27,538 | $18,263 |
| Texas Health Harris Methodist Fort WorthFort Worth | 17 | $83,082 | $14,823 | $13,185 |
| University Health SystemSan Antonio | 16 | $96,890 | $35,945 | $24,097 |
| Medical Center of PlanoPlano | 15 | $123,652 | $14,674 | $12,195 |
| Kingwood Medical CenterKingwood | 15 | $108,546 | $15,813 | $14,827 |
| University of Texas Medical Branch GalGalveston | 14 | $61,904 | $22,199 | $17,850 |
| Bsa HospitalAmarillo | 13 | $55,694 | $13,851 | $11,644 |
| Texas Health Presbyterian Hospital DallasDallas | 13 | $78,419 | $16,321 | $12,858 |
| Methodist Stone Oak HospitalSan Antonio | 13 | $105,295 | $12,217 | $9,335 |
| Methodist Dallas Medical CenterDallas | 12 | $57,629 | $21,624 | $12,724 |
| Trinity Mother Frances SystTyler | 12 | $121,606 | $13,034 | $11,048 |
| Baylor All Saints Medical Center at FwFort Worth | 12 | $45,927 | $17,617 | $11,212 |
| Methodist Richardson Medical CenterRichardson | 12 | $59,042 | $13,588 | $12,466 |
| University Medical CenterLubbock | 11 | $89,258 | $20,309 | $19,320 |
| Methodist Sugar Land HospitalSugar Land | 11 | $58,491 | $13,443 | $12,664 |
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
| Methodist Stone Oak HospitalSan Antonio, TX | $12,217 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $13,034 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $13,422 |
| Methodist Sugar Land HospitalSugar Land, TX | $13,443 |
| Methodist Richardson Medical CenterRichardson, TX | $13,588 |
Highest
| University Health SystemSan Antonio, TX | $35,945 |
|---|---|
| Baylor University Medical CenterDallas, TX | $30,143 |
| Scott & White Memorial HospitalTemple, TX | $27,538 |
| St Lukes Episcopal HospitalHouston, TX | $22,620 |
| University of Texas Medical Branch GalGalveston, TX | $22,199 |
Complications of treatment with major complications in other states
Questions
How much does complications of treatment with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for complications of treatment with major complications (DRG 919) at 28 hospitals in Texas was billed at $108,790 on average, while the average total payment was $18,223, of which Medicare paid $14,415. 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 6.0 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.