facebook tracking Cranial and peripheral nerve disorders without major complications cost in Texas: 19 hospitals compared (DRG 074)

Cranial and peripheral nerve disorders without major complications in Texas

What 19 hospitals in Texas charged and were paid for a Medicare hospital stay for cranial and peripheral nerve disorders without major complications (DRG 074), from 2024 Medicare claims.

DRG 074 Inpatient 2024 Medicare data
Average charge $83,638 Hospital list price billed
Average payment $10,082 Medicare + patient + other payers
Medicare paid $6,818 Average per stay
State rank #12 of 31 1 = lowest average payment

Hospitals in Texas billed an average of $83,638 for cranial and peripheral nerve disorders without major complications, about 8.3 times the average total payment of $10,082. That payment is 9% below the U.S. average of $11,098.

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 $10,082Billed $83,638

About 12¢ 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: cranial and peripheral nerve disorders without 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 56 $80,961 $9,621 $6,194
Methodist Hospital,TheHouston 34 $130,201 $14,563 $9,968
Bsa HospitalAmarillo 20 $61,136 $8,557 $5,005
Medical Center of PlanoPlano 20 $104,537 $8,743 $5,732
Kingwood Medical CenterKingwood 19 $98,441 $9,504 $7,839
Clear Lake Regional Medical CenterWebster 16 $88,848 $9,612 $7,078
Baptist Medical CenterSan Antonio 15 $71,257 $9,078 $6,055
Texoma Healthcare SystemDenison 15 $122,354 $8,098 $5,469
Medical Center of McKinneyMcKinney 15 $77,911 $10,017 $4,763
UT Southwestern University HospitalDallas 14 $43,775 $13,480 $5,789
St Lukes Episcopal HospitalHouston 14 $51,033 $10,806 $7,494
Corpus Christi Medical Center,TheCorpus Christi 14 $101,341 $9,725 $7,872
Houston Methodist the Woodlands HospitalThe Woodlands 14 $55,532 $7,256 $5,974
Methodist Stone Oak HospitalSan Antonio 13 $100,240 $8,276 $5,068
Medical City Dallas HospitalDallas 12 $84,133 $11,302 $6,553
Methodist Sugar Land HospitalSugar Land 12 $97,339 $11,500 $10,004
Scott & White Memorial HospitalTemple 11 $43,837 $11,566 $7,946
Texas Health Harris Methodist Fort WorthFort Worth 11 $36,269 $8,369 $7,214
St Davids HospitalAustin 11 $52,544 $7,935 $6,600
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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

Cranial and peripheral nerve disorders without major complications in other states

Questions

How much does cranial and peripheral nerve disorders without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for cranial and peripheral nerve disorders without major complications (DRG 074) at 19 hospitals in Texas was billed at $83,638 on average, while the average total payment was $10,082, of which Medicare paid $6,818. 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 8.3 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.