Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Texas
What 34 hospitals in Texas charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$371,163
Hospital list price billed
Average payment
$46,901
Medicare + patient + other payers
Medicare paid
$41,429
Average per stay
State rank
#12 of 38
1 = lowest average payment
Hospitals in Texas billed an average of $371,163 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 7.9 times the average total payment of $46,901. That payment is 17% below the U.S. average of $56,603.
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 $46,901Billed $371,163
About 13¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 |
|---|---|---|---|---|
| Baptist Medical CenterSan Antonio | 50 | $463,407 | $36,092 | $32,064 |
| Memorial Hermann Texas Medical CenterHouston | 40 | $272,323 | $60,902 | $51,020 |
| Texas Health Harris Methodist Fort WorthFort Worth | 36 | $198,654 | $48,746 | $36,144 |
| Medical Center of PlanoPlano | 34 | $685,120 | $38,942 | $37,642 |
| University Medical Center at BrackenridgeAustin | 30 | $426,791 | $69,208 | $65,916 |
| Covenant Medical CenterLubbock | 29 | $361,972 | $39,401 | $33,936 |
| Trinity Mother Frances SystTyler | 29 | $267,999 | $38,221 | $36,673 |
| University Health SystemSan Antonio | 28 | $202,608 | $70,733 | $60,090 |
| Methodist Hospital,TheHouston | 28 | $347,594 | $52,084 | $43,543 |
| East Texas Medical CenterTyler | 26 | $306,459 | $41,459 | $39,741 |
| Methodist HospitalSan Antonio | 25 | $490,373 | $38,999 | $34,783 |
| UT Southwestern University HospitalDallas | 24 | $171,077 | $51,765 | $35,982 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 24 | $227,945 | $42,255 | $39,063 |
| St Lukes Episcopal HospitalHouston | 24 | $300,757 | $50,590 | $46,634 |
| Mem Hermann Southwest HospHouston | 21 | $227,942 | $35,468 | $34,212 |
| St Davids HospitalAustin | 20 | $620,306 | $42,521 | $41,705 |
| Mem Hermann Mem City HospHouston | 19 | $254,237 | $51,673 | $43,319 |
| Plaza Medical Center of Fort WorthFort Worth | 17 | $633,563 | $42,810 | $39,236 |
| Medical Center of ArlingtonArlington | 16 | $793,704 | $61,506 | $38,671 |
| Kingwood Medical CenterKingwood | 16 | $765,174 | $45,460 | $43,629 |
| Texas Health Presbyterian Hospital PlanoPlano | 15 | $190,922 | $38,493 | $37,296 |
| Valley Baptist Medical CenterHarlingen | 14 | $710,910 | $43,792 | $42,234 |
| Scott & White Memorial HospitalTemple | 14 | $177,009 | $57,080 | $41,000 |
| Baylor Regional Medical Center at GrapevineGrapevine | 14 | $179,797 | $36,260 | $34,864 |
| Baylor University Medical CenterDallas | 13 | $223,763 | $49,809 | $42,823 |
| Clear Lake Regional Medical CenterWebster | 13 | $475,464 | $39,901 | $38,511 |
| Seton Medical Center WilliamsonRound Rock | 13 | $304,493 | $36,788 | $35,407 |
| University Medical Center of El PasoEl Paso | 12 | $166,149 | $54,441 | $52,152 |
| Conroe Regional Medical CenterConroe | 12 | $962,408 | $47,550 | $42,778 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $202,825 | $40,290 | $38,712 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 12 | $327,612 | $37,788 | $36,430 |
| University of Texas Medical Branch GalGalveston | 11 | $184,128 | $56,477 | $51,837 |
| Hendrick Health SystemAbilene | 11 | $276,127 | $43,393 | $42,166 |
| Methodist Willowbrook HospitalHouston | 11 | $278,432 | $37,636 | $36,301 |
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
| Mem Hermann Southwest HospHouston, TX | $35,468 |
|---|---|
| Baptist Medical CenterSan Antonio, TX | $36,092 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $36,260 |
| Seton Medical Center WilliamsonRound Rock, TX | $36,788 |
| Methodist Willowbrook HospitalHouston, TX | $37,636 |
Highest
| University Health SystemSan Antonio, TX | $70,733 |
|---|---|
| University Medical Center at BrackenridgeAustin, TX | $69,208 |
| Medical Center of ArlingtonArlington, TX | $61,506 |
| Memorial Hermann Texas Medical CenterHouston, TX | $60,902 |
| Scott & White Memorial HospitalTemple, TX | $57,080 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Texas?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 34 hospitals in Texas was billed at $371,163 on average, while the average total payment was $46,901, of which Medicare paid $41,429. 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 7.9 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.