facebook tracking Craniotomy with major device implant or acute complex CNS principal diagnosis without mc cost in Texas: 11 hospitals compared (DRG 024)

Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in Texas

What 11 hospitals in Texas charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024), from 2024 Medicare claims.

DRG 024 Inpatient 2024 Medicare data
Average charge $308,585 Hospital list price billed
Average payment $33,875 Medicare + patient + other payers
Medicare paid $26,976 Average per stay
State rank #13 of 25 1 = lowest average payment

Hospitals in Texas billed an average of $308,585 for craniotomy with major device implant or acute complex cns principal diagnosis without mc, about 9.1 times the average total payment of $33,875. That payment is 8% below the U.S. average of $36,662.

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 $33,875Billed $308,585

About 11¢ 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 without mc

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
Trinity Mother Frances SystTyler 30 $199,125 $26,803 $25,438
Texas Health Harris Methodist Fort WorthFort Worth 22 $128,676 $37,754 $24,765
St Lukes Episcopal HospitalHouston 21 $307,371 $40,495 $33,011
Methodist HospitalSan Antonio 16 $561,500 $39,134 $20,121
East Texas Medical CenterTyler 14 $234,658 $28,270 $26,410
Baylor Regional Medical Center at PlanoPlano 14 $140,398 $24,700 $23,301
Methodist Stone Oak HospitalSan Antonio 14 $428,747 $23,805 $22,289
University Health SystemSan Antonio 13 $151,443 $50,655 $44,617
Plaza Medical Center of Fort WorthFort Worth 13 $600,620 $45,614 $27,325
Covenant Medical CenterLubbock 12 $258,066 $25,640 $23,732
Kingwood Medical CenterKingwood 11 $652,276 $32,026 $27,677
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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

University Health SystemSan Antonio, TX$50,655
Plaza Medical Center of Fort WorthFort Worth, TX$45,614
St Lukes Episcopal HospitalHouston, TX$40,495
Methodist HospitalSan Antonio, TX$39,134
Texas Health Harris Methodist Fort WorthFort Worth, TX$37,754

Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in other states

Questions

How much does craniotomy with major device implant or acute complex cns principal diagnosis without mc cost in Texas?

In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024) at 11 hospitals in Texas was billed at $308,585 on average, while the average total payment was $33,875, of which Medicare paid $26,976. 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 9.1 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.