Degenerative nervous system disorders with major complications in Texas
What 23 hospitals in Texas charged and were paid for a Medicare hospital stay for degenerative nervous system disorders with major complications (DRG 056), from 2024 Medicare claims.
Average charge
$132,564
Hospital list price billed
Average payment
$22,111
Medicare + patient + other payers
Medicare paid
$18,014
Average per stay
State rank
#17 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $132,564 for degenerative nervous system disorders with major complications, about 6.0 times the average total payment of $22,111. That payment is 10% below the U.S. average of $24,633.
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 $22,111Billed $132,564
About 17¢ 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: degenerative nervous system disorders 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 Hospital,TheHouston | 51 | $256,907 | $38,210 | $30,588 |
| UT Southwestern University HospitalDallas | 41 | $86,259 | $25,224 | $15,795 |
| Methodist HospitalSan Antonio | 21 | $185,291 | $15,457 | $12,661 |
| Clear Lake Regional Medical CenterWebster | 19 | $140,777 | $16,811 | $15,905 |
| Methodist Sugar Land HospitalSugar Land | 19 | $159,092 | $22,103 | $21,244 |
| Baylor University Medical CenterDallas | 18 | $64,603 | $22,214 | $18,729 |
| Baptist Medical CenterSan Antonio | 18 | $106,450 | $15,472 | $13,566 |
| East Texas Medical CenterTyler | 18 | $271,752 | $24,713 | $23,227 |
| Mem Hermann Southwest HospHouston | 17 | $75,772 | $20,638 | $17,909 |
| Memorial Hermann Texas Medical CenterHouston | 16 | $105,948 | $39,369 | $18,301 |
| Kingwood Medical CenterKingwood | 16 | $167,052 | $18,948 | $17,706 |
| Medical Center of McKinneyMcKinney | 15 | $154,479 | $15,150 | $13,953 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 15 | $109,581 | $16,017 | $15,038 |
| Scott & White Memorial HospitalTemple | 14 | $58,904 | $18,085 | $15,088 |
| St Lukes Episcopal HospitalHouston | 14 | $99,564 | $22,213 | $19,008 |
| Bsa HospitalAmarillo | 14 | $66,600 | $15,363 | $12,268 |
| Huguley Health SystemFort Worth | 14 | $87,017 | $16,105 | $13,274 |
| Denton Regional Medical CenterDenton | 13 | $113,243 | $17,312 | $15,832 |
| Medical Center of PlanoPlano | 13 | $123,805 | $15,625 | $14,105 |
| Round Rock Medical CenterRound Rock | 13 | $98,986 | $14,447 | $13,318 |
| Texas Health Harris Methodist Fort WorthFort Worth | 12 | $80,779 | $19,230 | $17,319 |
| Hendrick Health SystemAbilene | 12 | $78,907 | $18,508 | $17,269 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $45,423 | $15,082 | $14,125 |
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
| Round Rock Medical CenterRound Rock, TX | $14,447 |
|---|---|
| Texas Health Presbyterian Hospital DallasDallas, TX | $15,082 |
| Medical Center of McKinneyMcKinney, TX | $15,150 |
| Bsa HospitalAmarillo, TX | $15,363 |
| Methodist HospitalSan Antonio, TX | $15,457 |
Highest
| Memorial Hermann Texas Medical CenterHouston, TX | $39,369 |
|---|---|
| Methodist Hospital,TheHouston, TX | $38,210 |
| UT Southwestern University HospitalDallas, TX | $25,224 |
| East Texas Medical CenterTyler, TX | $24,713 |
| Baylor University Medical CenterDallas, TX | $22,214 |
Degenerative nervous system disorders with major complications in other states
Questions
How much does degenerative nervous system disorders with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for degenerative nervous system disorders with major complications (DRG 056) at 23 hospitals in Texas was billed at $132,564 on average, while the average total payment was $22,111, of which Medicare paid $18,014. 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.