Diabetes with complications in Texas
What 82 hospitals in Texas charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$48,545
Hospital list price billed
Average payment
$10,213
Medicare + patient + other payers
Medicare paid
$8,144
Average per stay
State rank
#42 of 47
1 = lowest average payment
Hospitals in Texas billed an average of $48,545 for diabetes with complications, about 4.8 times the average total payment of $10,213. That payment is 11% above the U.S. average of $9,215.
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 $10,213Billed $48,545
About 21¢ 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: diabetes with 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 | 84 | $55,797 | $7,717 | $5,687 |
| Mem Hermann Southwest HospHouston | 71 | $40,811 | $9,712 | $8,019 |
| United Regional Hlth Care SystWichita Falls | 44 | $33,270 | $8,480 | $6,027 |
| Baptist Medical CenterSan Antonio | 44 | $84,326 | $7,645 | $6,142 |
| Scott & White Memorial HospitalTemple | 43 | $35,082 | $10,571 | $6,852 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 41 | $37,415 | $7,680 | $6,099 |
| Methodist Hospital,TheHouston | 37 | $52,835 | $9,568 | $6,146 |
| Kingwood Medical CenterKingwood | 36 | $92,364 | $8,435 | $6,612 |
| Citizens Medical CenterVictoria | 35 | $18,522 | $7,160 | $5,716 |
| Texas Health Harris Methodist Fort WorthFort Worth | 34 | $31,884 | $8,447 | $6,339 |
| Baylor University Medical CenterDallas | 33 | $29,492 | $10,093 | $7,138 |
| UT Southwestern University HospitalDallas | 31 | $27,775 | $9,359 | $5,527 |
| Hendrick Health SystemAbilene | 31 | $57,909 | $7,664 | $5,344 |
| St Joseph Regional Health CenterBryan | 29 | $50,125 | $7,906 | $6,032 |
| Shannon Medical CenterSan Angelo | 29 | $40,891 | $6,872 | $5,572 |
| North Austin Medical CenterAustin | 29 | $50,444 | $8,764 | $5,445 |
| Trinity Mother Frances SystTyler | 27 | $52,973 | $7,478 | $5,726 |
| Texas Health Presbyterian Hospital DallasDallas | 25 | $35,011 | $8,355 | $6,746 |
| Baylor Regional Medical Center at GrapevineGrapevine | 25 | $31,384 | $7,155 | $4,214 |
| Clear Lake Regional Medical CenterWebster | 25 | $83,819 | $8,283 | $6,677 |
| Denton Regional Medical CenterDenton | 25 | $96,091 | $9,075 | $6,090 |
| Methodist Sugar Land HospitalSugar Land | 25 | $47,448 | $7,026 | $6,308 |
| Methodist Stone Oak HospitalSan Antonio | 25 | $55,381 | $6,497 | $4,688 |
| Texoma Healthcare SystemDenison | 24 | $61,413 | $7,414 | $5,391 |
| CHRISTUS HospitalBeaumont | 22 | $38,992 | $9,667 | $7,308 |
| Baylor All Saints Medical Center at FwFort Worth | 22 | $27,940 | $8,133 | $5,658 |
| Bsa HospitalAmarillo | 22 | $39,027 | $8,157 | $5,216 |
| CHRISTUS St Michael Health SystemTexarkana | 22 | $67,674 | $9,392 | $7,870 |
| University of Texas Medical Branch GalGalveston | 21 | $23,768 | $11,735 | $9,011 |
| Laredo Medical CenterLaredo | 21 | $64,940 | $8,466 | $6,691 |
| Memorial Hermann Texas Medical CenterHouston | 21 | $49,678 | $13,072 | $10,204 |
| Medical Center HospitalOdessa | 21 | $29,505 | $9,308 | $7,810 |
| Parkland Health and Hospital SystemDallas | 20 | $44,359 | $47,233 | $44,999 |
| Baylor Medical Center at IrvingIrving | 20 | $31,640 | $8,999 | $7,857 |
| Paris Regional Medical CenterParis | 20 | $22,880 | $6,691 | $5,135 |
| Medical Center of McKinneyMcKinney | 20 | $63,052 | $8,203 | $5,650 |
| St David's South Austin Medical CenterAustin | 20 | $45,242 | $7,711 | $6,010 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 19 | $50,101 | $10,772 | $9,350 |
| South Texas Health SystemEdinburg | 19 | $132,521 | $10,013 | $8,547 |
| Methodist Dallas Medical CenterDallas | 18 | $33,237 | $11,231 | $7,964 |
| Mem Hermann Baptist HospitalBeaumont | 18 | $43,149 | $8,753 | $7,176 |
| Baylor Medical Center at WaxahachieWaxahachie | 18 | $28,596 | $7,801 | $6,536 |
| University Medical CenterLubbock | 18 | $44,444 | $11,826 | $10,543 |
| Hillcrest Baptist Med CenterWaco | 17 | $25,223 | $8,872 | $6,429 |
| CHI St Lukes Health Memorial LufkinLufkin | 17 | $48,604 | $7,493 | $6,391 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 17 | $33,986 | $7,620 | $5,016 |
| Midland Memorial HospitalMidland | 16 | $58,123 | $9,175 | $8,016 |
| Medical City Dallas HospitalDallas | 16 | $86,966 | $7,840 | $6,355 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 16 | $36,168 | $7,447 | $5,891 |
| Methodist Willowbrook HospitalHouston | 16 | $47,558 | $7,536 | $6,210 |
| Memorial Hermann Katy HospitalKaty | 16 | $36,775 | $8,863 | $5,993 |
| Jps Health NetworkFort Worth | 15 | $31,209 | $38,425 | $36,634 |
| East Texas Medical CenterTyler | 15 | $58,957 | $7,358 | $6,006 |
| North Hills HospitalNorth Richland Hills | 15 | $74,709 | $9,591 | $5,458 |
| Las Palmas Medical CenterEl Paso | 15 | $89,043 | $9,449 | $7,863 |
| Houston Methodist Baytown HospitalBaytown | 15 | $69,225 | $9,263 | $7,897 |
| St Davids HospitalAustin | 15 | $50,083 | $7,683 | $4,984 |
| Baylor Regional Medical Center at PlanoPlano | 15 | $26,804 | $6,128 | $4,155 |
| Houston Methodist West HospitalHouston | 15 | $43,022 | $7,789 | $6,703 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 15 | $33,592 | $6,774 | $4,864 |
| Providence Health CenterWaco | 14 | $21,476 | $7,917 | $6,065 |
| Seton Medical Center AustinAustin | 14 | $57,437 | $8,496 | $6,838 |
| Weatherford Regional Medical CenterWeatherford | 14 | $61,273 | $8,428 | $6,772 |
| Harris County Hospital DistrictHouston | 14 | $19,473 | $127,285 | $123,937 |
| Mem Hermann Mem City HospHouston | 14 | $43,188 | $9,045 | $6,742 |
| Houston Methodist Clear Lake HospitalHouston | 14 | $50,795 | $6,675 | $5,393 |
| St Luke's the Woodlands HospitalConroe | 14 | $46,109 | $7,878 | $5,822 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 14 | $50,909 | $6,501 | $5,685 |
| Good Shepherd Medical Center MarshallMarshall | 13 | $36,435 | $8,827 | $7,249 |
| Valley Baptist Medical CenterHarlingen | 13 | $105,743 | $8,411 | $7,534 |
| Hunt Regional Medical CenterGreenville | 13 | $21,895 | $7,644 | $6,607 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 13 | $32,317 | $10,035 | $5,110 |
| Medical Center of ArlingtonArlington | 13 | $67,714 | $9,045 | $7,032 |
| Methodist Charlton Medical CenterDallas | 13 | $46,563 | $8,875 | $7,693 |
| Lake Pointe Medical CenterRowlett | 13 | $30,666 | $7,530 | $5,789 |
| University Health SystemSan Antonio | 12 | $39,150 | $22,423 | $18,168 |
| Medical Center of PlanoPlano | 12 | $66,453 | $7,504 | $6,120 |
| Texas Health Presbyterian Hospital PlanoPlano | 12 | $31,718 | $8,290 | $5,667 |
| Seton Medical Center HaysKyle | 12 | $50,012 | $7,779 | $6,827 |
| Covenant Medical CenterLubbock | 11 | $75,118 | $7,845 | $6,246 |
| Conroe Regional Medical CenterConroe | 11 | $61,732 | $9,191 | $8,045 |
| Huguley Health SystemFort Worth | 11 | $40,525 | $8,524 | $5,910 |
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
| Baylor Regional Medical Center at PlanoPlano, TX | $6,128 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $6,497 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $6,501 |
| Houston Methodist Clear Lake HospitalHouston, TX | $6,675 |
| Paris Regional Medical CenterParis, TX | $6,691 |
Highest
| Harris County Hospital DistrictHouston, TX | $127,285 |
|---|---|
| Parkland Health and Hospital SystemDallas, TX | $47,233 |
| Jps Health NetworkFort Worth, TX | $38,425 |
| University Health SystemSan Antonio, TX | $22,423 |
| Memorial Hermann Texas Medical CenterHouston, TX | $13,072 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Texas?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 82 hospitals in Texas was billed at $48,545 on average, while the average total payment was $10,213, of which Medicare paid $8,144. 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 4.8 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.