Diabetes with major complications in Texas
What 85 hospitals in Texas charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$80,116
Hospital list price billed
Average payment
$12,396
Medicare + patient + other payers
Medicare paid
$10,220
Average per stay
State rank
#16 of 43
1 = lowest average payment
Hospitals in Texas billed an average of $80,116 for diabetes with major complications, about 6.5 times the average total payment of $12,396. That payment is 12% below the U.S. average of $14,037.
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 $12,396Billed $80,116
About 15¢ 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 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 | 73 | $84,808 | $11,141 | $9,044 |
| Mem Hermann Southwest HospHouston | 54 | $63,735 | $13,397 | $11,590 |
| Texas Health Harris Methodist Fort WorthFort Worth | 44 | $56,375 | $13,019 | $9,749 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 41 | $50,450 | $11,627 | $10,251 |
| Baptist Medical CenterSan Antonio | 39 | $132,385 | $11,627 | $9,530 |
| Texoma Healthcare SystemDenison | 36 | $84,085 | $10,127 | $8,877 |
| Methodist Hospital,TheHouston | 36 | $107,335 | $13,446 | $9,258 |
| Trinity Mother Frances SystTyler | 32 | $87,956 | $10,693 | $8,964 |
| Las Palmas Medical CenterEl Paso | 32 | $186,162 | $12,651 | $10,346 |
| Baylor University Medical CenterDallas | 30 | $48,966 | $15,793 | $10,250 |
| Covenant Medical CenterLubbock | 30 | $133,916 | $12,142 | $9,704 |
| Kingwood Medical CenterKingwood | 28 | $141,144 | $11,859 | $10,379 |
| St Joseph Regional Health CenterBryan | 26 | $71,324 | $12,253 | $10,238 |
| Northwest Texas Hlthcare SystAmarillo | 26 | $117,974 | $13,423 | $12,490 |
| Methodist Dallas Medical CenterDallas | 24 | $50,357 | $16,852 | $12,365 |
| Hendrick Health SystemAbilene | 24 | $91,328 | $11,500 | $9,902 |
| Medical City Dallas HospitalDallas | 24 | $109,974 | $12,210 | $9,629 |
| East Texas Medical CenterTyler | 23 | $80,369 | $10,793 | $9,966 |
| Baylor Regional Medical Center at GrapevineGrapevine | 23 | $48,896 | $11,234 | $7,197 |
| Methodist Willowbrook HospitalHouston | 23 | $73,861 | $10,942 | $9,364 |
| Scott & White Memorial HospitalTemple | 22 | $58,543 | $15,130 | $12,240 |
| St David's South Austin Medical CenterAustin | 22 | $82,968 | $11,336 | $10,238 |
| Methodist Charlton Medical CenterDallas | 22 | $71,737 | $12,560 | $9,869 |
| Methodist Sugar Land HospitalSugar Land | 22 | $61,768 | $10,893 | $8,499 |
| UT Southwestern University HospitalDallas | 21 | $67,977 | $20,334 | $10,940 |
| Denton Regional Medical CenterDenton | 21 | $125,215 | $10,788 | $7,747 |
| Medical Center of PlanoPlano | 21 | $161,825 | $10,463 | $7,900 |
| Huguley Health SystemFort Worth | 21 | $52,340 | $11,829 | $9,507 |
| Texas Health Presbyterian Hospital PlanoPlano | 21 | $57,614 | $10,737 | $9,748 |
| Memorial Hermann Texas Medical CenterHouston | 20 | $64,926 | $16,831 | $14,353 |
| Baylor All Saints Medical Center at FwFort Worth | 20 | $47,930 | $13,243 | $10,324 |
| Shannon Medical CenterSan Angelo | 20 | $74,834 | $10,547 | $9,253 |
| United Regional Hlth Care SystWichita Falls | 19 | $34,365 | $12,144 | $10,984 |
| University of Texas Medical Branch GalGalveston | 19 | $41,575 | $16,056 | $13,062 |
| Bsa HospitalAmarillo | 19 | $60,218 | $10,244 | $8,602 |
| Medical Center of ArlingtonArlington | 19 | $130,938 | $13,548 | $11,648 |
| Medical Center of McKinneyMcKinney | 18 | $108,349 | $11,844 | $8,837 |
| Clear Lake Regional Medical CenterWebster | 18 | $95,355 | $12,270 | $10,421 |
| Corpus Christi Medical Center,TheCorpus Christi | 18 | $130,713 | $12,003 | $10,017 |
| CHRISTUS St Michael Health SystemTexarkana | 18 | $66,072 | $9,757 | $8,783 |
| CHRISTUS HospitalBeaumont | 17 | $70,923 | $12,328 | $11,560 |
| Medical Center HospitalOdessa | 17 | $44,746 | $13,717 | $11,985 |
| Weatherford Regional Medical CenterWeatherford | 17 | $84,931 | $12,142 | $10,656 |
| North Austin Medical CenterAustin | 17 | $51,644 | $11,473 | $7,239 |
| Memorial Hermann Katy HospitalKaty | 17 | $44,241 | $11,493 | $10,245 |
| Methodist Stone Oak HospitalSan Antonio | 17 | $87,433 | $9,772 | $8,382 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 17 | $68,754 | $11,008 | $8,694 |
| South Texas Health SystemEdinburg | 16 | $145,149 | $13,773 | $12,512 |
| University Health SystemSan Antonio | 16 | $63,798 | $28,765 | $21,470 |
| Conroe Regional Medical CenterConroe | 16 | $120,337 | $13,357 | $12,401 |
| Texas Health Presbyterian Hospital DallasDallas | 16 | $66,583 | $12,020 | $10,867 |
| University Medical CenterLubbock | 16 | $77,492 | $17,268 | $14,432 |
| Baylor Regional Medical Center at PlanoPlano | 16 | $44,376 | $9,552 | $8,532 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 16 | $69,111 | $11,135 | $9,314 |
| Laredo Medical CenterLaredo | 15 | $128,101 | $13,325 | $10,303 |
| Baylor Medical Center at IrvingIrving | 15 | $33,166 | $13,986 | $10,309 |
| St Davids HospitalAustin | 15 | $69,371 | $10,493 | $9,188 |
| Methodist Richardson Medical CenterRichardson | 15 | $57,869 | $10,713 | $8,996 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 15 | $48,372 | $11,772 | $8,635 |
| Methodist Mansfield Medical CenterMansfield | 15 | $53,798 | $10,454 | $9,230 |
| Citizens Medical CenterVictoria | 14 | $22,703 | $10,413 | $9,626 |
| Valley Baptist Medical CenterHarlingen | 14 | $141,337 | $10,830 | $9,648 |
| Texas Health Arlington Memorial HospitalArlington | 14 | $42,402 | $11,566 | $10,284 |
| North Hills HospitalNorth Richland Hills | 14 | $76,661 | $12,548 | $11,118 |
| Hillcrest Baptist Med CenterWaco | 14 | $44,986 | $12,486 | $11,197 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 14 | $39,138 | $9,624 | $8,577 |
| Adventhealth Central TexasKilleen | 13 | $34,688 | $11,474 | $7,665 |
| CHI St Lukes Health Memorial LufkinLufkin | 13 | $59,443 | $10,907 | $9,984 |
| Houston Methodist Baytown HospitalBaytown | 13 | $69,318 | $12,947 | $11,871 |
| Round Rock Medical CenterRound Rock | 13 | $79,728 | $10,568 | $9,564 |
| Memorial Hermann Sugar Land HospitalSugar Land | 13 | $53,704 | $11,907 | $11,026 |
| Sierra Providence East Medical CenterEl Paso | 13 | $128,112 | $11,175 | $10,421 |
| Good Shepherd Medical Center MarshallMarshall | 12 | $42,452 | $11,731 | $11,074 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 12 | $78,911 | $14,465 | $13,171 |
| Baylor Medical Center at WaxahachieWaxahachie | 12 | $37,356 | $10,829 | $9,741 |
| Mem Hermann Mem City HospHouston | 12 | $46,145 | $13,072 | $10,380 |
| West Houston Medical CenterHouston | 12 | $104,715 | $14,939 | $12,975 |
| Medical Center of LewisvilleLewisville | 12 | $115,832 | $11,999 | $9,711 |
| Denton Community HospitalDenton | 12 | $47,814 | $12,298 | $9,662 |
| St Luke's the Woodlands HospitalConroe | 12 | $70,653 | $10,746 | $9,865 |
| Brownwood Regional Medical CenterBrownwood | 11 | $85,619 | $10,938 | $8,819 |
| Houston Northwest Medical CenterHouston | 11 | $128,180 | $15,105 | $14,361 |
| Lake Pointe Medical CenterRowlett | 11 | $48,272 | $10,794 | $10,052 |
| Centennial Medical CenterFrisco | 11 | $37,775 | $10,482 | $9,517 |
| Seton Medical Center WilliamsonRound Rock | 11 | $97,313 | $11,264 | $10,003 |
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 | $9,552 |
|---|---|
| Baylor Scott and White Medical Center McKinneyMc Kinney, TX | $9,624 |
| CHRISTUS St Michael Health SystemTexarkana, TX | $9,757 |
| Methodist Stone Oak HospitalSan Antonio, TX | $9,772 |
| Texoma Healthcare SystemDenison, TX | $10,127 |
Highest
| University Health SystemSan Antonio, TX | $28,765 |
|---|---|
| UT Southwestern University HospitalDallas, TX | $20,334 |
| University Medical CenterLubbock, TX | $17,268 |
| Methodist Dallas Medical CenterDallas, TX | $16,852 |
| Memorial Hermann Texas Medical CenterHouston, TX | $16,831 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 85 hospitals in Texas was billed at $80,116 on average, while the average total payment was $12,396, of which Medicare paid $10,220. 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 6.5 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.