Digestive malignancy with major complications in Texas
What 18 hospitals in Texas charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$116,188
Hospital list price billed
Average payment
$17,790
Medicare + patient + other payers
Medicare paid
$14,525
Average per stay
State rank
#4 of 28
1 = lowest average payment
Hospitals in Texas billed an average of $116,188 for digestive malignancy with major complications, about 6.5 times the average total payment of $17,790. That payment is 23% below the U.S. average of $23,203.
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 $17,790Billed $116,188
About 15¢ 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: digestive malignancy 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 | 39 | $116,572 | $14,257 | $12,841 |
| Methodist Hospital,TheHouston | 34 | $181,648 | $27,737 | $19,759 |
| UT Southwestern University HospitalDallas | 28 | $80,231 | $22,661 | $14,445 |
| Baylor University Medical CenterDallas | 22 | $73,704 | $20,473 | $14,260 |
| Mem Hermann Southwest HospHouston | 19 | $72,117 | $19,569 | $14,841 |
| Texas Health Harris Methodist Fort WorthFort Worth | 17 | $73,718 | $17,135 | $13,692 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 17 | $119,284 | $13,786 | $12,539 |
| Baptist Medical CenterSan Antonio | 16 | $144,251 | $12,856 | $11,785 |
| St Davids HospitalAustin | 16 | $142,676 | $14,508 | $13,898 |
| Medical Center of PlanoPlano | 15 | $147,850 | $14,025 | $13,120 |
| Seton Medical Center AustinAustin | 13 | $110,985 | $17,876 | $16,371 |
| St Lukes Episcopal HospitalHouston | 13 | $101,189 | $20,526 | $17,451 |
| St David's South Austin Medical CenterAustin | 13 | $186,474 | $14,742 | $13,722 |
| Mem Hermann Mem City HospHouston | 12 | $63,334 | $16,771 | $15,530 |
| Methodist Willowbrook HospitalHouston | 12 | $136,380 | $16,052 | $14,760 |
| Covenant Medical CenterLubbock | 11 | $157,427 | $14,240 | $13,102 |
| Methodist Richardson Medical CenterRichardson | 11 | $82,047 | $14,848 | $13,661 |
| Methodist Sugar Land HospitalSugar Land | 11 | $72,800 | $12,795 | $11,905 |
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
| Methodist Sugar Land HospitalSugar Land, TX | $12,795 |
|---|---|
| Baptist Medical CenterSan Antonio, TX | $12,856 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $13,786 |
| Medical Center of PlanoPlano, TX | $14,025 |
| Covenant Medical CenterLubbock, TX | $14,240 |
Highest
| Methodist Hospital,TheHouston, TX | $27,737 |
|---|---|
| UT Southwestern University HospitalDallas, TX | $22,661 |
| St Lukes Episcopal HospitalHouston, TX | $20,526 |
| Baylor University Medical CenterDallas, TX | $20,473 |
| Mem Hermann Southwest HospHouston, TX | $19,569 |
Digestive malignancy with major complications in other states
Questions
How much does digestive malignancy with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 18 hospitals in Texas was billed at $116,188 on average, while the average total payment was $17,790, of which Medicare paid $14,525. 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.