Disorders of pancreas except malignancy with complications in Texas
What 21 hospitals in Texas charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.
Average charge
$53,607
Hospital list price billed
Average payment
$8,998
Medicare + patient + other payers
Medicare paid
$6,062
Average per stay
State rank
#22 of 37
1 = lowest average payment
Hospitals in Texas billed an average of $53,607 for disorders of pancreas except malignancy with complications, about 6.0 times the average total payment of $8,998. That payment is about the same as the U.S. average of $9,024.
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 $8,998Billed $53,607
About 17¢ 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: disorders of pancreas except malignancy 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 Hospital,TheHouston | 24 | $60,596 | $10,412 | $5,449 |
| United Regional Hlth Care SystWichita Falls | 21 | $31,154 | $9,188 | $5,398 |
| Texas Health Harris Methodist Fort WorthFort Worth | 20 | $40,621 | $8,815 | $5,661 |
| Trinity Mother Frances SystTyler | 19 | $51,647 | $6,909 | $5,502 |
| Methodist HospitalSan Antonio | 19 | $76,180 | $7,384 | $4,750 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 19 | $53,092 | $6,155 | $5,037 |
| UT Southwestern University HospitalDallas | 17 | $28,927 | $8,801 | $5,476 |
| St Lukes Episcopal HospitalHouston | 16 | $93,352 | $10,448 | $6,086 |
| Baylor University Medical CenterDallas | 15 | $21,416 | $9,873 | $6,026 |
| Medical Center of PlanoPlano | 14 | $125,996 | $6,577 | $4,825 |
| Mem Hermann Southwest HospHouston | 13 | $48,956 | $10,293 | $5,551 |
| East Texas Medical CenterTyler | 12 | $66,933 | $7,515 | $6,320 |
| Bsa HospitalAmarillo | 12 | $37,524 | $6,728 | $5,158 |
| St Davids HospitalAustin | 12 | $54,352 | $6,648 | $5,288 |
| Methodist Richardson Medical CenterRichardson | 12 | $60,523 | $9,023 | $4,470 |
| Houston Methodist West HospitalHouston | 12 | $34,082 | $7,499 | $6,003 |
| Scott & White Memorial HospitalTemple | 11 | $39,327 | $10,225 | $7,741 |
| Medical Center HospitalOdessa | 11 | $23,729 | $8,926 | $6,582 |
| University Health SystemSan Antonio | 11 | $49,313 | $22,045 | $16,099 |
| University Medical CenterLubbock | 11 | $82,584 | $12,135 | $9,643 |
| Methodist Sugar Land HospitalSugar Land | 11 | $43,129 | $6,659 | $5,027 |
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
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $6,155 |
|---|---|
| Medical Center of PlanoPlano, TX | $6,577 |
| St Davids HospitalAustin, TX | $6,648 |
| Methodist Sugar Land HospitalSugar Land, TX | $6,659 |
| Bsa HospitalAmarillo, TX | $6,728 |
Highest
| University Health SystemSan Antonio, TX | $22,045 |
|---|---|
| University Medical CenterLubbock, TX | $12,135 |
| St Lukes Episcopal HospitalHouston, TX | $10,448 |
| Methodist Hospital,TheHouston, TX | $10,412 |
| Mem Hermann Southwest HospHouston, TX | $10,293 |
Disorders of pancreas except malignancy with complications in other states
Questions
How much does disorders of pancreas except malignancy with complications cost in Texas?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 21 hospitals in Texas was billed at $53,607 on average, while the average total payment was $8,998, of which Medicare paid $6,062. 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.