Disorders of pancreas except malignancy with major complications in Texas
What 13 hospitals in Texas charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with major complications (DRG 438), from 2024 Medicare claims.
Average charge
$100,707
Hospital list price billed
Average payment
$15,111
Medicare + patient + other payers
Medicare paid
$11,385
Average per stay
State rank
#4 of 22
1 = lowest average payment
Hospitals in Texas billed an average of $100,707 for disorders of pancreas except malignancy with major complications, about 6.7 times the average total payment of $15,111. That payment is 16% below the U.S. average of $17,913.
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 $15,111Billed $100,707
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: disorders of pancreas except 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 Hospital,TheHouston | 24 | $113,694 | $17,412 | $11,615 |
| Methodist HospitalSan Antonio | 22 | $139,508 | $11,799 | $10,536 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 16 | $71,348 | $13,535 | $8,488 |
| Baylor University Medical CenterDallas | 15 | $53,789 | $18,198 | $10,598 |
| Medical Center of PlanoPlano | 15 | $191,192 | $12,646 | $10,783 |
| UT Southwestern University HospitalDallas | 14 | $74,397 | $23,277 | $13,246 |
| Trinity Mother Frances SystTyler | 14 | $131,072 | $12,215 | $11,104 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $82,132 | $13,714 | $11,922 |
| Bsa HospitalAmarillo | 13 | $60,660 | $12,567 | $10,373 |
| University of Texas Medical Branch GalGalveston | 12 | $46,077 | $20,686 | $16,146 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $59,558 | $13,548 | $12,346 |
| Baptist Medical CenterSan Antonio | 11 | $116,498 | $13,405 | $10,272 |
| North Austin Medical CenterAustin | 11 | $130,878 | $13,433 | $12,115 |
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 HospitalSan Antonio, TX | $11,799 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $12,215 |
| Bsa HospitalAmarillo, TX | $12,567 |
| Medical Center of PlanoPlano, TX | $12,646 |
| Baptist Medical CenterSan Antonio, TX | $13,405 |
Highest
| UT Southwestern University HospitalDallas, TX | $23,277 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $20,686 |
| Baylor University Medical CenterDallas, TX | $18,198 |
| Methodist Hospital,TheHouston, TX | $17,412 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $13,714 |
Disorders of pancreas except malignancy with major complications in other states
Questions
How much does disorders of pancreas except malignancy with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with major complications (DRG 438) at 13 hospitals in Texas was billed at $100,707 on average, while the average total payment was $15,111, of which Medicare paid $11,385. 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 6.7 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.