Disorders of the biliary tract with complications in Texas
What 26 hospitals in Texas charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$69,918
Hospital list price billed
Average payment
$10,255
Medicare + patient + other payers
Medicare paid
$7,934
Average per stay
State rank
#22 of 40
1 = lowest average payment
Hospitals in Texas billed an average of $69,918 for disorders of the biliary tract with complications, about 6.8 times the average total payment of $10,255. That payment is 7% below the U.S. average of $10,996.
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 $10,255Billed $69,918
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 the biliary tract 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 | 57 | $77,814 | $8,946 | $7,252 |
| Methodist Hospital,TheHouston | 40 | $67,990 | $11,343 | $7,326 |
| Texas Health Harris Methodist Fort WorthFort Worth | 32 | $49,204 | $10,281 | $7,547 |
| Mem Hermann Southwest HospHouston | 29 | $70,308 | $11,203 | $9,390 |
| Trinity Mother Frances SystTyler | 22 | $81,500 | $8,453 | $7,081 |
| UT Southwestern University HospitalDallas | 21 | $42,768 | $10,802 | $7,497 |
| Hendrick Health SystemAbilene | 21 | $75,345 | $8,546 | $6,740 |
| Medical Center of PlanoPlano | 21 | $113,824 | $8,839 | $7,198 |
| St Lukes Episcopal HospitalHouston | 20 | $69,832 | $10,615 | $8,892 |
| Baylor University Medical CenterDallas | 19 | $47,190 | $12,380 | $8,906 |
| Texas Health Presbyterian Hospital DallasDallas | 17 | $48,215 | $9,487 | $7,975 |
| Methodist Stone Oak HospitalSan Antonio | 17 | $107,718 | $7,577 | $6,425 |
| Baptist Medical CenterSan Antonio | 16 | $57,537 | $8,648 | $6,956 |
| Baylor Regional Medical Center at PlanoPlano | 15 | $31,465 | $7,681 | $5,595 |
| United Regional Hlth Care SystWichita Falls | 14 | $37,396 | $9,906 | $7,063 |
| Bsa HospitalAmarillo | 14 | $63,660 | $9,020 | $5,952 |
| University Health SystemSan Antonio | 13 | $42,379 | $23,430 | $18,674 |
| East Texas Medical CenterTyler | 12 | $84,779 | $9,138 | $7,570 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 12 | $62,421 | $9,216 | $7,741 |
| University Medical CenterLubbock | 12 | $96,650 | $16,888 | $11,070 |
| Covenant Medical CenterLubbock | 11 | $117,171 | $9,218 | $7,590 |
| Scott & White Memorial HospitalTemple | 11 | $49,923 | $11,831 | $9,496 |
| Hillcrest Baptist Med CenterWaco | 11 | $42,407 | $9,858 | $8,293 |
| Las Palmas Medical CenterEl Paso | 11 | $136,451 | $10,084 | $8,212 |
| Methodist Richardson Medical CenterRichardson | 11 | $60,998 | $8,674 | $7,339 |
| St David's South Austin Medical CenterAustin | 11 | $102,054 | $9,066 | $7,513 |
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 Stone Oak HospitalSan Antonio, TX | $7,577 |
|---|---|
| Baylor Regional Medical Center at PlanoPlano, TX | $7,681 |
| Trinity Mother Frances SystTyler, TX | $8,453 |
| Hendrick Health SystemAbilene, TX | $8,546 |
| Baptist Medical CenterSan Antonio, TX | $8,648 |
Highest
| University Health SystemSan Antonio, TX | $23,430 |
|---|---|
| University Medical CenterLubbock, TX | $16,888 |
| Baylor University Medical CenterDallas, TX | $12,380 |
| Scott & White Memorial HospitalTemple, TX | $11,831 |
| Methodist Hospital,TheHouston, TX | $11,343 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in Texas?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 26 hospitals in Texas was billed at $69,918 on average, while the average total payment was $10,255, of which Medicare paid $7,934. 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 6.8 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.