Disorders of the biliary tract with major complications in Texas
What 20 hospitals in Texas charged and were paid for a Medicare hospital stay for disorders of the biliary tract with major complications (DRG 444), from 2024 Medicare claims.
Average charge
$102,924
Hospital list price billed
Average payment
$14,537
Medicare + patient + other payers
Medicare paid
$11,374
Average per stay
State rank
#12 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $102,924 for disorders of the biliary tract with major complications, about 7.1 times the average total payment of $14,537. That payment is 16% below the U.S. average of $17,218.
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 $14,537Billed $102,924
About 14¢ 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 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 | 46 | $109,921 | $12,736 | $10,189 |
| Mem Hermann Southwest HospHouston | 35 | $94,271 | $15,836 | $12,493 |
| Methodist Hospital,TheHouston | 26 | $88,218 | $16,212 | $11,634 |
| UT Southwestern University HospitalDallas | 21 | $64,853 | $14,417 | $12,099 |
| Methodist Stone Oak HospitalSan Antonio | 21 | $115,982 | $11,220 | $10,132 |
| Medical Center of PlanoPlano | 16 | $226,102 | $14,153 | $11,587 |
| University of Texas Medical Branch GalGalveston | 15 | $67,558 | $20,711 | $16,296 |
| Texas Health Presbyterian Hospital DallasDallas | 15 | $64,715 | $16,544 | $10,586 |
| Trinity Mother Frances SystTyler | 14 | $89,187 | $12,160 | $11,181 |
| Baylor University Medical CenterDallas | 13 | $70,931 | $25,882 | $9,311 |
| Covenant Medical CenterLubbock | 13 | $140,256 | $12,965 | $11,432 |
| Baptist Medical CenterSan Antonio | 13 | $113,772 | $12,537 | $11,222 |
| Methodist Richardson Medical CenterRichardson | 13 | $90,023 | $15,015 | $9,980 |
| Bsa HospitalAmarillo | 12 | $80,177 | $12,135 | $10,811 |
| Methodist Sugar Land HospitalSugar Land | 12 | $91,564 | $12,837 | $10,532 |
| Texas Health Harris Methodist Fort WorthFort Worth | 11 | $82,958 | $12,872 | $11,699 |
| St Lukes Episcopal HospitalHouston | 11 | $73,471 | $15,576 | $13,687 |
| Texoma Healthcare SystemDenison | 11 | $123,194 | $11,740 | $10,602 |
| Kingwood Medical CenterKingwood | 11 | $228,601 | $14,744 | $13,258 |
| Baylor Regional Medical Center at PlanoPlano | 11 | $59,164 | $10,909 | $9,428 |
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 | $10,909 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $11,220 |
| Texoma Healthcare SystemDenison, TX | $11,740 |
| Bsa HospitalAmarillo, TX | $12,135 |
| Trinity Mother Frances SystTyler, TX | $12,160 |
Highest
| Baylor University Medical CenterDallas, TX | $25,882 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $20,711 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $16,544 |
| Methodist Hospital,TheHouston, TX | $16,212 |
| Mem Hermann Southwest HospHouston, TX | $15,836 |
Disorders of the biliary tract with major complications in other states
Questions
How much does disorders of the biliary tract with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with major complications (DRG 444) at 20 hospitals in Texas was billed at $102,924 on average, while the average total payment was $14,537, of which Medicare paid $11,374. 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 7.1 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.