ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Texas
What 21 hospitals in Texas charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$1,236,213
Hospital list price billed
Average payment
$223,618
Medicare + patient + other payers
Medicare paid
$182,260
Average per stay
State rank
#16 of 29
1 = lowest average payment
Hospitals in Texas billed an average of $1,236,213 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 5.5 times the average total payment of $223,618. That payment is 9% below the U.S. average of $246,178.
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 $223,618Billed $1,236,213
About 18¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 51 | $874,311 | $258,794 | $179,428 |
| Memorial Hermann Texas Medical CenterHouston | 48 | $1,115,422 | $254,746 | $207,886 |
| Methodist Hospital,TheHouston | 47 | $2,674,439 | $415,642 | $320,179 |
| St Lukes Episcopal HospitalHouston | 43 | $1,628,860 | $326,506 | $261,000 |
| Methodist HospitalSan Antonio | 33 | $1,447,914 | $145,603 | $124,179 |
| Scott & White Memorial HospitalTemple | 26 | $598,691 | $170,098 | $141,789 |
| Mem Hermann Southwest HospHouston | 25 | $594,234 | $162,614 | $135,836 |
| University Health SystemSan Antonio | 25 | $750,674 | $216,970 | $186,271 |
| Baylor All Saints Medical Center at FwFort Worth | 22 | $583,041 | $241,564 | $132,025 |
| Medical Center of PlanoPlano | 22 | $1,637,486 | $133,748 | $128,952 |
| East Texas Medical CenterTyler | 20 | $1,026,009 | $123,345 | $121,150 |
| Texas Health Presbyterian Hospital DallasDallas | 20 | $597,424 | $128,139 | $125,198 |
| UT Southwestern University HospitalDallas | 19 | $1,239,859 | $288,400 | $274,777 |
| The Heart Hospital Baylor PlanoPlano | 18 | $632,699 | $156,221 | $146,437 |
| Seton Medical Center AustinAustin | 15 | $1,249,090 | $182,251 | $158,675 |
| St Davids HospitalAustin | 14 | $1,864,517 | $159,211 | $150,340 |
| HCA Houston Healthcare Medical CenterHouston | 14 | $2,406,039 | $166,850 | $124,476 |
| University Medical Center at BrackenridgeAustin | 13 | $1,308,650 | $196,067 | $188,919 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $489,814 | $117,162 | $115,247 |
| University of Texas Medical Branch GalGalveston | 11 | $540,855 | $184,877 | $170,796 |
| Clear Lake Regional Medical CenterWebster | 11 | $1,409,939 | $122,220 | $102,644 |
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
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $117,162 |
|---|---|
| Clear Lake Regional Medical CenterWebster, TX | $122,220 |
| East Texas Medical CenterTyler, TX | $123,345 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $128,139 |
| Medical Center of PlanoPlano, TX | $133,748 |
Highest
| Methodist Hospital,TheHouston, TX | $415,642 |
|---|---|
| St Lukes Episcopal HospitalHouston, TX | $326,506 |
| UT Southwestern University HospitalDallas, TX | $288,400 |
| Baylor University Medical CenterDallas, TX | $258,794 |
| Memorial Hermann Texas Medical CenterHouston, TX | $254,746 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Texas?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 21 hospitals in Texas was billed at $1,236,213 on average, while the average total payment was $223,618, of which Medicare paid $182,260. 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 5.5 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.