Extensive operating room procedures unrelated to principal diagnosis with complications in Texas
What 19 hospitals in Texas charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982), from 2024 Medicare claims.
Average charge
$135,922
Hospital list price billed
Average payment
$22,307
Medicare + patient + other payers
Medicare paid
$18,155
Average per stay
State rank
#12 of 32
1 = lowest average payment
Hospitals in Texas billed an average of $135,922 for extensive operating room procedures unrelated to principal diagnosis with complications, about 6.1 times the average total payment of $22,307. That payment is 10% below the U.S. average of $24,742.
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 $22,307Billed $135,922
About 16¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 31 | $81,583 | $20,643 | $18,042 |
| Memorial Hermann Texas Medical CenterHouston | 29 | $158,992 | $28,345 | $23,101 |
| Scott & White Memorial HospitalTemple | 26 | $100,756 | $22,555 | $18,618 |
| Methodist Hospital,TheHouston | 22 | $170,997 | $26,398 | $17,861 |
| Hendrick Health SystemAbilene | 19 | $213,702 | $20,250 | $18,942 |
| Baptist Medical CenterSan Antonio | 15 | $227,562 | $18,034 | $16,522 |
| Baylor All Saints Medical Center at FwFort Worth | 15 | $89,743 | $20,875 | $18,103 |
| Mem Hermann Southwest HospHouston | 15 | $91,027 | $21,531 | $16,200 |
| University Health SystemSan Antonio | 15 | $95,851 | $41,000 | $33,278 |
| UT Southwestern University HospitalDallas | 13 | $71,756 | $19,003 | $15,137 |
| St Davids HospitalAustin | 13 | $260,707 | $16,916 | $16,165 |
| The Heart Hospital Baylor PlanoPlano | 13 | $88,284 | $25,583 | $15,593 |
| Scott & White Hospital-Round RockRound Rock | 13 | $72,388 | $18,033 | $16,544 |
| East Texas Medical CenterTyler | 12 | $170,572 | $19,659 | $15,703 |
| Bsa HospitalAmarillo | 12 | $102,529 | $17,098 | $15,493 |
| Baylor Regional Medical Center at GrapevineGrapevine | 12 | $81,343 | $21,082 | $12,476 |
| Texas Health Harris Methodist Fort WorthFort Worth | 11 | $85,700 | $19,360 | $17,927 |
| Texoma Healthcare SystemDenison | 11 | $147,401 | $18,379 | $12,730 |
| St David's South Austin Medical CenterAustin | 11 | $317,393 | $17,446 | $16,176 |
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
| St Davids HospitalAustin, TX | $16,916 |
|---|---|
| Bsa HospitalAmarillo, TX | $17,098 |
| St David's South Austin Medical CenterAustin, TX | $17,446 |
| Scott & White Hospital-Round RockRound Rock, TX | $18,033 |
| Baptist Medical CenterSan Antonio, TX | $18,034 |
Highest
| University Health SystemSan Antonio, TX | $41,000 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $28,345 |
| Methodist Hospital,TheHouston, TX | $26,398 |
| The Heart Hospital Baylor PlanoPlano, TX | $25,583 |
| Scott & White Memorial HospitalTemple, TX | $22,555 |
Extensive operating room procedures unrelated to principal diagnosis with complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with complications cost in Texas?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982) at 19 hospitals in Texas was billed at $135,922 on average, while the average total payment was $22,307, of which Medicare paid $18,155. 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 6.1 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.