Extensive operating room procedures unrelated to principal diagnosis with major complications in Texas
What 47 hospitals in Texas charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$237,101
Hospital list price billed
Average payment
$40,126
Medicare + patient + other payers
Medicare paid
$34,416
Average per stay
State rank
#15 of 42
1 = lowest average payment
Hospitals in Texas billed an average of $237,101 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 5.9 times the average total payment of $40,126. That payment is 15% below the U.S. average of $47,051.
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 $40,126Billed $237,101
About 17¢ 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 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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 56 | $150,025 | $46,075 | $37,938 |
| Mem Hermann Southwest HospHouston | 51 | $183,129 | $42,438 | $35,128 |
| Methodist Hospital,TheHouston | 51 | $316,161 | $48,321 | $41,040 |
| Baptist Medical CenterSan Antonio | 39 | $360,913 | $31,229 | $29,906 |
| Scott & White Memorial HospitalTemple | 37 | $154,249 | $42,971 | $34,272 |
| Texas Health Harris Methodist Fort WorthFort Worth | 35 | $140,643 | $29,461 | $27,622 |
| Baylor All Saints Medical Center at FwFort Worth | 33 | $185,962 | $38,683 | $33,816 |
| UT Southwestern University HospitalDallas | 30 | $171,605 | $50,881 | $40,797 |
| Memorial Hermann Texas Medical CenterHouston | 28 | $310,494 | $56,212 | $50,515 |
| Hendrick Health SystemAbilene | 28 | $292,955 | $38,114 | $36,554 |
| Baylor Regional Medical Center at GrapevineGrapevine | 28 | $137,235 | $36,331 | $27,148 |
| Bsa HospitalAmarillo | 27 | $144,235 | $30,149 | $28,161 |
| Texoma Healthcare SystemDenison | 23 | $299,300 | $32,226 | $31,091 |
| Hillcrest Baptist Med CenterWaco | 22 | $123,908 | $36,024 | $30,418 |
| University Health SystemSan Antonio | 21 | $194,992 | $74,534 | $52,955 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 21 | $110,196 | $26,249 | $25,122 |
| East Texas Medical CenterTyler | 20 | $323,247 | $31,488 | $29,210 |
| Methodist Richardson Medical CenterRichardson | 20 | $176,878 | $32,218 | $30,769 |
| St Davids HospitalAustin | 17 | $338,571 | $31,178 | $30,578 |
| Texas Health Presbyterian Hospital DallasDallas | 17 | $180,969 | $32,250 | $31,278 |
| Lake Pointe Medical CenterRowlett | 17 | $106,127 | $33,782 | $29,515 |
| The Heart Hospital Baylor PlanoPlano | 17 | $124,969 | $34,217 | $32,937 |
| Valley Baptist Medical CenterHarlingen | 16 | $443,482 | $33,023 | $30,765 |
| Methodist HospitalSan Antonio | 16 | $333,622 | $34,993 | $32,767 |
| Mem Hermann Mem City HospHouston | 16 | $194,768 | $42,952 | $41,711 |
| Medical Center of PlanoPlano | 16 | $596,968 | $35,780 | $34,018 |
| Memorial Hermann NortheastHumble | 16 | $170,098 | $36,676 | $35,528 |
| Covenant Medical CenterLubbock | 14 | $296,725 | $33,406 | $30,818 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 14 | $170,340 | $46,403 | $30,395 |
| University Medical CenterLubbock | 14 | $223,853 | $45,164 | $37,769 |
| Laredo Medical CenterLaredo | 13 | $282,904 | $37,778 | $35,665 |
| Trinity Mother Frances SystTyler | 13 | $250,841 | $32,762 | $31,667 |
| South Texas Health SystemEdinburg | 13 | $375,594 | $36,788 | $35,529 |
| St Lukes Episcopal HospitalHouston | 13 | $473,822 | $75,289 | $59,569 |
| Sierra Medical CenterEl Paso | 13 | $435,863 | $30,285 | $28,590 |
| University of Texas Medical Branch GalGalveston | 12 | $135,600 | $52,826 | $41,315 |
| Medical City Dallas HospitalDallas | 12 | $436,506 | $45,994 | $28,196 |
| Methodist Sugar Land HospitalSugar Land | 12 | $259,318 | $31,278 | $30,734 |
| Doctors Hospital at RenaissanceEdinburg | 12 | $221,545 | $57,159 | $40,035 |
| Baylor Regional Medical Center at PlanoPlano | 12 | $127,161 | $34,211 | $26,239 |
| Seton Medical Center AustinAustin | 11 | $526,044 | $53,711 | $50,465 |
| Clear Lake Regional Medical CenterWebster | 11 | $445,396 | $55,369 | $25,111 |
| Methodist Charlton Medical CenterDallas | 11 | $154,502 | $31,644 | $30,429 |
| Memorial Hermann Katy HospitalKaty | 11 | $130,838 | $30,797 | $29,165 |
| Methodist Mansfield Medical CenterMansfield | 11 | $127,377 | $28,750 | $21,090 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 11 | $178,864 | $39,311 | $28,952 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 11 | $211,144 | $34,061 | $32,911 |
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 Scott and White Medical Center McKinneyMc Kinney, TX | $26,249 |
|---|---|
| Methodist Mansfield Medical CenterMansfield, TX | $28,750 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $29,461 |
| Bsa HospitalAmarillo, TX | $30,149 |
| Sierra Medical CenterEl Paso, TX | $30,285 |
Highest
| St Lukes Episcopal HospitalHouston, TX | $75,289 |
|---|---|
| University Health SystemSan Antonio, TX | $74,534 |
| Doctors Hospital at RenaissanceEdinburg, TX | $57,159 |
| Memorial Hermann Texas Medical CenterHouston, TX | $56,212 |
| Clear Lake Regional Medical CenterWebster, TX | $55,369 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 47 hospitals in Texas was billed at $237,101 on average, while the average total payment was $40,126, of which Medicare paid $34,416. 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 5.9 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.