Fever and inflammatory conditions in Texas
What 4 hospitals in Texas charged and were paid for a Medicare hospital stay for fever and inflammatory conditions (DRG 864), from 2024 Medicare claims.
Average charge
$53,415
Hospital list price billed
Average payment
$9,036
Medicare + patient + other payers
Medicare paid
$6,734
Average per stay
State rank
#3 of 7
1 = lowest average payment
Hospitals in Texas billed an average of $53,415 for fever and inflammatory conditions, about 5.9 times the average total payment of $9,036. That payment is 10% below the U.S. average of $10,034.
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 $9,036Billed $53,415
About 17¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: fever and inflammatory conditions
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 | 16 | $61,091 | $7,424 | $5,964 |
| Methodist Hospital,TheHouston | 14 | $80,368 | $10,694 | $7,400 |
| Baylor University Medical CenterDallas | 12 | $33,021 | $10,339 | $7,381 |
| UT Southwestern University HospitalDallas | 12 | $32,127 | $7,946 | $6,334 |
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 HospitalSan Antonio, TX | $7,424 |
|---|---|
| UT Southwestern University HospitalDallas, TX | $7,946 |
| Baylor University Medical CenterDallas, TX | $10,339 |
| Methodist Hospital,TheHouston, TX | $10,694 |
Highest
| Methodist Hospital,TheHouston, TX | $10,694 |
|---|---|
| Baylor University Medical CenterDallas, TX | $10,339 |
| UT Southwestern University HospitalDallas, TX | $7,946 |
| Methodist HospitalSan Antonio, TX | $7,424 |
Fever and inflammatory conditions in other states
Questions
How much does fever and inflammatory conditions cost in Texas?
In 2024 Medicare data, a hospital stay for fever and inflammatory conditions (DRG 864) at 4 hospitals in Texas was billed at $53,415 on average, while the average total payment was $9,036, of which Medicare paid $6,734. 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.