Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Texas
What 37 hospitals in Texas charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$55,169
Hospital list price billed
Average payment
$8,190
Medicare + patient + other payers
Medicare paid
$6,309
Average per stay
State rank
#25 of 39
1 = lowest average payment
Hospitals in Texas billed an average of $55,169 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 6.7 times the average total payment of $8,190. That payment is 6% below the U.S. average of $8,749.
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 $8,190Billed $55,169
About 15¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 | 47 | $57,187 | $7,247 | $5,505 |
| Texas Health Harris Methodist Fort WorthFort Worth | 30 | $32,639 | $8,325 | $6,442 |
| Kingwood Medical CenterKingwood | 30 | $99,387 | $8,426 | $6,466 |
| Bsa HospitalAmarillo | 28 | $44,970 | $6,766 | $5,083 |
| Baptist Medical CenterSan Antonio | 24 | $62,813 | $7,538 | $6,139 |
| Methodist Stone Oak HospitalSan Antonio | 24 | $47,826 | $6,200 | $4,840 |
| St David's South Austin Medical CenterAustin | 23 | $62,134 | $8,156 | $5,492 |
| Scott & White Memorial HospitalTemple | 19 | $37,503 | $10,086 | $7,577 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 19 | $40,156 | $7,782 | $6,216 |
| Methodist Hospital,TheHouston | 19 | $36,105 | $9,114 | $6,302 |
| Denton Regional Medical CenterDenton | 19 | $82,826 | $8,104 | $6,325 |
| Medical Center of PlanoPlano | 19 | $78,686 | $7,294 | $5,735 |
| Shannon Medical CenterSan Angelo | 18 | $31,358 | $6,684 | $5,501 |
| Clear Lake Regional Medical CenterWebster | 17 | $88,245 | $7,632 | $6,475 |
| North Austin Medical CenterAustin | 17 | $38,669 | $7,872 | $5,875 |
| Mem Hermann Southwest HospHouston | 16 | $47,528 | $9,422 | $7,946 |
| Hendrick Health SystemAbilene | 16 | $54,361 | $7,003 | $5,661 |
| Baylor Regional Medical Center at GrapevineGrapevine | 15 | $31,992 | $5,723 | $4,200 |
| Hillcrest Baptist Med CenterWaco | 14 | $33,197 | $8,216 | $6,632 |
| Round Rock Medical CenterRound Rock | 14 | $69,364 | $6,934 | $5,419 |
| Seton Medical Center WilliamsonRound Rock | 14 | $65,675 | $7,433 | $6,153 |
| Medical Center of McKinneyMcKinney | 13 | $77,270 | $7,368 | $6,022 |
| Medical Center of LewisvilleLewisville | 13 | $84,355 | $8,249 | $6,871 |
| Lake Pointe Medical CenterRowlett | 13 | $30,610 | $7,149 | $5,229 |
| Texas Health Presbyterian Hospital PlanoPlano | 13 | $39,010 | $9,317 | $5,438 |
| Memorial Hermann Texas Medical CenterHouston | 12 | $57,259 | $12,403 | $9,199 |
| Paris Regional Medical CenterParis | 12 | $24,258 | $6,624 | $5,121 |
| University Health SystemSan Antonio | 12 | $38,942 | $21,491 | $17,523 |
| Medical City Dallas HospitalDallas | 12 | $58,239 | $7,989 | $6,317 |
| Corpus Christi Medical Center,TheCorpus Christi | 12 | $110,415 | $8,376 | $6,780 |
| United Regional Hlth Care SystWichita Falls | 11 | $25,424 | $7,479 | $5,847 |
| Baylor University Medical CenterDallas | 11 | $36,766 | $10,730 | $7,168 |
| CHRISTUS HospitalBeaumont | 11 | $45,101 | $8,385 | $7,643 |
| Las Palmas Medical CenterEl Paso | 11 | $91,575 | $9,486 | $7,715 |
| Texoma Healthcare SystemDenison | 11 | $66,627 | $7,066 | $5,955 |
| St Davids HospitalAustin | 11 | $47,453 | $7,010 | $5,526 |
| Seton Medical Center HaysKyle | 11 | $43,977 | $10,230 | $5,784 |
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 GrapevineGrapevine, TX | $5,723 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $6,200 |
| Paris Regional Medical CenterParis, TX | $6,624 |
| Shannon Medical CenterSan Angelo, TX | $6,684 |
| Bsa HospitalAmarillo, TX | $6,766 |
Highest
| University Health SystemSan Antonio, TX | $21,491 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $12,403 |
| Baylor University Medical CenterDallas, TX | $10,730 |
| Seton Medical Center HaysKyle, TX | $10,230 |
| Scott & White Memorial HospitalTemple, TX | $10,086 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 37 hospitals in Texas was billed at $55,169 on average, while the average total payment was $8,190, of which Medicare paid $6,309. 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 6.7 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.