facebook tracking Fractures of hip and pelvis without major complications cost in Texas: 34 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in Texas

What 34 hospitals in Texas charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.

DRG 536 Inpatient 2024 Medicare data
Average charge $45,285 Hospital list price billed
Average payment $7,750 Medicare + patient + other payers
Medicare paid $6,087 Average per stay
State rank #30 of 37 1 = lowest average payment

Hospitals in Texas billed an average of $45,285 for fractures of hip and pelvis without major complications, about 5.8 times the average total payment of $7,750. That payment is 2% above the U.S. average of $7,596.

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 $7,750Billed $45,285

About 17¢ 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: fractures of hip and pelvis 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 46 $44,683 $6,750 $5,029
Mem Hermann Southwest HospHouston 27 $37,648 $8,663 $6,920
Texas Health Presbyterian Hospital DallasDallas 27 $35,830 $7,098 $5,619
Baylor University Medical CenterDallas 21 $33,337 $8,788 $6,501
Bsa HospitalAmarillo 21 $34,139 $6,647 $4,492
Kingwood Medical CenterKingwood 21 $90,121 $7,117 $5,390
Medical Center of PlanoPlano 19 $86,463 $6,017 $4,962
University Medical Center of El PasoEl Paso 18 $38,703 $20,858 $18,889
Shannon Medical CenterSan Angelo 18 $37,776 $6,225 $5,042
Hillcrest Baptist Med CenterWaco 17 $27,574 $7,290 $5,487
Texas Health Harris Methodist Fort WorthFort Worth 17 $40,705 $7,395 $5,958
Texoma Healthcare SystemDenison 17 $64,960 $6,429 $4,900
Methodist Willowbrook HospitalHouston 17 $36,063 $6,628 $5,380
Scott & White Memorial HospitalTemple 16 $44,787 $9,294 $6,172
CHRISTUS Santa Rosa HospitalSan Antonio 16 $24,016 $6,821 $5,515
Medical Center of McKinneyMcKinney 16 $79,989 $6,550 $5,122
United Regional Hlth Care SystWichita Falls 15 $24,550 $6,707 $5,293
Baptist Medical CenterSan Antonio 15 $57,833 $6,771 $5,320
Memorial Hermann Texas Medical CenterHouston 15 $60,336 $11,517 $9,030
Northwest Texas Hlthcare SystAmarillo 15 $63,321 $8,532 $6,261
CHRISTUS St Michael Health SystemTexarkana 15 $28,008 $6,217 $4,882
University of Texas Medical Branch GalGalveston 14 $27,285 $10,732 $7,864
Hendrick Health SystemAbilene 14 $38,592 $6,305 $4,894
Baylor Regional Medical Center at GrapevineGrapevine 14 $31,406 $5,042 $3,527
University Medical CenterLubbock 14 $49,809 $11,193 $9,513
CHRISTUS HospitalBeaumont 13 $33,188 $7,696 $6,694
Memorial Hermann Katy HospitalKaty 13 $42,310 $7,221 $5,715
Baylor Scott and White Medical Center McKinneyMc Kinney 13 $32,402 $4,982 $3,852
St David's South Austin Medical CenterAustin 12 $76,327 $7,097 $5,951
Methodist Stone Oak HospitalSan Antonio 12 $49,604 $5,315 $3,955
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 11 $27,313 $9,560 $8,132
Round Rock Medical CenterRound Rock 11 $56,770 $6,338 $5,003
North Austin Medical CenterAustin 11 $42,673 $6,832 $5,210
Methodist Sugar Land HospitalSugar Land 11 $36,184 $6,129 $4,500
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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.

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 34 hospitals in Texas was billed at $45,285 on average, while the average total payment was $7,750, of which Medicare paid $6,087. 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 5.8 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.