facebook tracking Gastrointestinal obstruction with major complications cost in Texas: 34 hospitals compared (DRG 388)

Gastrointestinal obstruction with major complications in Texas

What 34 hospitals in Texas charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $85,461 Hospital list price billed
Average payment $13,182 Medicare + patient + other payers
Medicare paid $10,757 Average per stay
State rank #17 of 35 1 = lowest average payment

Hospitals in Texas billed an average of $85,461 for gastrointestinal obstruction with major complications, about 6.5 times the average total payment of $13,182. That payment is 9% below the U.S. average of $14,417.

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 $13,182Billed $85,461

About 15¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: gastrointestinal obstruction 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
Methodist HospitalSan Antonio 65 $100,911 $11,138 $9,541
Mem Hermann Southwest HospHouston 38 $53,801 $13,803 $10,865
Methodist Hospital,TheHouston 38 $202,165 $26,459 $19,362
UT Southwestern University HospitalDallas 27 $40,840 $12,975 $10,414
Texas Health Harris Methodist Fort WorthFort Worth 27 $53,634 $12,896 $10,340
Trinity Mother Frances SystTyler 26 $98,273 $10,447 $9,461
Houston Methodist the Woodlands HospitalThe Woodlands 26 $67,463 $9,802 $8,923
Methodist Sugar Land HospitalSugar Land 24 $91,065 $10,366 $9,278
Baylor University Medical CenterDallas 22 $61,984 $17,040 $12,268
Covenant Medical CenterLubbock 18 $100,101 $11,439 $10,082
Methodist Willowbrook HospitalHouston 18 $97,636 $11,376 $10,199
Texoma Healthcare SystemDenison 17 $75,006 $10,530 $9,385
Baptist Medical CenterSan Antonio 16 $104,314 $10,464 $9,509
Medical Center of PlanoPlano 16 $115,616 $18,213 $7,403
Baylor All Saints Medical Center at FwFort Worth 15 $62,912 $13,523 $10,989
Hendrick Health SystemAbilene 15 $75,263 $11,134 $9,920
Good Shepherd Medical Center MarshallMarshall 14 $57,548 $12,097 $10,560
Houston Methodist Baytown HospitalBaytown 14 $71,204 $11,885 $10,757
Kingwood Medical CenterKingwood 14 $154,462 $12,525 $10,524
Memorial Hermann Texas Medical CenterHouston 13 $96,668 $17,757 $14,530
University Medical CenterLubbock 13 $59,897 $17,106 $15,346
North Austin Medical CenterAustin 13 $146,800 $12,361 $10,186
Scott & White Hospital-Round RockRound Rock 13 $38,643 $12,103 $6,937
Bsa HospitalAmarillo 12 $45,888 $9,956 $9,204
Texas Health Presbyterian Hospital DallasDallas 12 $65,939 $12,263 $10,898
Baylor Regional Medical Center at GrapevineGrapevine 12 $77,168 $10,920 $9,968
Scott & White Memorial HospitalTemple 11 $42,609 $13,209 $10,760
CHRISTUS Santa Rosa HospitalSan Antonio 11 $51,033 $11,628 $10,306
St Davids HospitalAustin 11 $81,312 $10,485 $9,446
Methodist Richardson Medical CenterRichardson 11 $68,865 $11,297 $10,261
Denton Regional Medical CenterDenton 11 $87,114 $12,106 $11,016
Memorial Hermann NortheastHumble 11 $55,107 $13,223 $10,775
Baylor Regional Medical Center at PlanoPlano 11 $71,310 $11,583 $10,990
Houston Methodist West HospitalHouston 11 $60,712 $12,040 $8,964
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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.

Lowest

Houston Methodist the Woodlands HospitalThe Woodlands, TX$9,802
Bsa HospitalAmarillo, TX$9,956
Methodist Sugar Land HospitalSugar Land, TX$10,366
Trinity Mother Frances SystTyler, TX$10,447
Baptist Medical CenterSan Antonio, TX$10,464

Highest

Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 34 hospitals in Texas was billed at $85,461 on average, while the average total payment was $13,182, of which Medicare paid $10,757. 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 6.5 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.