Headaches without major complications in Texas
What 10 hospitals in Texas charged and were paid for a Medicare hospital stay for headaches without major complications (DRG 103), from 2024 Medicare claims.
Average charge
$70,205
Hospital list price billed
Average payment
$8,312
Medicare + patient + other payers
Medicare paid
$5,501
Average per stay
State rank
#4 of 16
1 = lowest average payment
Hospitals in Texas billed an average of $70,205 for headaches without major complications, about 8.4 times the average total payment of $8,312. That payment is 19% below the U.S. average of $10,322.
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 $8,312Billed $70,205
About 12¢ 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: headaches 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 | 37 | $72,102 | $7,548 | $5,008 |
| Baptist Medical CenterSan Antonio | 29 | $78,696 | $7,428 | $5,509 |
| Scott & White Memorial HospitalTemple | 17 | $35,136 | $10,372 | $6,629 |
| Kingwood Medical CenterKingwood | 17 | $131,073 | $8,244 | $6,047 |
| Methodist Hospital,TheHouston | 16 | $52,985 | $11,899 | $5,137 |
| Medical Center of PlanoPlano | 15 | $87,757 | $7,450 | $5,160 |
| Texoma Healthcare SystemDenison | 13 | $88,740 | $7,181 | $4,875 |
| UT Southwestern University HospitalDallas | 11 | $29,116 | $9,252 | $5,366 |
| St Davids HospitalAustin | 11 | $47,740 | $7,069 | $4,844 |
| Texas Health Presbyterian Hospital DallasDallas | 11 | $44,336 | $7,734 | $7,082 |
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
| St Davids HospitalAustin, TX | $7,069 |
|---|---|
| Texoma Healthcare SystemDenison, TX | $7,181 |
| Baptist Medical CenterSan Antonio, TX | $7,428 |
| Medical Center of PlanoPlano, TX | $7,450 |
| Methodist HospitalSan Antonio, TX | $7,548 |
Highest
| Methodist Hospital,TheHouston, TX | $11,899 |
|---|---|
| Scott & White Memorial HospitalTemple, TX | $10,372 |
| UT Southwestern University HospitalDallas, TX | $9,252 |
| Kingwood Medical CenterKingwood, TX | $8,244 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $7,734 |
Headaches without major complications in other states
Questions
How much does headaches without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for headaches without major complications (DRG 103) at 10 hospitals in Texas was billed at $70,205 on average, while the average total payment was $8,312, of which Medicare paid $5,501. 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 8.4 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.