facebook tracking Hip and femur procedures except major joint with major complications cost in Texas: 62 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Texas

What 62 hospitals in Texas charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $172,063 Hospital list price billed
Average payment $24,092 Medicare + patient + other payers
Medicare paid $21,133 Average per stay
State rank #22 of 46 1 = lowest average payment

Hospitals in Texas billed an average of $172,063 for hip and femur procedures except major joint with major complications, about 7.1 times the average total payment of $24,092. That payment is 8% below the U.S. average of $26,284.

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 $24,092Billed $172,063

About 14¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: hip and femur procedures except major joint 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
Memorial Hermann Texas Medical CenterHouston 77 $176,032 $30,522 $25,948
Mem Hermann Southwest HospHouston 72 $102,891 $23,264 $21,795
Methodist HospitalSan Antonio 43 $180,212 $20,786 $19,030
Texas Health Harris Methodist Fort WorthFort Worth 41 $107,284 $24,206 $19,293
Covenant Medical CenterLubbock 34 $251,148 $21,475 $19,425
Trinity Mother Frances SystTyler 34 $203,942 $19,513 $17,724
University of Texas Medical Branch GalGalveston 31 $109,093 $32,643 $25,540
Bsa HospitalAmarillo 31 $118,524 $20,616 $18,038
University Health SystemSan Antonio 30 $130,874 $43,682 $35,771
Medical Center of PlanoPlano 29 $365,636 $22,791 $21,262
Memorial Hermann Katy HospitalKaty 29 $108,496 $22,096 $19,288
Baptist Medical CenterSan Antonio 28 $226,863 $18,989 $17,605
Texas Health Presbyterian Hospital DallasDallas 28 $89,941 $23,303 $19,529
Denton Regional Medical CenterDenton 28 $337,647 $22,093 $20,448
Scott & White Memorial HospitalTemple 26 $95,092 $25,215 $21,864
Baylor University Medical CenterDallas 25 $96,836 $27,009 $20,560
Methodist Willowbrook HospitalHouston 25 $157,896 $20,900 $19,660
Hillcrest Baptist Med CenterWaco 24 $82,863 $22,754 $19,829
Kingwood Medical CenterKingwood 24 $407,630 $24,397 $20,958
Northwest Texas Hlthcare SystAmarillo 23 $247,757 $23,372 $21,615
United Regional Hlth Care SystWichita Falls 22 $69,758 $24,550 $23,289
Hendrick Health SystemAbilene 22 $175,454 $22,690 $21,326
CHRISTUS Santa Rosa HospitalSan Antonio 22 $126,053 $20,092 $18,768
Texoma Healthcare SystemDenison 22 $190,622 $23,051 $18,547
Baylor Scott and White Medical Center McKinneyMc Kinney 22 $106,384 $21,811 $16,727
UT Southwestern University HospitalDallas 21 $181,426 $39,129 $27,661
St David's South Austin Medical CenterAustin 21 $321,998 $21,685 $20,396
Round Rock Medical CenterRound Rock 21 $282,240 $20,204 $18,805
Methodist Hospital,TheHouston 20 $206,277 $29,145 $24,324
Medical Center of ArlingtonArlington 20 $489,045 $22,819 $21,197
Longview Regional Medical CenterLongview 20 $196,064 $19,579 $17,195
Texas Health Presbyterian Hospital PlanoPlano 20 $122,989 $20,588 $19,446
CHRISTUS St Michael Health SystemTexarkana 20 $126,951 $18,729 $15,551
Scott & White Hospital-Round RockRound Rock 20 $89,050 $20,196 $18,265
Medical Center HospitalOdessa 19 $84,389 $23,044 $21,103
Shannon Medical CenterSan Angelo 19 $93,827 $20,174 $18,960
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 18 $185,194 $23,885 $22,423
Midland Memorial HospitalMidland 18 $70,541 $20,264 $18,764
University Medical CenterLubbock 18 $147,075 $28,655 $26,326
Seton Medical Center WilliamsonRound Rock 18 $192,432 $19,190 $17,830
Seton Medical Center HaysKyle 18 $192,906 $20,635 $19,456
Huguley Health SystemFort Worth 17 $138,431 $20,966 $19,869
Good Shepherd Medical Center MarshallMarshall 16 $122,763 $20,655 $17,402
Weatherford Regional Medical CenterWeatherford 16 $246,582 $24,731 $19,706
Lake Granbury Medical CenterGranbury 16 $236,866 $21,704 $20,423
Clear Lake Regional Medical CenterWebster 15 $311,996 $21,293 $19,791
East Texas Medical CenterTyler 14 $168,448 $18,409 $17,042
Baylor Regional Medical Center at GrapevineGrapevine 14 $134,760 $18,698 $17,648
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 14 $95,468 $20,783 $19,331
St Joseph Regional Health CenterBryan 13 $151,853 $21,846 $20,062
Jps Health NetworkFort Worth 13 $172,471 $57,834 $50,725
Las Palmas Medical CenterEl Paso 13 $308,715 $33,889 $19,243
Methodist Richardson Medical CenterRichardson 13 $90,618 $20,116 $18,484
Memorial Hermann Sugar Land HospitalSugar Land 13 $104,516 $21,507 $20,623
Baylor Scott & White Medical Center- College StatiCollege Station 13 $97,020 $20,374 $18,993
CHRISTUS HospitalBeaumont 12 $159,253 $22,308 $20,951
Methodist Dallas Medical CenterDallas 12 $118,699 $24,716 $20,706
University Medical Center at BrackenridgeAustin 12 $188,816 $36,510 $33,930
Mem Hermann Baptist HospitalBeaumont 12 $111,322 $22,505 $20,604
Baylor Medical Center at WaxahachieWaxahachie 11 $68,145 $22,076 $17,276
Medical Center of McKinneyMcKinney 11 $330,542 $20,308 $18,975
Methodist Charlton Medical CenterDallas 11 $103,554 $20,854 $19,418
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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

Highest

Jps Health NetworkFort Worth, TX$57,834
University Health SystemSan Antonio, TX$43,682
UT Southwestern University HospitalDallas, TX$39,129
University Medical Center at BrackenridgeAustin, TX$36,510
Las Palmas Medical CenterEl Paso, TX$33,889

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 62 hospitals in Texas was billed at $172,063 on average, while the average total payment was $24,092, of which Medicare paid $21,133. 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 7.1 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.