Hip replacement with principal diagnosis of hip fracture with major complications in Texas
What 24 hospitals in Texas charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$193,444
Hospital list price billed
Average payment
$23,821
Medicare + patient + other payers
Medicare paid
$20,640
Average per stay
State rank
#20 of 40
1 = lowest average payment
Hospitals in Texas billed an average of $193,444 for hip replacement with principal diagnosis of hip fracture with major complications, about 8.1 times the average total payment of $23,821. That payment is 7% below the U.S. average of $25,727.
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 $23,821Billed $193,444
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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Mem Hermann Southwest HospHouston | 41 | $112,478 | $24,074 | $21,492 |
| Medical Center of PlanoPlano | 31 | $399,978 | $19,987 | $18,845 |
| Baptist Medical CenterSan Antonio | 27 | $271,342 | $18,978 | $17,441 |
| Memorial Hermann Texas Medical CenterHouston | 27 | $205,871 | $39,156 | $26,939 |
| Methodist HospitalSan Antonio | 26 | $207,130 | $19,789 | $17,957 |
| Memorial Hermann Katy HospitalKaty | 23 | $121,897 | $21,631 | $20,355 |
| Covenant Medical CenterLubbock | 21 | $240,997 | $20,979 | $18,636 |
| Trinity Mother Frances SystTyler | 19 | $191,406 | $19,029 | $17,522 |
| University of Texas Medical Branch GalGalveston | 18 | $148,400 | $31,884 | $26,366 |
| Texas Health Presbyterian Hospital DallasDallas | 16 | $114,425 | $21,947 | $20,288 |
| Scott & White Memorial HospitalTemple | 15 | $118,700 | $27,209 | $23,539 |
| Texas Health Harris Methodist Fort WorthFort Worth | 15 | $142,249 | $24,247 | $22,603 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 15 | $111,657 | $19,900 | $18,350 |
| Methodist Willowbrook HospitalHouston | 15 | $171,716 | $25,082 | $17,294 |
| Baylor University Medical CenterDallas | 14 | $111,280 | $24,504 | $21,124 |
| Texoma Healthcare SystemDenison | 14 | $247,551 | $20,715 | $19,395 |
| Methodist Hospital,TheHouston | 14 | $270,203 | $35,773 | $30,120 |
| Northwest Texas Hlthcare SystAmarillo | 13 | $221,411 | $21,743 | $17,632 |
| Texas Health Presbyterian Hospital PlanoPlano | 13 | $119,878 | $21,220 | $20,592 |
| Bsa HospitalAmarillo | 12 | $112,505 | $22,008 | $17,631 |
| Kingwood Medical CenterKingwood | 12 | $444,964 | $25,764 | $20,812 |
| CHRISTUS St Michael Health SystemTexarkana | 12 | $125,227 | $20,259 | $18,576 |
| Good Shepherd Medical Center MarshallMarshall | 11 | $180,761 | $22,638 | $21,065 |
| Memorial Hermann Sugar Land HospitalSugar Land | 11 | $115,906 | $22,029 | $20,687 |
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
| Baptist Medical CenterSan Antonio, TX | $18,978 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $19,029 |
| Methodist HospitalSan Antonio, TX | $19,789 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $19,900 |
| Medical Center of PlanoPlano, TX | $19,987 |
Highest
| Memorial Hermann Texas Medical CenterHouston, TX | $39,156 |
|---|---|
| Methodist Hospital,TheHouston, TX | $35,773 |
| University of Texas Medical Branch GalGalveston, TX | $31,884 |
| Scott & White Memorial HospitalTemple, TX | $27,209 |
| Kingwood Medical CenterKingwood, TX | $25,764 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 24 hospitals in Texas was billed at $193,444 on average, while the average total payment was $23,821, of which Medicare paid $20,640. 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 8.1 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.