facebook tracking Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit cost in Texas: 5 hospitals compared (DRG 061)

Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit in Texas

What 5 hospitals in Texas charged and were paid for a Medicare hospital stay for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit (DRG 061), from 2024 Medicare claims.

DRG 061 Inpatient 2024 Medicare data
Average charge $243,229 Hospital list price billed
Average payment $23,216 Medicare + patient + other payers
Medicare paid $19,321 Average per stay
State rank #2 of 4 1 = lowest average payment

Hospitals in Texas billed an average of $243,229 for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit, about 10.5 times the average total payment of $23,216. That payment is 20% below the U.S. average of $28,896.

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 $23,216Billed $243,229

About 10¢ 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: ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit

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 14 $207,322 $20,498 $18,400
Kingwood Medical CenterKingwood 14 $398,757 $26,830 $19,817
Baptist Medical CenterSan Antonio 12 $257,456 $20,096 $18,944
St Joseph Regional Health CenterBryan 11 $100,918 $21,188 $19,802
Methodist Willowbrook HospitalHouston 11 $217,777 $27,507 $19,795
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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

Baptist Medical CenterSan Antonio, TX$20,096
Methodist HospitalSan Antonio, TX$20,498
St Joseph Regional Health CenterBryan, TX$21,188
Kingwood Medical CenterKingwood, TX$26,830
Methodist Willowbrook HospitalHouston, TX$27,507

Highest

Methodist Willowbrook HospitalHouston, TX$27,507
Kingwood Medical CenterKingwood, TX$26,830
St Joseph Regional Health CenterBryan, TX$21,188
Methodist HospitalSan Antonio, TX$20,498
Baptist Medical CenterSan Antonio, TX$20,096

Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit in other states

Questions

How much does ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit cost in Texas?

In 2024 Medicare data, a hospital stay for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit (DRG 061) at 5 hospitals in Texas was billed at $243,229 on average, while the average total payment was $23,216, of which Medicare paid $19,321. 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 10.5 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.