facebook tracking Laparoscopic cholecystectomy without c.d.e. with major complications cost in Texas: 23 hospitals compared (DRG 417)

Laparoscopic cholecystectomy without c.d.e. with major complications in Texas

What 23 hospitals in Texas charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417), from 2024 Medicare claims.

DRG 417 Inpatient 2024 Medicare data
Average charge $164,099 Hospital list price billed
Average payment $19,229 Medicare + patient + other payers
Medicare paid $16,384 Average per stay
State rank #10 of 33 1 = lowest average payment

Hospitals in Texas billed an average of $164,099 for laparoscopic cholecystectomy without c.d.e. with major complications, about 8.5 times the average total payment of $19,229. That payment is 9% below the U.S. average of $21,203.

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 $19,229Billed $164,099

About 12¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: laparoscopic cholecystectomy without c.d.e. 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 45 $151,640 $18,081 $13,285
Bsa HospitalAmarillo 29 $99,580 $17,200 $14,232
Covenant Medical CenterLubbock 25 $196,677 $17,432 $15,601
Mem Hermann Southwest HospHouston 25 $117,786 $20,903 $19,344
Texas Health Harris Methodist Fort WorthFort Worth 23 $116,089 $21,859 $18,193
United Regional Hlth Care SystWichita Falls 20 $63,529 $19,646 $18,342
Texas Health Presbyterian Hospital PlanoPlano 19 $116,313 $18,008 $16,551
Trinity Mother Frances SystTyler 17 $188,180 $16,858 $15,361
Baptist Medical CenterSan Antonio 15 $209,105 $17,262 $15,763
Medical Center of PlanoPlano 15 $289,596 $18,940 $15,037
Scott & White Hospital-Round RockRound Rock 14 $74,275 $17,508 $15,562
Texoma Healthcare SystemDenison 13 $217,130 $18,581 $14,268
Corpus Christi Medical Center,TheCorpus Christi 13 $236,412 $18,957 $17,276
Northwest Texas Hlthcare SystAmarillo 12 $353,541 $33,447 $31,453
Plaza Medical Center of Fort WorthFort Worth 12 $224,485 $20,919 $13,921
Methodist Sugar Land HospitalSugar Land 12 $114,279 $16,778 $15,282
Baylor Regional Medical Center at PlanoPlano 12 $93,892 $16,209 $14,713
Methodist Stone Oak HospitalSan Antonio 12 $104,056 $15,887 $14,255
St Joseph Regional Health CenterBryan 11 $119,864 $19,025 $13,611
Methodist Hospital,TheHouston 11 $118,484 $20,612 $17,654
Clear Lake Regional Medical CenterWebster 11 $254,954 $20,680 $13,821
Kingwood Medical CenterKingwood 11 $440,061 $27,661 $25,997
Houston Methodist the Woodlands HospitalThe Woodlands 11 $125,553 $16,612 $14,980
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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.

Highest

Laparoscopic cholecystectomy without c.d.e. with major complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417) at 23 hospitals in Texas was billed at $164,099 on average, while the average total payment was $19,229, of which Medicare paid $16,384. 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 8.5 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.