Average charge
$237,681
Hospital list price billed
Average allowed
$29,023
Medicare's payment + patient's share
Medicare paid
$27,388
Average per service
State rank
#16 of 47
1 = lowest average payment
Hospitals in Texas billed an average of $237,681 for level 2 icd and similar procedures, about 8.2 times the average medicare-allowed amount of $29,023 . That payment is 6% below the U.S. average of $31,009.
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 $29,023 Billed $237,681
About 12¢ was paid for every $1 hospitals in Texas billed for this service.
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Texas hospitals: level 2 icd and similar procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
The Heart Hospital Baylor Plano Plano 138
$156,367
$29,114 $27,482
St Davids Hospital Austin 99
$491,572
$28,324 $26,687
Methodist Hospital San Antonio 92
$210,830
$26,000 $24,365
Baylor Heart and Vascular Hospital Dallas 87
$143,996
$28,714 $27,079
Trinity Mother Frances Syst Tyler 82
$221,224
$28,463 $26,828
Methodist Hospital,The Houston 61
$272,550
$30,414 $28,782
Mem Hermann Southwest Hosp Houston 49
$65,556
$29,827 $28,190
Longview Regional Medical Center Longview 44
$344,026
$27,929 $26,297
St David's South Austin Medical Center Austin 43
$526,118
$28,872 $27,234
Texas Health Presbyterian Hospital Dallas Dallas 41
$155,594
$29,519 $27,887
Hendrick Health System Abilene 38
$348,971
$30,787 $29,155
St Lukes Episcopal Hospital Houston 37
$254,589
$30,415 $28,773
Scott & White Memorial Hospital Temple 35
$137,195
$29,127 $27,495
University of Texas Medical Branch Gal Galveston 33
$184,018
$28,990 $27,333
UT Southwestern University Hospital Dallas 32
$163,210
$29,519 $27,887
Baptist Medical Center San Antonio 31
$406,793
$27,597 $25,963
CHRISTUS Santa Rosa Hospital San Antonio 31
$226,895
$28,463 $26,823
Memorial Hermann Texas Medical Center Houston 30
$104,766
$30,414 $28,782
East Texas Medical Center Tyler 28
$162,282
$28,463 $26,831
Shannon Medical Center San Angelo 26
$186,290
$30,481 $28,849
United Regional Hlth Care Syst Wichita Falls 25
$98,116
$30,619 $28,987
Clear Lake Regional Medical Center Webster 25
$153,096
$30,414 $28,782
Round Rock Medical Center Round Rock 25
$484,664
$27,792 $26,150
Baylor Regional Medical Center at Grapevine Grapevine 24
$156,139
$29,613 $27,981
HCA Houston Healthcare Medical Center Houston 24
$395,404
$30,414 $28,782
CHRISTUS St Michael Health System Texarkana 24
$218,946
$28,463 $26,813
The Heart Hospital Baylor Denton Denton 22
$165,473
$29,613 $27,981
Good Shepherd Medical Center Marshall Marshall 21
$297,531
$29,181 $27,549
Medical City Dallas Hospital Dallas 21
$470,107
$29,519 $27,887
Lubbock Heart Hospital Lp Lubbock 21
$110,631
$28,463 $26,831
Mem Hermann Mem City Hosp Houston 19
$64,606
$30,415 $28,768
Texas Health Harris Methodist Fort Worth Fort Worth 17
$150,257
$29,519 $27,887
Bsa Hospital Amarillo 17
$205,432
$26,325 $24,693
Las Palmas Medical Center El Paso 16
$232,663
$28,463 $26,831
Houston Methodist Baytown Hospital Baytown 16
$261,121
$30,414 $28,782
Methodist Willowbrook Hospital Houston 16
$265,237
$30,414 $28,782
Covenant Medical Center Lubbock 15
$198,452
$28,463 $26,831
St Luke's the Woodlands Hospital Conroe 15
$253,409
$30,414 $28,782
Medical City Alliance Fort Worth 15
$347,265
$29,613 $27,981
Parkland Health and Hospital System Dallas 14
$215,601
$29,519 $27,887
Texas Health Harris Methodist Hurst-Euless-Bedford Bedford 14
$146,559
$29,613 $27,981
Denton Community Hospital Denton 14
$132,119
$27,812 $26,238
Methodist Dallas Medical Center Dallas 13
$104,544
$29,519 $27,887
CHI St Lukes Health Memorial Lufkin Lufkin 13
$386,599
$28,463 $26,831
Harlingen Medical Center Harlingen 13
$212,772
$28,463 $26,831
CHRISTUS Mother Frances Hospital Sulphur Springs Sulphur Springs 12
$235,911
$31,612 $29,980
Denton Regional Medical Center Denton 12
$433,798
$29,613 $27,981
West Houston Medical Center Houston 12
$282,644
$30,415 $28,763
Lake Pointe Medical Center Rowlett 12
$162,347
$27,195 $25,563
Kingwood Medical Center Kingwood 12
$237,272
$30,414 $28,782
Scott & White Hospital-Round Rock Round Rock 12
$133,359
$28,872 $27,240
Texas Health Heart & Vascular Hospital Arlington Arlington 12
$178,583
$29,613 $27,981
St Joseph Regional Health Center Bryan 11
$187,269
$28,570 $26,931
Methodist Sugar Land Hospital Sugar Land 11
$253,071
$29,505 $27,873
Doctors Hospital at Renaissance Edinburg 11
$148,560
$28,463 $26,796
Providence Memorial Hospital El Paso –
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Sid Peterson Memorial Hospital Kerrville –
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Citizens Medical Center Victoria –
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University Medical Center of El Paso El Paso –
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Valley Baptist Medical Center - Brownsville Brownsville –
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Laredo Medical Center Laredo –
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Valley Baptist Medical Center Harlingen –
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CHRISTUS St Joseph Hospital Houston –
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Jps Health Network Fort Worth –
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Providence Health Center Waco –
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CHRISTUS Spohn Hospital Corpus Christi Corpus Christi –
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Seton Medical Center Austin Austin –
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Univ of Tx M D Anderson Ctr Houston –
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Baylor Medical Center at Irving Irving –
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North Hills Hospital North Richland Hills –
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HCA Houston Healthcare Southeast Pasadena –
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Hillcrest Baptist Med Center Waco –
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South Texas Health System Edinburg –
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Medical Center Hospital Odessa –
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Midland Memorial Hospital Midland –
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Detar Hospital Navarro Victoria –
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Adventhealth Central Texas Killeen –
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Paris Regional Medical Center Paris –
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Wadley Regional Medical Center Texarkana –
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Northwest Texas Hlthcare Syst Amarillo –
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University Health System San Antonio –
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Conroe Regional Medical Center Conroe –
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Medical City DecaturDecatur
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CHRISTUS Santa Rosa Hospital-San Marcos San Marcos –
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Harris County Hospital District Houston –
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Texoma Healthcare System Denison –
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Mem Hermann Baptist Hospital Beaumont –
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Huntsville Memorial Hospital Huntsville –
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Hunt Regional Medical Center Greenville –
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Medical Center of McKinney McKinney –
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Matagorda General Hospital Bay City –
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Wilson N Jones Regional Medical Center Sherman –
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Woodland Heights Medical Center Lufkin –
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Nacogdoches Memorial Hospital Nacogdoches –
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The Medical Center of Southeast Texas Port Arthur –
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Methodist Richardson Medical Center Richardson –
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Lake Granbury Medical Center Granbury –
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Houston Northwest Medical Center Houston –
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Medical Center of Plano Plano –
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Nacogdoches Medical Center Nacogdoches –
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Odessa Regional Hospital Odessa –
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Valley Regional Medical Center Brownsville –
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Sierra Medical Center El Paso –
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Medical Center of Lewisville Lewisville –
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Tomball Regional Hospital Tomball –
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Plaza Medical Center of Fort Worth Fort Worth –
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Medical Center of Arlington Arlington –
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Huguley Health System Fort Worth –
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Memorial Hermann Northeast Humble –
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University Medical Center Lubbock –
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Dallas Regional Medical Center Mesquite –
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El Campo Memorial Hospital El Campo –
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Houston Methodist Clear Lake Hospital Houston –
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Rio Grande Regional Hospital McAllen –
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Methodist Charlton Medical Center Dallas –
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Texas Health Presbyterian Hospital Plano Plano –
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Texas Health Harris Methodist Hospital Southwest F Fort Worth –
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Corpus Christi Medical Center,The Corpus Christi –
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CHRISTUS Spohn Hospital Alice Alice –
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Texas Health Presbyterian Hospital Allen Allen –
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Memorial Hermann Katy Hospital Katy –
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Memorial Hermann Sugar Land Hospital Sugar Land –
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Centennial Medical Center Frisco –
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Texas Childrens Hospital Houston –
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Houston Physicians' Hospital Webster –
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Methodist Mansfield Medical Center Mansfield –
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Seton Medical Center Williamson Round Rock –
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Sierra Providence East Medical Center El Paso –
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St Luke's Sugar Land Hospital Sugar Land –
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Methodist Stone Oak Hospital San Antonio –
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Texas Regional Medical Center at Sunnyvale Sunnyvale –
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St Luke's Hospital at the Vintage Houston –
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Baylor Scott and White Surgical Hospital at Sherma Sherman –
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Houston Methodist West Hospital Houston –
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Texas Health Harris Methodist Hospital Alliance Fort Worth –
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Baylor Scott & White Medical Center- College Stati College Station –
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Resolute Health Hospital New Braunfels –
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The Hospitals of Providence Transmountain Campus El Paso –
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Houston Methodist the Woodlands Hospital The Woodlands –
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Methodist Southlake Medical Center Southlake –
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The Woodlands Specialty Hospital Spring –
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Texas Health Hospital Mansfield Mansfield –
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Lowest and highest allowed amounts in Texas
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
Methodist Hospital San Antonio, TX $26,000 Bsa Hospital Amarillo, TX $26,325 Lake Pointe Medical Center Rowlett, TX $27,195 Baptist Medical Center San Antonio, TX $27,597 Round Rock Medical Center Round Rock, TX $27,792
Highest
CHRISTUS Mother Frances Hospital Sulphur Springs Sulphur Springs, TX $31,612 Hendrick Health System Abilene, TX $30,787 United Regional Hlth Care Syst Wichita Falls, TX $30,619 Shannon Medical Center San Angelo, TX $30,481 West Houston Medical Center Houston, TX $30,415
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Texas? In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 142 hospitals in Texas was billed at $237,681 on average, while the average medicare-allowed amount was $29,023, of which Medicare paid $27,388. 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 service in Texas, average charges were 8.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data .
