Lower extremity and humerus procedures except hip, foot and femur with complications in Texas
What 38 hospitals in Texas charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$151,775
Hospital list price billed
Average payment
$21,391
Medicare + patient + other payers
Medicare paid
$17,210
Average per stay
State rank
#22 of 40
1 = lowest average payment
Hospitals in Texas billed an average of $151,775 for lower extremity and humerus procedures except hip, foot and femur with complications, about 7.1 times the average total payment of $21,391. That payment is 6% below the U.S. average of $22,820.
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 $21,391Billed $151,775
About 14¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: lower extremity and humerus procedures except hip, foot and femur with 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 |
|---|---|---|---|---|
| Texas Health Harris Methodist Fort WorthFort Worth | 46 | $86,620 | $18,520 | $16,094 |
| Methodist HospitalSan Antonio | 45 | $136,882 | $17,435 | $14,460 |
| Mem Hermann Southwest HospHouston | 37 | $112,191 | $23,681 | $18,010 |
| Baylor Regional Medical Center at GrapevineGrapevine | 37 | $90,537 | $16,356 | $14,025 |
| Memorial Hermann Texas Medical CenterHouston | 33 | $148,740 | $27,699 | $22,319 |
| Texas Health Presbyterian Hospital DallasDallas | 33 | $91,914 | $27,359 | $14,915 |
| St David's South Austin Medical CenterAustin | 32 | $218,188 | $17,167 | $15,825 |
| University Medical CenterLubbock | 30 | $113,666 | $29,364 | $20,107 |
| Medical Center of PlanoPlano | 29 | $290,028 | $23,631 | $14,859 |
| Baylor University Medical CenterDallas | 28 | $77,301 | $22,162 | $17,752 |
| Texas Health Presbyterian Hospital PlanoPlano | 28 | $84,633 | $18,150 | $15,473 |
| Methodist Stone Oak HospitalSan Antonio | 27 | $136,782 | $16,316 | $13,550 |
| Memorial Hermann Katy HospitalKaty | 26 | $110,947 | $24,580 | $14,394 |
| East Texas Medical CenterTyler | 25 | $174,052 | $18,361 | $16,662 |
| Hendrick Health SystemAbilene | 23 | $158,225 | $18,404 | $17,107 |
| Denton Regional Medical CenterDenton | 23 | $326,198 | $21,885 | $16,346 |
| Baptist Medical CenterSan Antonio | 20 | $203,321 | $19,137 | $13,887 |
| Methodist Hospital,TheHouston | 20 | $162,373 | $20,192 | $16,894 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 19 | $86,896 | $15,742 | $14,196 |
| University of Texas Medical Branch GalGalveston | 18 | $82,554 | $25,212 | $22,191 |
| Covenant Medical CenterLubbock | 18 | $174,278 | $17,552 | $15,926 |
| University Health SystemSan Antonio | 17 | $109,960 | $34,963 | $29,032 |
| Kingwood Medical CenterKingwood | 17 | $411,328 | $23,024 | $18,421 |
| Scott & White Memorial HospitalTemple | 16 | $79,570 | $22,451 | $19,181 |
| Valley Baptist Medical CenterHarlingen | 15 | $251,874 | $18,224 | $16,627 |
| Trinity Mother Frances SystTyler | 15 | $158,707 | $16,861 | $15,546 |
| Bsa HospitalAmarillo | 15 | $95,106 | $16,685 | $15,304 |
| Shannon Medical CenterSan Angelo | 15 | $68,941 | $16,707 | $15,722 |
| Medical Center of ArlingtonArlington | 15 | $418,145 | $24,192 | $18,155 |
| University Medical Center at BrackenridgeAustin | 14 | $180,529 | $33,076 | $30,617 |
| Clear Lake Regional Medical CenterWebster | 14 | $246,343 | $18,008 | $14,916 |
| Texas Orthopedic HospitalHouston | 14 | $205,884 | $16,740 | $12,877 |
| Seton Medical Center WilliamsonRound Rock | 14 | $189,241 | $17,873 | $16,360 |
| UT Southwestern University HospitalDallas | 13 | $71,151 | $20,826 | $15,387 |
| Huguley Health SystemFort Worth | 12 | $142,536 | $17,605 | $16,220 |
| Jps Health NetworkFort Worth | 11 | $104,228 | $48,286 | $41,193 |
| Methodist Dallas Medical CenterDallas | 11 | $90,147 | $23,261 | $20,390 |
| CHRISTUS St Michael Health SystemTexarkana | 11 | $90,346 | $16,302 | $14,643 |
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
| Baylor Scott and White Medical Center McKinneyMc Kinney, TX | $15,742 |
|---|---|
| CHRISTUS St Michael Health SystemTexarkana, TX | $16,302 |
| Methodist Stone Oak HospitalSan Antonio, TX | $16,316 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $16,356 |
| Bsa HospitalAmarillo, TX | $16,685 |
Highest
| Jps Health NetworkFort Worth, TX | $48,286 |
|---|---|
| University Health SystemSan Antonio, TX | $34,963 |
| University Medical Center at BrackenridgeAustin, TX | $33,076 |
| University Medical CenterLubbock, TX | $29,364 |
| Memorial Hermann Texas Medical CenterHouston, TX | $27,699 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Texas?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 38 hospitals in Texas was billed at $151,775 on average, while the average total payment was $21,391, of which Medicare paid $17,210. 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.