Major gastrointestinal disorders and peritoneal infections with complications in Texas
What 32 hospitals in Texas charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.
Average charge
$47,517
Hospital list price billed
Average payment
$9,260
Medicare + patient + other payers
Medicare paid
$6,963
Average per stay
State rank
#12 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $47,517 for major gastrointestinal disorders and peritoneal infections with complications, about 5.1 times the average total payment of $9,260. That payment is 8% below the U.S. average of $10,109.
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 $9,260Billed $47,517
About 19¢ 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: major gastrointestinal disorders and peritoneal infections 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 |
|---|---|---|---|---|
| Methodist HospitalSan Antonio | 50 | $74,315 | $8,859 | $6,533 |
| Bsa HospitalAmarillo | 31 | $45,709 | $7,726 | $6,497 |
| Shannon Medical CenterSan Angelo | 24 | $35,334 | $7,754 | $6,526 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 24 | $49,848 | $7,416 | $6,191 |
| UT Southwestern University HospitalDallas | 23 | $38,257 | $11,691 | $6,259 |
| Methodist Hospital,TheHouston | 21 | $59,280 | $10,835 | $7,863 |
| Trinity Mother Frances SystTyler | 20 | $57,516 | $8,114 | $7,178 |
| Baylor Regional Medical Center at GrapevineGrapevine | 20 | $37,206 | $9,847 | $5,456 |
| Baylor University Medical CenterDallas | 18 | $37,619 | $13,559 | $7,633 |
| Texas Health Presbyterian Hospital PlanoPlano | 18 | $39,690 | $9,105 | $6,474 |
| Citizens Medical CenterVictoria | 17 | $26,522 | $8,060 | $7,004 |
| Mem Hermann Southwest HospHouston | 17 | $46,795 | $10,812 | $8,891 |
| Texoma Healthcare SystemDenison | 17 | $85,610 | $7,971 | $7,106 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 17 | $40,002 | $8,494 | $5,482 |
| United Regional Hlth Care SystWichita Falls | 16 | $42,089 | $8,697 | $7,677 |
| Texas Health Harris Methodist Fort WorthFort Worth | 16 | $37,262 | $9,108 | $8,021 |
| University Medical CenterLubbock | 15 | $53,980 | $12,769 | $11,307 |
| CHRISTUS St Michael Health SystemTexarkana | 15 | $47,704 | $8,052 | $6,243 |
| Baylor Regional Medical Center at PlanoPlano | 15 | $31,771 | $7,745 | $4,711 |
| University of Texas Medical Branch GalGalveston | 13 | $33,000 | $13,835 | $9,231 |
| Baylor All Saints Medical Center at FwFort Worth | 13 | $35,468 | $12,590 | $6,718 |
| Mission Regional Medical CenterMission | 13 | $34,683 | $8,796 | $7,794 |
| Hendrick Health SystemAbilene | 13 | $76,456 | $8,033 | $7,383 |
| Texas Health Presbyterian Hospital DallasDallas | 13 | $42,663 | $9,342 | $7,109 |
| Huguley Health SystemFort Worth | 13 | $42,422 | $9,702 | $6,626 |
| Methodist Sugar Land HospitalSugar Land | 13 | $45,763 | $7,971 | $6,590 |
| Methodist Stone Oak HospitalSan Antonio | 13 | $73,402 | $7,271 | $6,016 |
| Sid Peterson Memorial HospitalKerrville | 12 | $24,986 | $7,349 | $5,775 |
| Medical Center HospitalOdessa | 12 | $20,998 | $10,267 | $9,123 |
| Denton Community HospitalDenton | 12 | $33,368 | $9,397 | $6,811 |
| Methodist Willowbrook HospitalHouston | 11 | $61,109 | $8,347 | $7,308 |
| St Luke's the Woodlands HospitalConroe | 11 | $51,264 | $9,108 | $5,921 |
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
| Methodist Stone Oak HospitalSan Antonio, TX | $7,271 |
|---|---|
| Sid Peterson Memorial HospitalKerrville, TX | $7,349 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $7,416 |
| Bsa HospitalAmarillo, TX | $7,726 |
| Baylor Regional Medical Center at PlanoPlano, TX | $7,745 |
Highest
| University of Texas Medical Branch GalGalveston, TX | $13,835 |
|---|---|
| Baylor University Medical CenterDallas, TX | $13,559 |
| University Medical CenterLubbock, TX | $12,769 |
| Baylor All Saints Medical Center at FwFort Worth, TX | $12,590 |
| UT Southwestern University HospitalDallas, TX | $11,691 |
Major gastrointestinal disorders and peritoneal infections with complications in other states
Questions
How much does major gastrointestinal disorders and peritoneal infections with complications cost in Texas?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 32 hospitals in Texas was billed at $47,517 on average, while the average total payment was $9,260, of which Medicare paid $6,963. 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 5.1 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.