Major gastrointestinal disorders and peritoneal infections with major complications in Texas
What 20 hospitals in Texas charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371), from 2024 Medicare claims.
Average charge
$93,076
Hospital list price billed
Average payment
$15,196
Medicare + patient + other payers
Medicare paid
$12,070
Average per stay
State rank
#12 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $93,076 for major gastrointestinal disorders and peritoneal infections with major complications, about 6.1 times the average total payment of $15,196. That payment is 12% below the U.S. average of $17,357.
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 $15,196Billed $93,076
About 16¢ 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 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 | 35 | $115,188 | $20,473 | $10,938 |
| Methodist Hospital,TheHouston | 33 | $120,868 | $18,590 | $14,521 |
| UT Southwestern University HospitalDallas | 23 | $58,632 | $16,029 | $11,181 |
| Trinity Mother Frances SystTyler | 20 | $86,429 | $12,326 | $11,373 |
| Bsa HospitalAmarillo | 20 | $61,549 | $11,591 | $10,122 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 20 | $89,017 | $12,304 | $11,202 |
| Texoma Healthcare SystemDenison | 19 | $107,349 | $11,587 | $10,780 |
| United Regional Hlth Care SystWichita Falls | 18 | $44,959 | $16,203 | $13,194 |
| Baylor All Saints Medical Center at FwFort Worth | 17 | $69,235 | $15,639 | $13,156 |
| Methodist Willowbrook HospitalHouston | 17 | $102,201 | $14,018 | $11,387 |
| Texas Health Harris Methodist Fort WorthFort Worth | 16 | $76,216 | $14,659 | $11,596 |
| Methodist Sugar Land HospitalSugar Land | 16 | $73,581 | $12,556 | $11,536 |
| University Medical CenterLubbock | 15 | $73,249 | $18,644 | $16,904 |
| Mem Hermann Southwest HospHouston | 14 | $85,057 | $14,801 | $12,154 |
| St Davids HospitalAustin | 13 | $155,909 | $12,703 | $11,824 |
| CHRISTUS HospitalBeaumont | 12 | $86,938 | $15,557 | $11,032 |
| Medical Center of PlanoPlano | 12 | $117,426 | $12,664 | $11,981 |
| Baptist Medical CenterSan Antonio | 11 | $213,446 | $13,603 | $12,667 |
| Houston Methodist Baytown HospitalBaytown | 11 | $67,346 | $16,386 | $12,815 |
| Texas Health Presbyterian Hospital DallasDallas | 11 | $66,350 | $15,370 | $11,280 |
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
| Texoma Healthcare SystemDenison, TX | $11,587 |
|---|---|
| Bsa HospitalAmarillo, TX | $11,591 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $12,304 |
| Trinity Mother Frances SystTyler, TX | $12,326 |
| Methodist Sugar Land HospitalSugar Land, TX | $12,556 |
Highest
| Methodist HospitalSan Antonio, TX | $20,473 |
|---|---|
| University Medical CenterLubbock, TX | $18,644 |
| Methodist Hospital,TheHouston, TX | $18,590 |
| Houston Methodist Baytown HospitalBaytown, TX | $16,386 |
| United Regional Hlth Care SystWichita Falls, TX | $16,203 |
Major gastrointestinal disorders and peritoneal infections with major complications in other states
Questions
How much does major gastrointestinal disorders and peritoneal infections with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371) at 20 hospitals in Texas was billed at $93,076 on average, while the average total payment was $15,196, of which Medicare paid $12,070. 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 6.1 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.