Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Texas
What 11 hospitals in Texas charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.
Average charge
$175,927
Hospital list price billed
Average payment
$24,487
Medicare + patient + other payers
Medicare paid
$17,848
Average per stay
State rank
#6 of 18
1 = lowest average payment
Hospitals in Texas billed an average of $175,927 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 7.2 times the average total payment of $24,487. That payment is 12% below the U.S. average of $27,957.
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 $24,487Billed $175,927
About 14¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio
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 | 66 | $174,138 | $22,699 | $14,793 |
| Kingwood Medical CenterKingwood | 20 | $230,016 | $19,975 | $18,290 |
| UT Southwestern University HospitalDallas | 18 | $115,070 | $27,806 | $25,607 |
| Baylor University Medical CenterDallas | 17 | $76,975 | $26,542 | $14,892 |
| Methodist Hospital,TheHouston | 17 | $271,820 | $35,142 | $31,033 |
| St David's South Austin Medical CenterAustin | 15 | $143,846 | $17,128 | $15,932 |
| Scott & White Memorial HospitalTemple | 14 | $78,540 | $22,105 | $18,719 |
| Medical City Dallas HospitalDallas | 13 | $424,687 | $48,970 | $15,314 |
| Methodist Stone Oak HospitalSan Antonio | 12 | $167,029 | $15,568 | $14,956 |
| Clear Lake Regional Medical CenterWebster | 11 | $139,760 | $16,410 | $15,143 |
| Methodist Willowbrook HospitalHouston | 11 | $112,215 | $20,282 | $17,221 |
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 | $15,568 |
|---|---|
| Clear Lake Regional Medical CenterWebster, TX | $16,410 |
| St David's South Austin Medical CenterAustin, TX | $17,128 |
| Kingwood Medical CenterKingwood, TX | $19,975 |
| Methodist Willowbrook HospitalHouston, TX | $20,282 |
Highest
| Medical City Dallas HospitalDallas, TX | $48,970 |
|---|---|
| Methodist Hospital,TheHouston, TX | $35,142 |
| UT Southwestern University HospitalDallas, TX | $27,806 |
| Baylor University Medical CenterDallas, TX | $26,542 |
| Methodist HospitalSan Antonio, TX | $22,699 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states
Questions
How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Texas?
In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 11 hospitals in Texas was billed at $175,927 on average, while the average total payment was $24,487, of which Medicare paid $17,848. 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 7.2 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.