facebook tracking Major male pelvic procedures with complications cost in Texas: 1 hospitals compared (DRG 707)

Major male pelvic procedures with complications in Texas

What 1 hospital in Texas charged and were paid for a Medicare hospital stay for major male pelvic procedures with complications (DRG 707), from 2024 Medicare claims.

DRG 707 Inpatient 2024 Medicare data
Average charge $67,725 Hospital list price billed
Average payment $17,768 Medicare + patient + other payers
Medicare paid $13,072 Average per stay
Volume 18 Medicare hospital stays

Hospitals in Texas billed an average of $67,725 for major male pelvic procedures with complications, about 3.8 times the average total payment of $17,768. That payment is 29% below the U.S. average of $25,162.

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 $17,768Billed $67,725

About 26¢ 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 male pelvic procedures 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
UT Southwestern University HospitalDallas 18 $67,725 $17,768 $13,072
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Major male pelvic procedures with complications in other states

Questions

How much does major male pelvic procedures with complications cost in Texas?

In 2024 Medicare data, a hospital stay for major male pelvic procedures with complications (DRG 707) at 1 hospital in Texas was billed at $67,725 on average, while the average total payment was $17,768, of which Medicare paid $13,072. 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 3.8 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.