facebook tracking Major small and large bowel procedures without complications cost in Texas: 34 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in Texas

What 34 hospitals in Texas charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $98,570 Hospital list price billed
Average payment $14,431 Medicare + patient + other payers
Medicare paid $10,802 Average per stay
State rank #15 of 42 1 = lowest average payment

Hospitals in Texas billed an average of $98,570 for major small and large bowel procedures without complications, about 6.8 times the average total payment of $14,431. That payment is 10% below the U.S. average of $16,035.

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 $14,431Billed $98,570

About 15¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: major small and large bowel procedures without 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 42 $75,815 $14,451 $11,386
Mem Hermann Southwest HospHouston 39 $86,360 $17,337 $11,496
Baylor University Medical CenterDallas 32 $48,877 $16,185 $11,531
Bsa HospitalAmarillo 29 $97,213 $11,938 $10,320
Texas Health Presbyterian Hospital DallasDallas 26 $64,556 $13,236 $10,490
Hendrick Health SystemAbilene 25 $147,430 $14,370 $9,977
Texas Health Presbyterian Hospital PlanoPlano 25 $74,382 $15,623 $10,064
Methodist Sugar Land HospitalSugar Land 23 $124,946 $13,303 $10,535
United Regional Hlth Care SystWichita Falls 22 $55,878 $18,538 $9,597
Methodist HospitalSan Antonio 22 $92,886 $12,681 $11,025
Covenant Medical CenterLubbock 21 $159,732 $14,772 $10,032
Trinity Mother Frances SystTyler 21 $148,234 $12,345 $10,273
Methodist Hospital,TheHouston 21 $128,944 $16,368 $12,733
Methodist Stone Oak HospitalSan Antonio 21 $82,309 $12,040 $8,941
Providence Health CenterWaco 17 $53,257 $13,064 $11,585
Scott & White Memorial HospitalTemple 17 $63,515 $15,960 $13,498
UT Southwestern University HospitalDallas 16 $61,933 $15,199 $10,861
Baptist Medical CenterSan Antonio 16 $195,550 $12,869 $10,466
Mem Hermann Baptist HospitalBeaumont 16 $70,260 $14,618 $12,503
Mem Hermann Mem City HospHouston 16 $85,973 $16,410 $11,063
Baylor Regional Medical Center at PlanoPlano 16 $46,033 $12,145 $9,413
Shannon Medical CenterSan Angelo 15 $48,795 $13,459 $10,017
Round Rock Medical CenterRound Rock 15 $145,844 $11,887 $10,255
Methodist Willowbrook HospitalHouston 15 $111,574 $13,688 $9,716
St Joseph Regional Health CenterBryan 13 $85,996 $13,462 $11,103
Kingwood Medical CenterKingwood 13 $263,340 $14,497 $12,984
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 12 $83,433 $15,786 $13,558
Baylor Medical Center at WaxahachieWaxahachie 12 $46,501 $12,944 $11,584
Clear Lake Regional Medical CenterWebster 12 $174,593 $13,867 $11,028
St David's South Austin Medical CenterAustin 12 $163,771 $17,834 $6,648
Baylor Medical Center at IrvingIrving 11 $44,495 $15,600 $11,725
Medical Center of PlanoPlano 11 $200,464 $14,423 $10,334
Houston Methodist Clear Lake HospitalHouston 11 $115,308 $12,279 $9,689
Baylor Scott & White Medical Center- College StatiCollege Station 11 $37,144 $13,636 $10,055
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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

Round Rock Medical CenterRound Rock, TX$11,887
Bsa HospitalAmarillo, TX$11,938
Methodist Stone Oak HospitalSan Antonio, TX$12,040
Baylor Regional Medical Center at PlanoPlano, TX$12,145
Houston Methodist Clear Lake HospitalHouston, TX$12,279

Highest

United Regional Hlth Care SystWichita Falls, TX$18,538
St David's South Austin Medical CenterAustin, TX$17,834
Mem Hermann Southwest HospHouston, TX$17,337
Mem Hermann Mem City HospHouston, TX$16,410
Methodist Hospital,TheHouston, TX$16,368

Major small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in Texas?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 34 hospitals in Texas was billed at $98,570 on average, while the average total payment was $14,431, of which Medicare paid $10,802. 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 6.8 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.