Malignancy of hepatobiliary system or pancreas with major complications in Texas
What 23 hospitals in Texas charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$120,566
Hospital list price billed
Average payment
$16,763
Medicare + patient + other payers
Medicare paid
$13,173
Average per stay
State rank
#11 of 32
1 = lowest average payment
Hospitals in Texas billed an average of $120,566 for malignancy of hepatobiliary system or pancreas with major complications, about 7.2 times the average total payment of $16,763. That payment is 14% below the U.S. average of $19,425.
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 $16,763Billed $120,566
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: malignancy of hepatobiliary system or pancreas 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 | 59 | $122,215 | $14,168 | $11,792 |
| UT Southwestern University HospitalDallas | 41 | $73,689 | $15,730 | $12,458 |
| Methodist Hospital,TheHouston | 33 | $151,976 | $22,769 | $15,667 |
| Mem Hermann Southwest HospHouston | 28 | $85,301 | $16,431 | $14,221 |
| Baylor University Medical CenterDallas | 25 | $62,801 | $19,180 | $11,268 |
| St Lukes Episcopal HospitalHouston | 24 | $94,714 | $16,464 | $13,292 |
| Covenant Medical CenterLubbock | 18 | $183,911 | $16,572 | $11,054 |
| Trinity Mother Frances SystTyler | 17 | $96,638 | $12,369 | $10,361 |
| University Health SystemSan Antonio | 17 | $139,596 | $48,150 | $34,682 |
| Texoma Healthcare SystemDenison | 17 | $121,384 | $13,858 | $11,544 |
| Methodist Stone Oak HospitalSan Antonio | 17 | $96,837 | $14,412 | $9,152 |
| Baptist Medical CenterSan Antonio | 16 | $130,009 | $14,354 | $11,712 |
| Medical City Dallas HospitalDallas | 15 | $190,659 | $15,298 | $12,036 |
| Texas Health Harris Methodist Fort WorthFort Worth | 14 | $94,429 | $14,478 | $13,087 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 14 | $82,559 | $11,992 | $10,972 |
| Hendrick Health SystemAbilene | 13 | $150,453 | $13,613 | $12,576 |
| St Davids HospitalAustin | 13 | $124,297 | $13,000 | $11,870 |
| Texas Health Presbyterian Hospital DallasDallas | 13 | $80,188 | $13,350 | $12,080 |
| Methodist Richardson Medical CenterRichardson | 13 | $136,426 | $16,231 | $14,410 |
| Medical Center of PlanoPlano | 13 | $307,178 | $15,921 | $11,311 |
| Methodist Sugar Land HospitalSugar Land | 13 | $95,158 | $12,545 | $12,043 |
| Kingwood Medical CenterKingwood | 11 | $160,595 | $15,287 | $13,843 |
| North Austin Medical CenterAustin | 11 | $140,004 | $14,026 | $11,996 |
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
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $11,992 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $12,369 |
| Methodist Sugar Land HospitalSugar Land, TX | $12,545 |
| St Davids HospitalAustin, TX | $13,000 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $13,350 |
Highest
| University Health SystemSan Antonio, TX | $48,150 |
|---|---|
| Methodist Hospital,TheHouston, TX | $22,769 |
| Baylor University Medical CenterDallas, TX | $19,180 |
| Covenant Medical CenterLubbock, TX | $16,572 |
| St Lukes Episcopal HospitalHouston, TX | $16,464 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 23 hospitals in Texas was billed at $120,566 on average, while the average total payment was $16,763, of which Medicare paid $13,173. 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.