Medical back problems with major complications in Texas
What 34 hospitals in Texas charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.
Average charge
$95,932
Hospital list price billed
Average payment
$13,646
Medicare + patient + other payers
Medicare paid
$11,736
Average per stay
State rank
#7 of 33
1 = lowest average payment
Hospitals in Texas billed an average of $95,932 for medical back problems with major complications, about 7.0 times the average total payment of $13,646. That payment is 16% below the U.S. average of $16,215.
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 $13,646Billed $95,932
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: medical back problems 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 |
|---|---|---|---|---|
| Medical Center of PlanoPlano | 42 | $135,786 | $12,202 | $10,082 |
| Memorial Hermann Texas Medical CenterHouston | 33 | $100,216 | $19,599 | $16,641 |
| Mem Hermann Southwest HospHouston | 33 | $61,444 | $15,153 | $13,968 |
| Texas Health Harris Methodist Fort WorthFort Worth | 30 | $64,831 | $13,563 | $10,977 |
| Methodist Hospital,TheHouston | 29 | $75,280 | $15,001 | $12,165 |
| Methodist HospitalSan Antonio | 28 | $120,420 | $13,016 | $10,986 |
| Denton Regional Medical CenterDenton | 22 | $155,136 | $12,003 | $10,438 |
| Kingwood Medical CenterKingwood | 22 | $170,884 | $14,127 | $12,387 |
| Baylor University Medical CenterDallas | 21 | $61,024 | $16,538 | $12,803 |
| Methodist Stone Oak HospitalSan Antonio | 20 | $86,345 | $10,757 | $9,533 |
| Texoma Healthcare SystemDenison | 18 | $95,936 | $12,455 | $11,071 |
| St David's South Austin Medical CenterAustin | 18 | $105,760 | $12,227 | $11,071 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 17 | $48,264 | $10,878 | $9,822 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 17 | $65,433 | $9,519 | $8,463 |
| Scott & White Memorial HospitalTemple | 16 | $71,645 | $17,839 | $13,422 |
| Medical Center of ArlingtonArlington | 16 | $129,469 | $15,427 | $13,684 |
| Methodist Sugar Land HospitalSugar Land | 16 | $67,337 | $10,367 | $9,041 |
| UT Southwestern University HospitalDallas | 15 | $51,742 | $15,030 | $10,766 |
| Baptist Medical CenterSan Antonio | 15 | $107,807 | $11,282 | $9,781 |
| Covenant Medical CenterLubbock | 14 | $156,650 | $13,631 | $11,889 |
| Trinity Mother Frances SystTyler | 14 | $93,085 | $11,556 | $10,577 |
| Texas Health Presbyterian Hospital DallasDallas | 14 | $57,684 | $12,599 | $11,082 |
| Texas Health Presbyterian Hospital PlanoPlano | 14 | $60,630 | $12,731 | $11,565 |
| University of Texas Medical Branch GalGalveston | 13 | $41,201 | $18,364 | $15,282 |
| Medical City Dallas HospitalDallas | 13 | $110,793 | $13,910 | $12,736 |
| Seton Medical Center WilliamsonRound Rock | 13 | $85,383 | $12,899 | $11,677 |
| Las Palmas Medical CenterEl Paso | 12 | $147,654 | $15,181 | $13,165 |
| Bsa HospitalAmarillo | 12 | $75,133 | $12,343 | $11,140 |
| Round Rock Medical CenterRound Rock | 12 | $154,917 | $11,746 | $10,386 |
| Methodist Willowbrook HospitalHouston | 12 | $48,393 | $12,064 | $11,112 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 11 | $71,996 | $15,248 | $14,359 |
| East Texas Medical CenterTyler | 11 | $144,120 | $13,636 | $11,697 |
| Hendrick Health SystemAbilene | 11 | $81,296 | $13,154 | $12,244 |
| Seton Medical Center HaysKyle | 11 | $127,699 | $12,073 | $10,741 |
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 | $9,519 |
|---|---|
| Methodist Sugar Land HospitalSugar Land, TX | $10,367 |
| Methodist Stone Oak HospitalSan Antonio, TX | $10,757 |
| Baylor Scott and White Medical Center McKinneyMc Kinney, TX | $10,878 |
| Baptist Medical CenterSan Antonio, TX | $11,282 |
Highest
| Memorial Hermann Texas Medical CenterHouston, TX | $19,599 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $18,364 |
| Scott & White Memorial HospitalTemple, TX | $17,839 |
| Baylor University Medical CenterDallas, TX | $16,538 |
| Medical Center of ArlingtonArlington, TX | $15,427 |
Medical back problems with major complications in other states
Questions
How much does medical back problems with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 34 hospitals in Texas was billed at $95,932 on average, while the average total payment was $13,646, of which Medicare paid $11,736. 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 7.0 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.