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Nervous system neoplasms with major complications in Texas

What 18 hospitals in Texas charged and were paid for a Medicare hospital stay for nervous system neoplasms with major complications (DRG 054), from 2024 Medicare claims.

DRG 054 Inpatient 2024 Medicare data
Average charge $78,149 Hospital list price billed
Average payment $13,303 Medicare + patient + other payers
Medicare paid $9,981 Average per stay
State rank #6 of 29 1 = lowest average payment

Hospitals in Texas billed an average of $78,149 for nervous system neoplasms with major complications, about 5.9 times the average total payment of $13,303. That payment is 21% below the U.S. average of $16,778.

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 $13,303Billed $78,149

About 17¢ 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: nervous system neoplasms 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
UT Southwestern University HospitalDallas 42 $48,744 $16,085 $8,223
Methodist Hospital,TheHouston 32 $68,096 $13,442 $10,895
Memorial Hermann Texas Medical CenterHouston 28 $93,509 $17,787 $12,816
Methodist HospitalSan Antonio 23 $88,317 $11,608 $10,046
Baylor University Medical CenterDallas 20 $45,808 $14,925 $10,703
Mem Hermann Southwest HospHouston 17 $54,997 $13,000 $9,214
Scott & White Memorial HospitalTemple 16 $76,632 $16,698 $12,494
Baptist Medical CenterSan Antonio 14 $124,082 $10,449 $9,299
Medical Center of PlanoPlano 14 $112,818 $10,876 $9,912
Texas Health Harris Methodist Fort WorthFort Worth 13 $70,388 $11,729 $9,206
Texas Health Presbyterian Hospital DallasDallas 13 $55,609 $11,897 $10,511
Methodist Sugar Land HospitalSugar Land 13 $106,288 $10,652 $9,648
Hendrick Health SystemAbilene 12 $113,250 $11,346 $9,966
Plaza Medical Center of Fort WorthFort Worth 12 $80,813 $13,050 $9,304
Houston Methodist the Woodlands HospitalThe Woodlands 12 $80,195 $10,297 $8,939
Valley Baptist Medical CenterHarlingen 11 $146,748 $13,386 $8,767
CHRISTUS St Michael Health SystemTexarkana 11 $66,670 $8,443 $7,516
Methodist Willowbrook HospitalHouston 11 $55,533 $10,840 $10,098
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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

CHRISTUS St Michael Health SystemTexarkana, TX$8,443
Houston Methodist the Woodlands HospitalThe Woodlands, TX$10,297
Baptist Medical CenterSan Antonio, TX$10,449
Methodist Sugar Land HospitalSugar Land, TX$10,652
Methodist Willowbrook HospitalHouston, TX$10,840

Nervous system neoplasms with major complications in other states

Questions

How much does nervous system neoplasms with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for nervous system neoplasms with major complications (DRG 054) at 18 hospitals in Texas was billed at $78,149 on average, while the average total payment was $13,303, of which Medicare paid $9,981. 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 5.9 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.