Non-extensive operating room procedures unrelated to principal diagnosis with major complications in Texas
What 7 hospitals in Texas charged and were paid for a Medicare hospital stay for non-extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 987), from 2024 Medicare claims.
Average charge
$184,964
Hospital list price billed
Average payment
$43,101
Medicare + patient + other payers
Medicare paid
$30,531
Average per stay
State rank
#12 of 16
1 = lowest average payment
Hospitals in Texas billed an average of $184,964 for non-extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.3 times the average total payment of $43,101. That payment is 5% above the U.S. average of $41,021.
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 $43,101Billed $184,964
About 23¢ 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: non-extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 25 | $156,988 | $30,804 | $25,854 |
| Mem Hermann Southwest HospHouston | 20 | $124,131 | $27,154 | $23,620 |
| UT Southwestern University HospitalDallas | 18 | $187,497 | $46,564 | $39,220 |
| Memorial Hermann Texas Medical CenterHouston | 16 | $176,307 | $44,282 | $24,179 |
| Methodist Hospital,TheHouston | 14 | $423,589 | $59,485 | $45,730 |
| Baylor All Saints Medical Center at FwFort Worth | 11 | $127,254 | $60,111 | $19,334 |
| University Health SystemSan Antonio | 11 | $121,607 | $54,798 | $40,599 |
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
| Mem Hermann Southwest HospHouston, TX | $27,154 |
|---|---|
| Baylor University Medical CenterDallas, TX | $30,804 |
| Memorial Hermann Texas Medical CenterHouston, TX | $44,282 |
| UT Southwestern University HospitalDallas, TX | $46,564 |
| University Health SystemSan Antonio, TX | $54,798 |
Highest
| Baylor All Saints Medical Center at FwFort Worth, TX | $60,111 |
|---|---|
| Methodist Hospital,TheHouston, TX | $59,485 |
| University Health SystemSan Antonio, TX | $54,798 |
| UT Southwestern University HospitalDallas, TX | $46,564 |
| Memorial Hermann Texas Medical CenterHouston, TX | $44,282 |
Non-extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does non-extensive operating room procedures unrelated to principal diagnosis with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for non-extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 987) at 7 hospitals in Texas was billed at $184,964 on average, while the average total payment was $43,101, of which Medicare paid $30,531. 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 4.3 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.