Other digestive system diagnoses with complications in Texas
What 69 hospitals in Texas charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$55,727
Hospital list price billed
Average payment
$8,770
Medicare + patient + other payers
Medicare paid
$6,709
Average per stay
State rank
#21 of 46
1 = lowest average payment
Hospitals in Texas billed an average of $55,727 for other digestive system diagnoses with complications, about 6.4 times the average total payment of $8,770. That payment is 8% below the U.S. average of $9,547.
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 $8,770Billed $55,727
About 16¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: other digestive system diagnoses with 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 | 100 | $65,301 | $8,095 | $5,975 |
| UT Southwestern University HospitalDallas | 57 | $31,503 | $9,537 | $6,378 |
| Methodist Hospital,TheHouston | 56 | $60,266 | $10,082 | $6,812 |
| Baptist Medical CenterSan Antonio | 41 | $84,006 | $7,881 | $6,755 |
| East Texas Medical CenterTyler | 36 | $47,899 | $7,989 | $6,757 |
| Kingwood Medical CenterKingwood | 33 | $105,430 | $8,915 | $7,625 |
| Mem Hermann Southwest HospHouston | 32 | $46,686 | $10,263 | $7,815 |
| Baylor University Medical CenterDallas | 29 | $26,499 | $10,846 | $7,389 |
| Hendrick Health SystemAbilene | 29 | $74,608 | $7,325 | $6,044 |
| CHRISTUS HospitalBeaumont | 27 | $55,766 | $9,095 | $7,241 |
| Medical Center of PlanoPlano | 27 | $101,494 | $7,752 | $6,068 |
| North Austin Medical CenterAustin | 27 | $70,757 | $8,440 | $6,428 |
| Scott & White Memorial HospitalTemple | 26 | $38,913 | $11,094 | $6,423 |
| Trinity Mother Frances SystTyler | 26 | $53,994 | $7,486 | $6,572 |
| Texas Health Harris Methodist Fort WorthFort Worth | 26 | $37,370 | $9,249 | $6,091 |
| St Lukes Episcopal HospitalHouston | 26 | $70,148 | $10,947 | $7,345 |
| Methodist Sugar Land HospitalSugar Land | 26 | $52,879 | $7,428 | $5,655 |
| Texoma Healthcare SystemDenison | 24 | $66,898 | $7,615 | $6,056 |
| St Davids HospitalAustin | 24 | $56,232 | $7,945 | $5,401 |
| Baylor Regional Medical Center at PlanoPlano | 24 | $36,290 | $7,306 | $4,605 |
| Methodist Stone Oak HospitalSan Antonio | 24 | $62,107 | $6,560 | $5,045 |
| Mem Hermann Baptist HospitalBeaumont | 22 | $58,974 | $9,182 | $7,839 |
| Medical City Dallas HospitalDallas | 22 | $75,956 | $8,396 | $6,768 |
| United Regional Hlth Care SystWichita Falls | 21 | $31,691 | $9,189 | $5,683 |
| Baylor Regional Medical Center at GrapevineGrapevine | 21 | $28,827 | $6,635 | $4,764 |
| Scott & White Hospital-Round RockRound Rock | 21 | $33,463 | $7,112 | $5,539 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 21 | $52,729 | $6,783 | $5,617 |
| Denton Regional Medical CenterDenton | 20 | $73,841 | $8,358 | $6,990 |
| University of Texas Medical Branch GalGalveston | 19 | $33,142 | $12,824 | $9,271 |
| Memorial Hermann Texas Medical CenterHouston | 19 | $50,078 | $13,323 | $9,818 |
| Las Palmas Medical CenterEl Paso | 19 | $81,748 | $9,587 | $7,440 |
| Bsa HospitalAmarillo | 19 | $45,206 | $7,422 | $5,568 |
| Texas Health Presbyterian Hospital DallasDallas | 19 | $31,617 | $9,170 | $6,959 |
| Plaza Medical Center of Fort WorthFort Worth | 19 | $61,965 | $9,130 | $5,471 |
| Methodist Willowbrook HospitalHouston | 19 | $54,507 | $7,719 | $6,516 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 18 | $33,907 | $7,951 | $6,608 |
| Shannon Medical CenterSan Angelo | 18 | $36,139 | $7,595 | $5,524 |
| University Medical CenterLubbock | 18 | $40,968 | $12,244 | $9,616 |
| St Joseph Regional Health CenterBryan | 16 | $45,473 | $7,945 | $6,726 |
| Valley Regional Medical CenterBrownsville | 16 | $86,199 | $8,742 | $6,939 |
| Covenant Medical CenterLubbock | 15 | $107,067 | $8,285 | $4,961 |
| Medical Center HospitalOdessa | 15 | $27,205 | $9,632 | $8,287 |
| Paris Regional Medical CenterParis | 15 | $23,257 | $6,939 | $6,175 |
| CHI St Lukes Health Memorial LufkinLufkin | 15 | $43,473 | $8,053 | $7,145 |
| Clear Lake Regional Medical CenterWebster | 15 | $82,968 | $8,186 | $7,093 |
| Texas Health Presbyterian Hospital PlanoPlano | 15 | $39,703 | $7,807 | $6,719 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 14 | $77,160 | $10,405 | $8,924 |
| North Hills HospitalNorth Richland Hills | 14 | $47,561 | $8,520 | $6,905 |
| South Texas Health SystemEdinburg | 14 | $130,111 | $9,937 | $8,709 |
| Methodist Richardson Medical CenterRichardson | 14 | $37,725 | $7,941 | $6,410 |
| Methodist Charlton Medical CenterDallas | 14 | $44,535 | $9,679 | $7,418 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 14 | $42,298 | $7,674 | $6,508 |
| Corpus Christi Medical Center,TheCorpus Christi | 14 | $86,703 | $8,836 | $7,575 |
| Houston Methodist West HospitalHouston | 14 | $37,871 | $8,054 | $6,538 |
| Houston Methodist Clear Lake HospitalHouston | 13 | $38,536 | $7,349 | $6,595 |
| St David's South Austin Medical CenterAustin | 13 | $50,821 | $7,520 | $6,466 |
| Denton Community HospitalDenton | 13 | $30,397 | $8,303 | $6,897 |
| St Luke's the Woodlands HospitalConroe | 13 | $53,948 | $7,851 | $6,721 |
| Laredo Medical CenterLaredo | 12 | $41,862 | $8,784 | $7,229 |
| Baylor All Saints Medical Center at FwFort Worth | 12 | $27,570 | $8,492 | $6,745 |
| Weatherford Regional Medical CenterWeatherford | 12 | $57,883 | $8,868 | $6,450 |
| University Health SystemSan Antonio | 12 | $55,236 | $20,816 | $12,489 |
| HCA Houston Healthcare Medical CenterHouston | 12 | $124,034 | $8,022 | $6,298 |
| Memorial Hermann Sugar Land HospitalSugar Land | 12 | $47,654 | $8,404 | $7,722 |
| Seton Medical Center HaysKyle | 12 | $58,719 | $8,268 | $7,180 |
| Citizens Medical CenterVictoria | 11 | $19,074 | $7,374 | $6,224 |
| Midland Memorial HospitalMidland | 11 | $46,091 | $8,691 | $7,392 |
| Mem Hermann Mem City HospHouston | 11 | $37,299 | $9,034 | $8,131 |
| Lake Pointe Medical CenterRowlett | 11 | $30,845 | $8,057 | $6,027 |
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
| Methodist Stone Oak HospitalSan Antonio, TX | $6,560 |
|---|---|
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $6,635 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $6,783 |
| Paris Regional Medical CenterParis, TX | $6,939 |
| Scott & White Hospital-Round RockRound Rock, TX | $7,112 |
Highest
| University Health SystemSan Antonio, TX | $20,816 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $13,323 |
| University of Texas Medical Branch GalGalveston, TX | $12,824 |
| University Medical CenterLubbock, TX | $12,244 |
| Scott & White Memorial HospitalTemple, TX | $11,094 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Texas?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 69 hospitals in Texas was billed at $55,727 on average, while the average total payment was $8,770, of which Medicare paid $6,709. 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 6.4 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.