Other digestive system diagnoses with major complications in Texas
What 56 hospitals in Texas charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$90,912
Hospital list price billed
Average payment
$14,148
Medicare + patient + other payers
Medicare paid
$11,821
Average per stay
State rank
#12 of 44
1 = lowest average payment
Hospitals in Texas billed an average of $90,912 for other digestive system diagnoses with major complications, about 6.4 times the average total payment of $14,148. That payment is 17% below the U.S. average of $17,117.
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 $14,148Billed $90,912
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 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 | 67 | $102,117 | $12,343 | $10,627 |
| UT Southwestern University HospitalDallas | 64 | $52,563 | $16,267 | $12,767 |
| Methodist Hospital,TheHouston | 59 | $129,107 | $17,422 | $12,797 |
| Mem Hermann Southwest HospHouston | 48 | $69,864 | $16,204 | $12,679 |
| Baptist Medical CenterSan Antonio | 36 | $148,210 | $12,853 | $10,526 |
| Baylor University Medical CenterDallas | 32 | $52,702 | $16,722 | $13,288 |
| Methodist Sugar Land HospitalSugar Land | 32 | $57,317 | $12,428 | $10,473 |
| St Davids HospitalAustin | 31 | $68,972 | $13,792 | $9,952 |
| Kingwood Medical CenterKingwood | 31 | $188,812 | $14,336 | $12,579 |
| Trinity Mother Frances SystTyler | 30 | $93,809 | $11,951 | $10,811 |
| Texas Health Harris Methodist Fort WorthFort Worth | 29 | $57,403 | $14,015 | $10,843 |
| St Lukes Episcopal HospitalHouston | 29 | $79,114 | $15,806 | $11,010 |
| Medical Center of PlanoPlano | 26 | $113,508 | $12,578 | $10,575 |
| Hendrick Health SystemAbilene | 24 | $86,184 | $12,933 | $10,968 |
| Medical Center HospitalOdessa | 21 | $50,110 | $14,822 | $12,818 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 21 | $61,372 | $12,926 | $11,424 |
| Baylor Regional Medical Center at PlanoPlano | 21 | $43,352 | $10,928 | $10,228 |
| East Texas Medical CenterTyler | 20 | $64,344 | $12,226 | $10,976 |
| Methodist Willowbrook HospitalHouston | 20 | $92,988 | $13,889 | $12,854 |
| Denton Regional Medical CenterDenton | 19 | $200,076 | $15,772 | $13,638 |
| North Austin Medical CenterAustin | 19 | $89,961 | $12,969 | $10,109 |
| Texoma Healthcare SystemDenison | 18 | $97,123 | $11,798 | $10,718 |
| Plaza Medical Center of Fort WorthFort Worth | 18 | $164,568 | $14,757 | $12,220 |
| United Regional Hlth Care SystWichita Falls | 17 | $49,197 | $13,746 | $13,266 |
| Covenant Medical CenterLubbock | 17 | $118,289 | $12,702 | $11,198 |
| St Joseph Regional Health CenterBryan | 16 | $71,542 | $13,139 | $11,628 |
| University of Texas Medical Branch GalGalveston | 16 | $38,267 | $16,273 | $13,646 |
| Seton Medical Center AustinAustin | 16 | $113,053 | $13,913 | $11,856 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 16 | $63,070 | $12,542 | $9,368 |
| Doctors Hospital at RenaissanceEdinburg | 15 | $65,234 | $14,362 | $12,365 |
| Scott & White Hospital-Round RockRound Rock | 15 | $42,951 | $12,177 | $10,892 |
| Baylor All Saints Medical Center at FwFort Worth | 14 | $93,874 | $19,666 | $16,896 |
| Methodist Richardson Medical CenterRichardson | 14 | $77,311 | $12,304 | $11,371 |
| Mem Hermann Mem City HospHouston | 14 | $61,680 | $14,382 | $11,975 |
| St David's South Austin Medical CenterAustin | 14 | $79,029 | $12,899 | $11,792 |
| Methodist Charlton Medical CenterDallas | 14 | $85,298 | $16,150 | $11,188 |
| Denton Community HospitalDenton | 14 | $53,156 | $13,055 | $12,193 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 14 | $52,016 | $10,875 | $9,622 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 13 | $62,600 | $16,069 | $14,772 |
| Scott & White Memorial HospitalTemple | 13 | $65,172 | $22,705 | $12,695 |
| Clear Lake Regional Medical CenterWebster | 13 | $171,779 | $13,191 | $12,460 |
| Memorial Hermann NortheastHumble | 13 | $60,888 | $14,439 | $13,341 |
| Corpus Christi Medical Center,TheCorpus Christi | 13 | $151,137 | $14,057 | $12,777 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 13 | $115,282 | $13,234 | $12,355 |
| CHRISTUS HospitalBeaumont | 12 | $65,696 | $13,729 | $12,777 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $73,574 | $13,404 | $12,443 |
| CHRISTUS St Michael Health SystemTexarkana | 12 | $66,140 | $12,074 | $9,883 |
| Sierra Providence East Medical CenterEl Paso | 12 | $183,919 | $13,642 | $12,282 |
| Methodist Stone Oak HospitalSan Antonio | 12 | $95,826 | $11,104 | $10,152 |
| Valley Baptist Medical Center - BrownsvilleBrownsville | 11 | $174,530 | $13,380 | $11,925 |
| Good Shepherd Medical Center MarshallMarshall | 11 | $57,169 | $14,120 | $13,086 |
| Las Palmas Medical CenterEl Paso | 11 | $124,288 | $15,021 | $13,404 |
| Bsa HospitalAmarillo | 11 | $54,242 | $11,843 | $10,866 |
| Medical City Dallas HospitalDallas | 11 | $129,737 | $13,505 | $11,609 |
| Sierra Medical CenterEl Paso | 11 | $182,307 | $11,231 | $9,970 |
| University Medical CenterLubbock | 11 | $60,313 | $18,752 | $16,894 |
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
| Baylor Scott and White Medical Center McKinneyMc Kinney, TX | $10,875 |
|---|---|
| Baylor Regional Medical Center at PlanoPlano, TX | $10,928 |
| Methodist Stone Oak HospitalSan Antonio, TX | $11,104 |
| Sierra Medical CenterEl Paso, TX | $11,231 |
| Texoma Healthcare SystemDenison, TX | $11,798 |
Highest
| Scott & White Memorial HospitalTemple, TX | $22,705 |
|---|---|
| Baylor All Saints Medical Center at FwFort Worth, TX | $19,666 |
| University Medical CenterLubbock, TX | $18,752 |
| Methodist Hospital,TheHouston, TX | $17,422 |
| Baylor University Medical CenterDallas, TX | $16,722 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 56 hospitals in Texas was billed at $90,912 on average, while the average total payment was $14,148, of which Medicare paid $11,821. 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.