What 31 hospitals in Texas charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.
Hospitals in Texas billed an average of $100,192 for other disorders of nervous system with major complications, about 6.7 times the average total payment of $15,006. That payment is 19% below the U.S. average of $18,533.
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.
About 15¢ 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:
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 Hospital,TheHouston | 60 | $97,875 | $18,283 | $15,014 |
| Methodist Sugar Land HospitalSugar Land | 53 | $83,656 | $12,415 | $11,338 |
| Methodist HospitalSan Antonio | 46 | $101,112 | $12,519 | $11,211 |
| UT Southwestern University HospitalDallas | 42 | $82,824 | $19,798 | $13,048 |
| Medical Center of PlanoPlano | 39 | $134,099 | $12,776 | $11,611 |
| Baptist Medical CenterSan Antonio | 33 | $118,701 | $12,861 | $11,853 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 32 | $76,092 | $11,235 | $10,329 |
| Baylor University Medical CenterDallas | 29 | $76,117 | $25,179 | $14,286 |
| Scott & White Memorial HospitalTemple | 24 | $60,695 | $16,589 | $13,528 |
| Clear Lake Regional Medical CenterWebster | 19 | $152,687 | $13,542 | $11,989 |
| Covenant Medical CenterLubbock | 17 | $177,761 | $13,966 | $10,615 |
| St David's South Austin Medical CenterAustin | 17 | $119,977 | $12,822 | $11,267 |
| St Davids HospitalAustin | 16 | $124,460 | $12,747 | $11,831 |
| University of Texas Medical Branch GalGalveston | 15 | $97,857 | $23,583 | $16,511 |
| Memorial Hermann Texas Medical CenterHouston | 15 | $122,803 | $18,193 | $13,728 |
| St Lukes Episcopal HospitalHouston | 15 | $110,178 | $18,036 | $15,149 |
| Medical Center of McKinneyMcKinney | 15 | $139,424 | $12,562 | $11,582 |
| North Austin Medical CenterAustin | 15 | $75,182 | $13,244 | $11,727 |
| Methodist Stone Oak HospitalSan Antonio | 15 | $112,832 | $11,696 | $10,233 |
| United Regional Hlth Care SystWichita Falls | 14 | $46,146 | $15,652 | $12,151 |
| Mem Hermann Southwest HospHouston | 14 | $68,977 | $15,055 | $13,662 |
| Denton Regional Medical CenterDenton | 14 | $109,249 | $13,607 | $12,251 |
| Hendrick Health SystemAbilene | 13 | $126,036 | $13,879 | $12,158 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 13 | $47,513 | $12,275 | $11,533 |
| Texas Health Presbyterian Hospital DallasDallas | 13 | $60,750 | $13,219 | $12,383 |
| Round Rock Medical CenterRound Rock | 13 | $68,597 | $12,157 | $11,278 |
| Kingwood Medical CenterKingwood | 13 | $152,250 | $14,483 | $12,826 |
| Bsa HospitalAmarillo | 12 | $57,765 | $12,852 | $11,804 |
| Baylor Regional Medical Center at GrapevineGrapevine | 12 | $39,793 | $11,828 | $9,928 |
| Plaza Medical Center of Fort WorthFort Worth | 11 | $153,006 | $14,100 | $12,152 |
| Medical Center of ArlingtonArlington | 11 | $155,151 | $15,927 | $13,932 |
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.
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $11,235 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $11,696 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $11,828 |
| Round Rock Medical CenterRound Rock, TX | $12,157 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $12,275 |
| Baylor University Medical CenterDallas, TX | $25,179 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $23,583 |
| UT Southwestern University HospitalDallas, TX | $19,798 |
| Methodist Hospital,TheHouston, TX | $18,283 |
| Memorial Hermann Texas Medical CenterHouston, TX | $18,193 |
In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 31 hospitals in Texas was billed at $100,192 on average, while the average total payment was $15,006, of which Medicare paid $12,410. Your own cost depends on your insurance, deductible and the hospital.
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 6.7 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.