facebook tracking Other disorders of nervous system with major complications cost in Texas: 31 hospitals compared (DRG 091)

Other disorders of nervous system with major complications in Texas

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.

DRG 091 Inpatient 2024 Medicare data
Average charge $100,192 Hospital list price billed
Average payment $15,006 Medicare + patient + other payers
Medicare paid $12,410 Average per stay
State rank #10 of 39 1 = lowest average payment

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.

Paid $15,006Billed $100,192

About 15¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: other disorders of nervous system 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 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
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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.

Other disorders of nervous system with major complications in other states

Questions

How much does other disorders of nervous system with major complications cost in Texas?

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.

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 6.7 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.