facebook tracking Other multiple significant trauma with complications cost in Texas: 4 hospitals compared (DRG 964)

Other multiple significant trauma with complications in Texas

What 4 hospitals in Texas charged and were paid for a Medicare hospital stay for other multiple significant trauma with complications (DRG 964), from 2024 Medicare claims.

DRG 964 Inpatient 2024 Medicare data
Average charge $95,246 Hospital list price billed
Average payment $21,260 Medicare + patient + other payers
Medicare paid $16,348 Average per stay
State rank #8 of 11 1 = lowest average payment

Hospitals in Texas billed an average of $95,246 for other multiple significant trauma with complications, about 4.5 times the average total payment of $21,260. That payment is 11% above the U.S. average of $19,129.

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 $21,260Billed $95,246

About 22¢ 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: other multiple significant trauma 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
Memorial Hermann Texas Medical CenterHouston 16 $73,519 $20,151 $15,359
University Health SystemSan Antonio 14 $101,045 $33,046 $23,530
University Medical CenterLubbock 11 $88,437 $17,236 $14,569
St David's South Austin Medical CenterAustin 11 $126,278 $11,899 $10,423
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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.

Lowest

Highest

Other multiple significant trauma with complications in other states

Questions

How much does other multiple significant trauma with complications cost in Texas?

In 2024 Medicare data, a hospital stay for other multiple significant trauma with complications (DRG 964) at 4 hospitals in Texas was billed at $95,246 on average, while the average total payment was $21,260, of which Medicare paid $16,348. 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 4.5 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.