Other musculoskeletal system and connective tissue operating room procedures with complications in Texas
What 28 hospitals in Texas charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$119,615
Hospital list price billed
Average payment
$16,867
Medicare + patient + other payers
Medicare paid
$13,948
Average per stay
State rank
#12 of 33
1 = lowest average payment
Hospitals in Texas billed an average of $119,615 for other musculoskeletal system and connective tissue operating room procedures with complications, about 7.1 times the average total payment of $16,867. That payment is 11% below the U.S. average of $18,981.
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 $16,867Billed $119,615
About 14¢ 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 musculoskeletal system and connective tissue operating room procedures 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 Hospital,TheHouston | 34 | $116,123 | $18,928 | $14,561 |
| Methodist Stone Oak HospitalSan Antonio | 30 | $105,362 | $13,148 | $11,571 |
| Methodist HospitalSan Antonio | 29 | $117,401 | $16,100 | $13,220 |
| Shannon Medical CenterSan Angelo | 27 | $65,607 | $14,016 | $12,983 |
| UT Southwestern University HospitalDallas | 24 | $72,710 | $22,562 | $12,694 |
| Hendrick Health SystemAbilene | 22 | $149,460 | $15,673 | $14,383 |
| Texas Health Harris Methodist Fort WorthFort Worth | 21 | $82,884 | $17,424 | $14,141 |
| Memorial Hermann Texas Medical CenterHouston | 20 | $124,730 | $22,691 | $19,987 |
| Bsa HospitalAmarillo | 19 | $98,350 | $14,562 | $13,235 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 19 | $133,006 | $14,090 | $12,802 |
| Scott & White Memorial HospitalTemple | 17 | $58,972 | $19,360 | $16,460 |
| Medical Center of PlanoPlano | 17 | $220,388 | $14,910 | $13,636 |
| Longview Regional Medical CenterLongview | 16 | $179,998 | $14,228 | $13,004 |
| Texas Health Presbyterian Hospital DallasDallas | 15 | $64,421 | $15,773 | $14,488 |
| Methodist Richardson Medical CenterRichardson | 14 | $74,189 | $21,041 | $12,460 |
| Memorial Hermann Katy HospitalKaty | 14 | $89,006 | $17,455 | $13,279 |
| Mem Hermann Southwest HospHouston | 13 | $97,801 | $16,578 | $15,225 |
| Round Rock Medical CenterRound Rock | 13 | $163,650 | $14,408 | $13,027 |
| University Health SystemSan Antonio | 12 | $101,949 | $33,021 | $25,965 |
| Medical Center of McKinneyMcKinney | 12 | $251,478 | $16,375 | $11,576 |
| Methodist Mansfield Medical CenterMansfield | 12 | $83,344 | $14,975 | $13,377 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 12 | $75,999 | $13,578 | $12,354 |
| Covenant Medical CenterLubbock | 11 | $183,083 | $15,139 | $13,385 |
| Baptist Medical CenterSan Antonio | 11 | $216,944 | $15,024 | $13,454 |
| Baylor Regional Medical Center at GrapevineGrapevine | 11 | $86,026 | $14,862 | $10,614 |
| Medical City Dallas HospitalDallas | 11 | $157,240 | $15,205 | $13,018 |
| Plaza Medical Center of Fort WorthFort Worth | 11 | $214,181 | $16,041 | $13,902 |
| Methodist Willowbrook HospitalHouston | 11 | $123,867 | $15,083 | $13,303 |
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 | $13,148 |
|---|---|
| Baylor Scott and White Medical Center McKinneyMc Kinney, TX | $13,578 |
| Shannon Medical CenterSan Angelo, TX | $14,016 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $14,090 |
| Longview Regional Medical CenterLongview, TX | $14,228 |
Highest
| University Health SystemSan Antonio, TX | $33,021 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $22,691 |
| UT Southwestern University HospitalDallas, TX | $22,562 |
| Methodist Richardson Medical CenterRichardson, TX | $21,041 |
| Scott & White Memorial HospitalTemple, TX | $19,360 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Texas?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 28 hospitals in Texas was billed at $119,615 on average, while the average total payment was $16,867, of which Medicare paid $13,948. 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 7.1 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.