facebook tracking Other operating room procedures for injuries with major complications cost in Texas: 19 hospitals compared (DRG 907)

Other operating room procedures for injuries with major complications in Texas

What 19 hospitals in Texas charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with major complications (DRG 907), from 2024 Medicare claims.

DRG 907 Inpatient 2024 Medicare data
Average charge $211,807 Hospital list price billed
Average payment $37,710 Medicare + patient + other payers
Medicare paid $28,833 Average per stay
State rank #8 of 26 1 = lowest average payment

Hospitals in Texas billed an average of $211,807 for other operating room procedures for injuries with major complications, about 5.6 times the average total payment of $37,710. That payment is 14% below the U.S. average of $43,774.

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 $37,710Billed $211,807

About 18¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: other operating room procedures for injuries 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
UT Southwestern University HospitalDallas 31 $121,229 $41,550 $22,974
Methodist HospitalSan Antonio 27 $316,549 $29,929 $23,831
Baylor University Medical CenterDallas 26 $223,097 $54,376 $43,297
Methodist Hospital,TheHouston 22 $265,672 $43,174 $38,502
Mem Hermann Southwest HospHouston 20 $129,123 $28,601 $27,264
Baptist Medical CenterSan Antonio 15 $335,933 $26,370 $25,206
Las Palmas Medical CenterEl Paso 15 $308,368 $32,726 $23,196
Texas Health Harris Methodist Fort WorthFort Worth 15 $114,692 $33,786 $22,423
Covenant Medical CenterLubbock 14 $208,069 $24,768 $23,350
Trinity Mother Frances SystTyler 14 $218,444 $26,664 $22,856
Medical City Dallas HospitalDallas 14 $322,963 $24,610 $22,494
Memorial Hermann Texas Medical CenterHouston 13 $231,839 $44,135 $29,554
Houston Methodist the Woodlands HospitalThe Woodlands 13 $159,645 $30,076 $20,737
Baylor All Saints Medical Center at FwFort Worth 12 $113,469 $26,856 $20,651
Parkland Health and Hospital SystemDallas 11 $144,318 $82,998 $77,396
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 11 $154,795 $31,232 $27,377
Scott & White Memorial HospitalTemple 11 $185,238 $79,508 $24,451
Hendrick Health SystemAbilene 11 $294,193 $30,627 $29,263
Methodist Willowbrook HospitalHouston 11 $126,173 $26,799 $25,464
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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

Medical City Dallas HospitalDallas, TX$24,610
Covenant Medical CenterLubbock, TX$24,768
Baptist Medical CenterSan Antonio, TX$26,370
Trinity Mother Frances SystTyler, TX$26,664
Methodist Willowbrook HospitalHouston, TX$26,799

Other operating room procedures for injuries with major complications in other states

Questions

How much does other operating room procedures for injuries with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with major complications (DRG 907) at 19 hospitals in Texas was billed at $211,807 on average, while the average total payment was $37,710, of which Medicare paid $28,833. 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 5.6 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.