Other skin, subcutaneous tissue and breast procedures with complications in Texas
What 2 hospitals in Texas charged and were paid for a Medicare hospital stay for other skin, subcutaneous tissue and breast procedures with complications (DRG 580), from 2024 Medicare claims.
Average charge
$128,838
Hospital list price billed
Average payment
$15,709
Medicare + patient + other payers
Medicare paid
$10,890
Average per stay
Volume
42
Medicare hospital stays
Hospitals in Texas billed an average of $128,838 for other skin, subcutaneous tissue and breast procedures with complications, about 8.2 times the average total payment of $15,709. That payment is 18% below the U.S. average of $19,188.
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 $15,709Billed $128,838
About 12¢ 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 skin, subcutaneous tissue and breast 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 HospitalSan Antonio | 29 | $153,451 | $16,019 | $10,698 |
| Texas Health Presbyterian Hospital PlanoPlano | 13 | $73,930 | $15,018 | $11,317 |
Other skin, subcutaneous tissue and breast procedures with complications in other states
Questions
How much does other skin, subcutaneous tissue and breast procedures with complications cost in Texas?
In 2024 Medicare data, a hospital stay for other skin, subcutaneous tissue and breast procedures with complications (DRG 580) at 2 hospitals in Texas was billed at $128,838 on average, while the average total payment was $15,709, of which Medicare paid $10,890. 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 8.2 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.