Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Texas
What 11 hospitals in Texas charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$56,153
Hospital list price billed
Average payment
$9,381
Medicare + patient + other payers
Medicare paid
$7,382
Average per stay
State rank
#11 of 34
1 = lowest average payment
Hospitals in Texas billed an average of $56,153 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 6.0 times the average total payment of $9,381. That payment is 10% below the U.S. average of $10,379.
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 $9,381Billed $56,153
About 17¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy 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 |
|---|---|---|---|---|
| UT Southwestern University HospitalDallas | 20 | $39,904 | $9,617 | $7,545 |
| Methodist HospitalSan Antonio | 18 | $84,300 | $9,282 | $6,181 |
| Texas Health Harris Methodist Fort WorthFort Worth | 17 | $34,458 | $9,366 | $7,492 |
| Bsa HospitalAmarillo | 17 | $43,596 | $8,145 | $6,730 |
| Methodist Hospital,TheHouston | 17 | $64,076 | $11,139 | $7,674 |
| Methodist Sugar Land HospitalSugar Land | 16 | $47,138 | $7,937 | $6,817 |
| East Texas Medical CenterTyler | 15 | $58,099 | $8,913 | $7,366 |
| University of Texas Medical Branch GalGalveston | 13 | $32,749 | $14,210 | $10,704 |
| Shannon Medical CenterSan Angelo | 13 | $51,041 | $8,188 | $7,305 |
| Baptist Medical CenterSan Antonio | 12 | $89,485 | $8,809 | $7,563 |
| Methodist Stone Oak HospitalSan Antonio | 12 | $85,468 | $7,565 | $6,341 |
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 | $7,565 |
|---|---|
| Methodist Sugar Land HospitalSugar Land, TX | $7,937 |
| Bsa HospitalAmarillo, TX | $8,145 |
| Shannon Medical CenterSan Angelo, TX | $8,188 |
| Baptist Medical CenterSan Antonio, TX | $8,809 |
Highest
| University of Texas Medical Branch GalGalveston, TX | $14,210 |
|---|---|
| Methodist Hospital,TheHouston, TX | $11,139 |
| UT Southwestern University HospitalDallas, TX | $9,617 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $9,366 |
| Methodist HospitalSan Antonio, TX | $9,282 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Texas?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 11 hospitals in Texas was billed at $56,153 on average, while the average total payment was $9,381, of which Medicare paid $7,382. 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 6.0 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.