Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in Texas
What 5 hospitals in Texas charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542), from 2024 Medicare claims.
Average charge
$120,294
Hospital list price billed
Average payment
$17,311
Medicare + patient + other payers
Medicare paid
$13,102
Average per stay
State rank
#11 of 22
1 = lowest average payment
Hospitals in Texas billed an average of $120,294 for pathological fractures and musculoskeletal and connective tissue malignancy with major complications, about 6.9 times the average total payment of $17,311. That payment is 8% below the U.S. average of $18,732.
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 $17,311Billed $120,294
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: pathological fractures and musculoskeletal and connective tissue malignancy 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 | 18 | $61,988 | $16,796 | $12,528 |
| Methodist HospitalSan Antonio | 17 | $114,593 | $15,208 | $8,582 |
| Methodist Hospital,TheHouston | 11 | $225,453 | $29,788 | $23,693 |
| Shannon Medical CenterSan Angelo | 11 | $65,738 | $12,111 | $11,212 |
| Medical City Dallas HospitalDallas | 11 | $173,911 | $14,125 | $12,329 |
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
| Shannon Medical CenterSan Angelo, TX | $12,111 |
|---|---|
| Medical City Dallas HospitalDallas, TX | $14,125 |
| Methodist HospitalSan Antonio, TX | $15,208 |
| UT Southwestern University HospitalDallas, TX | $16,796 |
| Methodist Hospital,TheHouston, TX | $29,788 |
Highest
| Methodist Hospital,TheHouston, TX | $29,788 |
|---|---|
| UT Southwestern University HospitalDallas, TX | $16,796 |
| Methodist HospitalSan Antonio, TX | $15,208 |
| Medical City Dallas HospitalDallas, TX | $14,125 |
| Shannon Medical CenterSan Angelo, TX | $12,111 |
Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542) at 5 hospitals in Texas was billed at $120,294 on average, while the average total payment was $17,311, of which Medicare paid $13,102. 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 6.9 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.