facebook tracking Peripheral vascular disorders without complications cost in Texas: 2 hospitals compared (DRG 301)

Peripheral vascular disorders without complications in Texas

What 2 hospitals in Texas charged and were paid for a Medicare hospital stay for peripheral vascular disorders without complications (DRG 301), from 2024 Medicare claims.

DRG 301 Inpatient 2024 Medicare data
Average charge $59,752 Hospital list price billed
Average payment $6,685 Medicare + patient + other payers
Medicare paid $4,802 Average per stay
Volume 25 Medicare hospital stays

Hospitals in Texas billed an average of $59,752 for peripheral vascular disorders without complications, about 8.9 times the average total payment of $6,685. That payment is 13% below the U.S. average of $7,716.

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 $6,685Billed $59,752

About 11¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: peripheral vascular disorders without 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 14 $38,468 $6,495 $4,312
Kingwood Medical CenterKingwood 11 $86,840 $6,927 $5,427
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Peripheral vascular disorders without complications in other states

Questions

How much does peripheral vascular disorders without complications cost in Texas?

In 2024 Medicare data, a hospital stay for peripheral vascular disorders without complications (DRG 301) at 2 hospitals in Texas was billed at $59,752 on average, while the average total payment was $6,685, of which Medicare paid $4,802. 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 8.9 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.