What 14 hospitals in Texas charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.
Hospitals in Texas billed an average of $86,779 for postoperative and post-traumatic infections with major complications, about 5.3 times the average total payment of $16,502. That payment is 19% below the U.S. average of $20,381.
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.
About 19¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:
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 | 40 | $102,677 | $13,271 | $11,614 |
| UT Southwestern University HospitalDallas | 35 | $65,327 | $18,470 | $13,515 |
| Methodist Hospital,TheHouston | 24 | $106,089 | $18,656 | $13,996 |
| Baylor University Medical CenterDallas | 21 | $61,093 | $18,657 | $13,394 |
| Baptist Medical CenterSan Antonio | 18 | $147,326 | $14,449 | $12,021 |
| Trinity Mother Frances SystTyler | 18 | $111,327 | $12,557 | $9,736 |
| Mem Hermann Southwest HospHouston | 16 | $49,466 | $18,623 | $12,715 |
| Bsa HospitalAmarillo | 14 | $87,029 | $12,257 | $11,083 |
| Medical Center of PlanoPlano | 14 | $108,238 | $13,837 | $10,473 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 13 | $39,169 | $14,810 | $10,468 |
| Memorial Hermann Texas Medical CenterHouston | 12 | $100,789 | $29,512 | $13,118 |
| Texas Health Harris Methodist Fort WorthFort Worth | 12 | $114,055 | $22,196 | $21,300 |
| Methodist Richardson Medical CenterRichardson | 12 | $45,167 | $12,967 | $11,890 |
| Scott & White Hospital-Round RockRound Rock | 11 | $48,159 | $14,153 | $11,383 |
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.
| Bsa HospitalAmarillo, TX | $12,257 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $12,557 |
| Methodist Richardson Medical CenterRichardson, TX | $12,967 |
| Methodist HospitalSan Antonio, TX | $13,271 |
| Medical Center of PlanoPlano, TX | $13,837 |
| Memorial Hermann Texas Medical CenterHouston, TX | $29,512 |
|---|---|
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $22,196 |
| Baylor University Medical CenterDallas, TX | $18,657 |
| Methodist Hospital,TheHouston, TX | $18,656 |
| Mem Hermann Southwest HospHouston, TX | $18,623 |
In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 14 hospitals in Texas was billed at $86,779 on average, while the average total payment was $16,502, of which Medicare paid $12,572. Your own cost depends on your insurance, deductible and the hospital.
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 5.3 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.