facebook tracking Postoperative and post-traumatic infections with major complications cost in Texas: 14 hospitals compared (DRG 862)

Postoperative and post-traumatic infections with major complications in Texas

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.

DRG 862 Inpatient 2024 Medicare data
Average charge $86,779 Hospital list price billed
Average payment $16,502 Medicare + patient + other payers
Medicare paid $12,572 Average per stay
State rank #7 of 30 1 = lowest average payment

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.

Paid $16,502Billed $86,779

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:

Texas hospitals: postoperative and post-traumatic infections 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
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
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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

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

Postoperative and post-traumatic infections with major complications in other states

Questions

How much does postoperative and post-traumatic infections with major complications cost in Texas?

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.

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 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.