Postoperative and post-traumatic infections without major complications in Texas
What 6 hospitals in Texas charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections without major complications (DRG 863), from 2024 Medicare claims.
Average charge
$39,819
Hospital list price billed
Average payment
$10,602
Medicare + patient + other payers
Medicare paid
$8,391
Average per stay
State rank
#9 of 19
1 = lowest average payment
Hospitals in Texas billed an average of $39,819 for postoperative and post-traumatic infections without major complications, about 3.8 times the average total payment of $10,602. That payment is 6% below the U.S. average of $11,307.
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 $10,602Billed $39,819
About 27¢ 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 without 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 | 26 | $42,909 | $8,302 | $6,694 |
| UT Southwestern University HospitalDallas | 23 | $20,167 | $8,903 | $6,668 |
| Mem Hermann Southwest HospHouston | 16 | $42,197 | $10,291 | $9,901 |
| Methodist Hospital,TheHouston | 12 | $46,511 | $10,114 | $7,730 |
| Trinity Mother Frances SystTyler | 11 | $44,985 | $8,016 | $6,941 |
| University Health SystemSan Antonio | 11 | $57,679 | $23,166 | $15,982 |
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
| Trinity Mother Frances SystTyler, TX | $8,016 |
|---|---|
| Methodist HospitalSan Antonio, TX | $8,302 |
| UT Southwestern University HospitalDallas, TX | $8,903 |
| Methodist Hospital,TheHouston, TX | $10,114 |
| Mem Hermann Southwest HospHouston, TX | $10,291 |
Highest
| University Health SystemSan Antonio, TX | $23,166 |
|---|---|
| Mem Hermann Southwest HospHouston, TX | $10,291 |
| Methodist Hospital,TheHouston, TX | $10,114 |
| UT Southwestern University HospitalDallas, TX | $8,903 |
| Methodist HospitalSan Antonio, TX | $8,302 |
Postoperative and post-traumatic infections without major complications in other states
Questions
How much does postoperative and post-traumatic infections without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections without major complications (DRG 863) at 6 hospitals in Texas was billed at $39,819 on average, while the average total payment was $10,602, of which Medicare paid $8,391. 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 3.8 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.