facebook tracking Postoperative or post-traumatic infections with operating room procedures with complications cost in Texas: 12 hospitals compared (DRG 857)

Postoperative or post-traumatic infections with operating room procedures with complications in Texas

What 12 hospitals in Texas charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857), from 2024 Medicare claims.

DRG 857 Inpatient 2024 Medicare data
Average charge $121,041 Hospital list price billed
Average payment $20,401 Medicare + patient + other payers
Medicare paid $16,564 Average per stay
State rank #5 of 18 1 = lowest average payment

Hospitals in Texas billed an average of $121,041 for postoperative or post-traumatic infections with operating room procedures with complications, about 5.9 times the average total payment of $20,401. That payment is 14% below the U.S. average of $23,758.

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 $20,401Billed $121,041

About 17¢ 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 or post-traumatic infections with operating room procedures with 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 Hospital,TheHouston 22 $130,773 $19,878 $16,058
Memorial Hermann Texas Medical CenterHouston 18 $172,418 $27,028 $20,148
St Lukes Episcopal HospitalHouston 17 $93,394 $19,413 $17,040
Medical Center of PlanoPlano 17 $279,492 $17,950 $14,574
Texas Health Harris Methodist Fort WorthFort Worth 16 $106,948 $18,438 $15,514
Baylor University Medical CenterDallas 14 $52,392 $19,688 $11,620
UT Southwestern University HospitalDallas 14 $45,995 $17,315 $14,968
East Texas Medical CenterTyler 14 $133,170 $17,099 $15,656
Methodist HospitalSan Antonio 14 $150,221 $15,166 $13,537
University Health SystemSan Antonio 13 $81,918 $35,397 $28,781
Scott & White Memorial HospitalTemple 12 $68,464 $19,850 $14,543
Mem Hermann Southwest HospHouston 12 $74,033 $17,611 $16,676
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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

Methodist HospitalSan Antonio, TX$15,166
East Texas Medical CenterTyler, TX$17,099
UT Southwestern University HospitalDallas, TX$17,315
Mem Hermann Southwest HospHouston, TX$17,611
Medical Center of PlanoPlano, TX$17,950

Highest

Postoperative or post-traumatic infections with operating room procedures with complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with complications cost in Texas?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857) at 12 hospitals in Texas was billed at $121,041 on average, while the average total payment was $20,401, of which Medicare paid $16,564. 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 5.9 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.