Pulmonary embolism with major complications or acute cor pulmonale in Texas
What 58 hospitals in Texas charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$79,543
Hospital list price billed
Average payment
$12,167
Medicare + patient + other payers
Medicare paid
$9,782
Average per stay
State rank
#17 of 48
1 = lowest average payment
Hospitals in Texas billed an average of $79,543 for pulmonary embolism with major complications or acute cor pulmonale, about 6.5 times the average total payment of $12,167. That payment is 10% below the U.S. average of $13,466.
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 $12,167Billed $79,543
About 15¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 |
|---|---|---|---|---|
| Mem Hermann Southwest HospHouston | 51 | $64,176 | $12,786 | $11,013 |
| Methodist HospitalSan Antonio | 45 | $129,115 | $11,045 | $9,064 |
| Baylor University Medical CenterDallas | 36 | $45,738 | $14,718 | $9,469 |
| Texas Health Harris Methodist Fort WorthFort Worth | 35 | $55,815 | $13,233 | $9,576 |
| Bsa HospitalAmarillo | 34 | $56,821 | $9,939 | $8,600 |
| Trinity Mother Frances SystTyler | 31 | $88,217 | $9,826 | $8,747 |
| Texoma Healthcare SystemDenison | 31 | $105,566 | $10,678 | $9,397 |
| Shannon Medical CenterSan Angelo | 31 | $53,530 | $10,599 | $8,706 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 31 | $68,995 | $9,332 | $8,595 |
| United Regional Hlth Care SystWichita Falls | 29 | $46,836 | $15,209 | $9,840 |
| UT Southwestern University HospitalDallas | 29 | $44,824 | $12,503 | $10,184 |
| Scott & White Memorial HospitalTemple | 28 | $65,221 | $15,057 | $10,569 |
| Baptist Medical CenterSan Antonio | 25 | $142,417 | $11,039 | $9,660 |
| Methodist Hospital,TheHouston | 24 | $94,422 | $14,413 | $9,397 |
| University of Texas Medical Branch GalGalveston | 22 | $40,912 | $16,384 | $12,366 |
| Methodist Sugar Land HospitalSugar Land | 22 | $121,398 | $11,526 | $10,357 |
| Scott & White Hospital-Round RockRound Rock | 22 | $55,691 | $10,714 | $9,272 |
| East Texas Medical CenterTyler | 21 | $85,738 | $11,547 | $9,956 |
| Seton Medical Center AustinAustin | 20 | $79,552 | $15,332 | $10,250 |
| Memorial Hermann Texas Medical CenterHouston | 20 | $98,042 | $18,758 | $14,781 |
| Methodist Charlton Medical CenterDallas | 20 | $69,449 | $11,810 | $10,398 |
| CHRISTUS St Michael Health SystemTexarkana | 20 | $75,681 | $9,161 | $8,232 |
| Covenant Medical CenterLubbock | 19 | $115,802 | $11,063 | $9,561 |
| Hendrick Health SystemAbilene | 19 | $82,515 | $11,659 | $9,323 |
| Texas Health Presbyterian Hospital DallasDallas | 19 | $51,435 | $11,479 | $10,417 |
| Good Shepherd Medical Center MarshallMarshall | 18 | $79,093 | $12,999 | $10,597 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 18 | $46,539 | $11,048 | $8,554 |
| Medical Center of PlanoPlano | 18 | $136,631 | $10,997 | $8,287 |
| Texas Health Presbyterian Hospital PlanoPlano | 18 | $55,025 | $11,881 | $9,074 |
| Methodist Mansfield Medical CenterMansfield | 18 | $51,074 | $11,040 | $8,890 |
| Houston Methodist West HospitalHouston | 18 | $69,904 | $11,356 | $10,358 |
| Memorial Hermann NortheastHumble | 17 | $62,101 | $12,566 | $11,606 |
| University Medical CenterLubbock | 17 | $78,494 | $19,264 | $13,339 |
| St Davids HospitalAustin | 16 | $111,888 | $10,477 | $9,051 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 16 | $47,310 | $12,038 | $8,718 |
| Methodist Willowbrook HospitalHouston | 16 | $82,360 | $11,890 | $9,088 |
| St Joseph Regional Health CenterBryan | 15 | $49,945 | $10,850 | $9,618 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 15 | $89,441 | $14,419 | $11,800 |
| Baylor Regional Medical Center at GrapevineGrapevine | 15 | $59,907 | $9,876 | $7,812 |
| Las Palmas Medical CenterEl Paso | 13 | $118,847 | $13,071 | $11,154 |
| Houston Methodist Baytown HospitalBaytown | 13 | $87,163 | $13,544 | $10,968 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 13 | $67,719 | $16,214 | $7,589 |
| St David's South Austin Medical CenterAustin | 13 | $102,646 | $11,260 | $9,518 |
| Kingwood Medical CenterKingwood | 13 | $210,718 | $11,684 | $10,293 |
| St Luke's the Woodlands HospitalConroe | 13 | $57,313 | $10,870 | $9,803 |
| Sid Peterson Memorial HospitalKerrville | 12 | $42,070 | $10,164 | $9,212 |
| Baylor Medical Center at WaxahachieWaxahachie | 12 | $40,938 | $12,122 | $8,434 |
| Medical Center of McKinneyMcKinney | 12 | $128,246 | $10,889 | $8,981 |
| CHRISTUS HospitalBeaumont | 11 | $51,997 | $11,939 | $10,900 |
| South Texas Health SystemEdinburg | 11 | $224,821 | $13,199 | $12,126 |
| Northwest Texas Hlthcare SystAmarillo | 11 | $88,646 | $12,834 | $11,615 |
| Medical City Dallas HospitalDallas | 11 | $141,592 | $12,031 | $10,471 |
| Houston Methodist Clear Lake HospitalHouston | 11 | $94,497 | $10,139 | $9,400 |
| Lake Pointe Medical CenterRowlett | 11 | $53,265 | $10,467 | $8,024 |
| North Austin Medical CenterAustin | 11 | $87,398 | $11,334 | $9,662 |
| Baylor Regional Medical Center at PlanoPlano | 11 | $43,230 | $8,612 | $6,799 |
| Methodist Stone Oak HospitalSan Antonio | 11 | $109,607 | $9,669 | $8,482 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 11 | $45,327 | $10,856 | $9,817 |
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
| Baylor Regional Medical Center at PlanoPlano, TX | $8,612 |
|---|---|
| CHRISTUS St Michael Health SystemTexarkana, TX | $9,161 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $9,332 |
| Methodist Stone Oak HospitalSan Antonio, TX | $9,669 |
| Trinity Mother Frances SystTyler, TX | $9,826 |
Highest
| University Medical CenterLubbock, TX | $19,264 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $18,758 |
| University of Texas Medical Branch GalGalveston, TX | $16,384 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX | $16,214 |
| Seton Medical Center AustinAustin, TX | $15,332 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Texas?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 58 hospitals in Texas was billed at $79,543 on average, while the average total payment was $12,167, of which Medicare paid $9,782. 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 6.5 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.