Pulmonary embolism without major complications in Texas
What 20 hospitals in Texas charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$45,250
Hospital list price billed
Average payment
$7,945
Medicare + patient + other payers
Medicare paid
$5,735
Average per stay
State rank
#26 of 39
1 = lowest average payment
Hospitals in Texas billed an average of $45,250 for pulmonary embolism without major complications, about 5.7 times the average total payment of $7,945. That payment is 4% below the U.S. average of $8,294.
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 $7,945Billed $45,250
About 18¢ 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 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 | 38 | $63,884 | $6,976 | $5,396 |
| Mem Hermann Southwest HospHouston | 27 | $42,812 | $8,880 | $7,119 |
| Hendrick Health SystemAbilene | 27 | $53,385 | $6,590 | $5,207 |
| Texas Health Harris Methodist Fort WorthFort Worth | 23 | $40,948 | $8,086 | $5,963 |
| United Regional Hlth Care SystWichita Falls | 20 | $26,383 | $9,646 | $4,726 |
| Baylor University Medical CenterDallas | 19 | $38,300 | $9,945 | $6,762 |
| Texas Health Presbyterian Hospital DallasDallas | 19 | $44,561 | $7,144 | $5,864 |
| Methodist Hospital,TheHouston | 17 | $72,531 | $10,475 | $5,227 |
| Bsa HospitalAmarillo | 16 | $39,942 | $7,152 | $4,152 |
| Scott & White Memorial HospitalTemple | 15 | $42,300 | $9,653 | $6,938 |
| UT Southwestern University HospitalDallas | 14 | $28,486 | $7,335 | $5,971 |
| CHRISTUS St Michael Health SystemTexarkana | 14 | $44,473 | $6,605 | $4,674 |
| Baylor Regional Medical Center at GrapevineGrapevine | 13 | $32,830 | $5,935 | $3,981 |
| Trinity Mother Frances SystTyler | 12 | $52,185 | $6,538 | $5,416 |
| Shannon Medical CenterSan Angelo | 12 | $36,957 | $6,347 | $4,850 |
| University of Texas Medical Branch GalGalveston | 11 | $28,202 | $11,151 | $7,723 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 11 | $41,674 | $7,041 | $5,814 |
| Medical Center of PlanoPlano | 11 | $70,036 | $6,885 | $5,825 |
| University Medical CenterLubbock | 11 | $39,390 | $11,148 | $9,311 |
| Baylor Regional Medical Center at PlanoPlano | 11 | $33,155 | $5,458 | $4,308 |
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 | $5,458 |
|---|---|
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $5,935 |
| Shannon Medical CenterSan Angelo, TX | $6,347 |
| Trinity Mother Frances SystTyler, TX | $6,538 |
| Hendrick Health SystemAbilene, TX | $6,590 |
Highest
| University of Texas Medical Branch GalGalveston, TX | $11,151 |
|---|---|
| University Medical CenterLubbock, TX | $11,148 |
| Methodist Hospital,TheHouston, TX | $10,475 |
| Baylor University Medical CenterDallas, TX | $9,945 |
| Scott & White Memorial HospitalTemple, TX | $9,653 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 20 hospitals in Texas was billed at $45,250 on average, while the average total payment was $7,945, of which Medicare paid $5,735. 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 5.7 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.