facebook tracking Respiratory infections and inflammations with complications cost in Texas: 50 hospitals compared (DRG 178)

Respiratory infections and inflammations with complications in Texas

What 50 hospitals in Texas charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.

DRG 178 Inpatient 2024 Medicare data
Average charge $49,235 Hospital list price billed
Average payment $9,078 Medicare + patient + other payers
Medicare paid $6,905 Average per stay
State rank #26 of 46 1 = lowest average payment

Hospitals in Texas billed an average of $49,235 for respiratory infections and inflammations with complications, about 5.4 times the average total payment of $9,078. That payment is 4% below the U.S. average of $9,493.

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 $9,078Billed $49,235

About 18¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: respiratory infections and inflammations 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
United Regional Hlth Care SystWichita Falls 49 $35,402 $9,835 $7,108
Methodist Sugar Land HospitalSugar Land 45 $50,283 $7,823 $5,533
Methodist Hospital,TheHouston 44 $54,160 $10,013 $7,000
UT Southwestern University HospitalDallas 40 $40,808 $10,900 $5,995
Shannon Medical CenterSan Angelo 40 $46,914 $7,427 $6,073
Methodist HospitalSan Antonio 38 $69,585 $8,541 $6,404
Texas Health Harris Methodist Fort WorthFort Worth 34 $48,126 $9,163 $7,159
Houston Methodist the Woodlands HospitalThe Woodlands 34 $58,401 $6,905 $5,849
Hendrick Health SystemAbilene 32 $70,168 $7,601 $6,511
Texas Health Presbyterian Hospital DallasDallas 32 $38,743 $9,320 $6,689
Mem Hermann Southwest HospHouston 30 $43,453 $10,142 $8,984
Texas Health Presbyterian Hospital PlanoPlano 29 $38,088 $8,035 $6,856
Mem Hermann Baptist HospitalBeaumont 27 $61,758 $9,718 $8,046
Baylor Regional Medical Center at GrapevineGrapevine 27 $33,491 $7,572 $4,948
Baptist Medical CenterSan Antonio 24 $81,850 $7,812 $6,003
Baylor Regional Medical Center at PlanoPlano 24 $30,150 $6,814 $4,726
Denton Community HospitalDenton 23 $37,581 $8,398 $7,011
University Health SystemSan Antonio 21 $45,799 $23,581 $17,964
Texoma Healthcare SystemDenison 21 $68,696 $7,579 $6,191
Baylor University Medical CenterDallas 20 $33,540 $10,948 $7,084
Bsa HospitalAmarillo 19 $40,236 $7,517 $6,428
Methodist Willowbrook HospitalHouston 19 $56,029 $8,201 $6,222
Texas Health Arlington Memorial HospitalArlington 18 $34,981 $9,159 $6,584
University of Texas Medical Branch GalGalveston 17 $27,252 $12,454 $9,578
CHRISTUS HospitalBeaumont 17 $46,751 $9,145 $7,801
Scott & White Memorial HospitalTemple 17 $41,543 $10,411 $8,181
Memorial Hermann Texas Medical CenterHouston 16 $54,441 $15,001 $8,952
Trinity Mother Frances SystTyler 16 $64,417 $7,515 $6,451
St Joseph Regional Health CenterBryan 15 $47,106 $8,150 $7,005
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 15 $39,072 $9,400 $6,362
Texas Health Presbyterian Hospital AllenAllen 15 $34,659 $7,988 $6,573
Baylor All Saints Medical Center at FwFort Worth 14 $31,628 $7,892 $5,949
Hunt Regional Medical CenterGreenville 14 $32,522 $8,392 $7,411
Methodist Richardson Medical CenterRichardson 14 $49,137 $9,169 $5,671
Denton Regional Medical CenterDenton 14 $78,383 $8,659 $6,935
Medical Center of PlanoPlano 14 $79,354 $8,004 $6,813
Baylor Scott and White Medical Center McKinneyMc Kinney 14 $27,880 $6,557 $5,391
Covenant Medical CenterLubbock 13 $96,389 $8,933 $5,935
Guadalupe Regional Medical CenterSeguin 13 $21,440 $8,106 $7,101
CHRISTUS Santa Rosa HospitalSan Antonio 13 $41,853 $7,909 $6,554
Seton Medical Center AustinAustin 12 $74,484 $9,426 $7,554
St Davids HospitalAustin 12 $47,848 $9,065 $5,747
Woodland Heights Medical CenterLufkin 12 $54,149 $6,960 $5,464
Medical City Dallas HospitalDallas 12 $88,147 $8,864 $6,929
Huguley Health SystemFort Worth 12 $40,877 $7,911 $6,397
University Medical CenterLubbock 12 $42,403 $13,212 $11,691
Houston Methodist Clear Lake HospitalHouston 12 $62,062 $8,112 $5,453
Houston Methodist West HospitalHouston 12 $34,007 $7,831 $6,743
East Texas Medical CenterTyler 11 $80,374 $6,980 $5,754
Centennial Medical CenterFrisco 11 $25,643 $7,490 $6,006
Advertisement

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.

Respiratory infections and inflammations with complications in other states

Questions

How much does respiratory infections and inflammations with complications cost in Texas?

In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 50 hospitals in Texas was billed at $49,235 on average, while the average total payment was $9,078, of which Medicare paid $6,905. 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 5.4 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.