Respiratory neoplasms with major complications in Texas
What 22 hospitals in Texas charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.
Average charge
$111,833
Hospital list price billed
Average payment
$15,046
Medicare + patient + other payers
Medicare paid
$12,517
Average per stay
State rank
#11 of 35
1 = lowest average payment
Hospitals in Texas billed an average of $111,833 for respiratory neoplasms with major complications, about 7.4 times the average total payment of $15,046. That payment is 17% below the U.S. average of $18,205.
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 $15,046Billed $111,833
About 13¢ 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: respiratory neoplasms with 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 | 51 | $141,092 | $14,769 | $11,262 |
| Methodist Hospital,TheHouston | 35 | $132,243 | $17,513 | $13,918 |
| Mem Hermann Southwest HospHouston | 32 | $76,709 | $16,628 | $13,660 |
| UT Southwestern University HospitalDallas | 30 | $75,559 | $17,513 | $12,224 |
| Bsa HospitalAmarillo | 23 | $63,317 | $12,899 | $10,994 |
| Trinity Mother Frances SystTyler | 22 | $107,215 | $12,718 | $11,175 |
| Clear Lake Regional Medical CenterWebster | 20 | $205,161 | $13,851 | $13,028 |
| Houston Methodist Baytown HospitalBaytown | 19 | $94,419 | $16,312 | $13,542 |
| Houston Methodist West HospitalHouston | 19 | $82,598 | $13,884 | $12,222 |
| Kingwood Medical CenterKingwood | 18 | $188,571 | $15,524 | $13,036 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 18 | $87,951 | $12,151 | $11,334 |
| St Joseph Regional Health CenterBryan | 16 | $72,450 | $13,837 | $12,352 |
| Texoma Healthcare SystemDenison | 16 | $106,751 | $13,151 | $12,222 |
| St David's South Austin Medical CenterAustin | 16 | $145,699 | $13,498 | $12,356 |
| Baylor University Medical CenterDallas | 15 | $55,530 | $16,509 | $13,642 |
| Baptist Medical CenterSan Antonio | 14 | $162,880 | $13,742 | $12,686 |
| St Lukes Episcopal HospitalHouston | 14 | $154,129 | $16,776 | $13,504 |
| St Davids HospitalAustin | 14 | $81,264 | $12,810 | $11,179 |
| University of Texas Medical Branch GalGalveston | 13 | $69,517 | $21,800 | $17,145 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $73,209 | $14,166 | $13,012 |
| Hendrick Health SystemAbilene | 13 | $155,603 | $13,576 | $12,526 |
| Methodist Sugar Land HospitalSugar Land | 12 | $104,337 | $14,186 | $9,895 |
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
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $12,151 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $12,718 |
| St Davids HospitalAustin, TX | $12,810 |
| Bsa HospitalAmarillo, TX | $12,899 |
| Texoma Healthcare SystemDenison, TX | $13,151 |
Highest
| University of Texas Medical Branch GalGalveston, TX | $21,800 |
|---|---|
| UT Southwestern University HospitalDallas, TX | $17,513 |
| Methodist Hospital,TheHouston, TX | $17,513 |
| St Lukes Episcopal HospitalHouston, TX | $16,776 |
| Mem Hermann Southwest HospHouston, TX | $16,628 |
Respiratory neoplasms with major complications in other states
Questions
How much does respiratory neoplasms with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 22 hospitals in Texas was billed at $111,833 on average, while the average total payment was $15,046, of which Medicare paid $12,517. 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 7.4 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.