Respiratory system diagnosis with ventilator support >96 hours in Texas
What 17 hospitals in Texas charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.
Average charge
$376,955
Hospital list price billed
Average payment
$50,646
Medicare + patient + other payers
Medicare paid
$44,336
Average per stay
State rank
#4 of 28
1 = lowest average payment
Hospitals in Texas billed an average of $376,955 for respiratory system diagnosis with ventilator support >96 hours, about 7.4 times the average total payment of $50,646. That payment is 22% below the U.S. average of $65,323.
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 $50,646Billed $376,955
About 13¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: respiratory system diagnosis with ventilator support >96 hours
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 | 33 | $469,176 | $42,505 | $34,568 |
| Texas Health Harris Methodist Fort WorthFort Worth | 28 | $200,050 | $42,701 | $40,149 |
| Mem Hermann Southwest HospHouston | 28 | $180,677 | $44,460 | $38,669 |
| Baptist Medical CenterSan Antonio | 27 | $332,880 | $35,734 | $34,454 |
| Methodist Hospital,TheHouston | 27 | $667,558 | $80,036 | $70,081 |
| United Regional Hlth Care SystWichita Falls | 25 | $172,817 | $59,399 | $51,799 |
| Trinity Mother Frances SystTyler | 24 | $292,460 | $37,393 | $36,020 |
| Baylor University Medical CenterDallas | 18 | $221,330 | $75,472 | $43,664 |
| Medical Center of PlanoPlano | 15 | $596,378 | $44,659 | $42,439 |
| Covenant Medical CenterLubbock | 14 | $503,910 | $43,352 | $40,664 |
| Medical City Dallas HospitalDallas | 14 | $965,884 | $55,506 | $52,090 |
| CHRISTUS St Michael Health SystemTexarkana | 14 | $216,247 | $41,652 | $40,060 |
| Clear Lake Regional Medical CenterWebster | 13 | $632,994 | $45,340 | $44,577 |
| Denton Regional Medical CenterDenton | 13 | $395,815 | $47,554 | $45,609 |
| Scott & White Memorial HospitalTemple | 12 | $301,473 | $53,004 | $42,006 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $350,964 | $66,845 | $65,212 |
| University Medical CenterLubbock | 12 | $148,819 | $55,820 | $43,011 |
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
| Baptist Medical CenterSan Antonio, TX | $35,734 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $37,393 |
| CHRISTUS St Michael Health SystemTexarkana, TX | $41,652 |
| Methodist HospitalSan Antonio, TX | $42,505 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $42,701 |
Highest
| Methodist Hospital,TheHouston, TX | $80,036 |
|---|---|
| Baylor University Medical CenterDallas, TX | $75,472 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $66,845 |
| United Regional Hlth Care SystWichita Falls, TX | $59,399 |
| University Medical CenterLubbock, TX | $55,820 |
Respiratory system diagnosis with ventilator support >96 hours in other states
Questions
How much does respiratory system diagnosis with ventilator support >96 hours cost in Texas?
In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 17 hospitals in Texas was billed at $376,955 on average, while the average total payment was $50,646, of which Medicare paid $44,336. 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.