facebook tracking Signs and symptoms without major complications cost in Texas: 20 hospitals compared (DRG 948)

Signs and symptoms without major complications in Texas

What 20 hospitals in Texas charged and were paid for a Medicare hospital stay for signs and symptoms without major complications (DRG 948), from 2024 Medicare claims.

DRG 948 Inpatient 2024 Medicare data
Average charge $42,422 Hospital list price billed
Average payment $7,836 Medicare + patient + other payers
Medicare paid $5,934 Average per stay
State rank #25 of 37 1 = lowest average payment

Hospitals in Texas billed an average of $42,422 for signs and symptoms without major complications, about 5.4 times the average total payment of $7,836. That payment is 3% below the U.S. average of $8,086.

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 $7,836Billed $42,422

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: signs and symptoms 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
United Regional Hlth Care SystWichita Falls 33 $27,133 $6,681 $5,791
Hendrick Health SystemAbilene 29 $72,036 $6,442 $5,216
Bsa HospitalAmarillo 22 $48,625 $6,653 $5,474
Mem Hermann Baptist HospitalBeaumont 21 $47,045 $7,887 $6,436
Methodist HospitalSan Antonio 21 $44,637 $6,783 $5,010
Baptist Medical CenterSan Antonio 20 $70,024 $6,780 $5,422
Texas Health Harris Methodist Fort WorthFort Worth 19 $35,087 $7,438 $6,079
Baylor Regional Medical Center at GrapevineGrapevine 19 $29,388 $5,806 $4,246
Scott & White Memorial HospitalTemple 18 $38,260 $9,090 $6,889
Baylor University Medical CenterDallas 16 $25,101 $10,628 $6,028
East Texas Medical CenterTyler 16 $63,836 $7,108 $5,298
Hillcrest Baptist Med CenterWaco 16 $40,245 $7,732 $6,211
Texas Health Presbyterian Hospital DallasDallas 15 $37,113 $8,187 $5,722
Paris Regional Medical CenterParis 14 $24,721 $5,990 $4,940
Texas Health Presbyterian Hospital PlanoPlano 14 $35,969 $7,290 $4,667
UT Southwestern University HospitalDallas 12 $26,787 $8,303 $4,833
Seton Medical Center AustinAustin 12 $46,779 $7,556 $6,475
University Health SystemSan Antonio 12 $47,162 $22,876 $16,926
Texas Health Harris Methodist Hospital Southwest FFort Worth 12 $36,096 $6,547 $5,323
Baylor All Saints Medical Center at FwFort Worth 11 $25,778 $7,812 $4,867
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.

Signs and symptoms without major complications in other states

Questions

How much does signs and symptoms without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for signs and symptoms without major complications (DRG 948) at 20 hospitals in Texas was billed at $42,422 on average, while the average total payment was $7,836, of which Medicare paid $5,934. 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.