Simple pneumonia and pleurisy with major complications in Texas
What 179 hospitals in Texas charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$74,493
Hospital list price billed
Average payment
$11,464
Medicare + patient + other payers
Medicare paid
$9,602
Average per stay
State rank
#28 of 50
1 = lowest average payment
Hospitals in Texas billed an average of $74,493 for simple pneumonia and pleurisy with major complications, about 6.5 times the average total payment of $11,464. That payment is 5% below the U.S. average of $12,020.
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 $11,464Billed $74,493
About 15¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: simple pneumonia and pleurisy 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 | 314 | $103,634 | $10,916 | $8,419 |
| Trinity Mother Frances SystTyler | 216 | $79,535 | $9,721 | $8,443 |
| Mem Hermann Southwest HospHouston | 204 | $47,096 | $12,641 | $10,872 |
| Baptist Medical CenterSan Antonio | 181 | $112,621 | $10,363 | $8,732 |
| Hendrick Health SystemAbilene | 181 | $92,417 | $10,362 | $8,932 |
| Bsa HospitalAmarillo | 178 | $67,005 | $10,195 | $8,222 |
| CHRISTUS St Michael Health SystemTexarkana | 177 | $65,682 | $9,685 | $8,461 |
| Kingwood Medical CenterKingwood | 161 | $140,382 | $11,893 | $10,189 |
| Texas Health Harris Methodist Fort WorthFort Worth | 159 | $51,735 | $11,146 | $9,381 |
| Denton Regional Medical CenterDenton | 153 | $118,408 | $11,229 | $9,427 |
| United Regional Hlth Care SystWichita Falls | 152 | $42,625 | $11,441 | $9,627 |
| Good Shepherd Medical Center MarshallMarshall | 148 | $49,583 | $11,585 | $10,244 |
| Texoma Healthcare SystemDenison | 146 | $88,480 | $9,914 | $8,311 |
| Huguley Health SystemFort Worth | 142 | $60,069 | $11,213 | $8,778 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 140 | $48,111 | $10,299 | $8,947 |
| East Texas Medical CenterTyler | 128 | $78,273 | $10,675 | $9,178 |
| Paris Regional Medical CenterParis | 123 | $38,524 | $9,606 | $8,335 |
| Methodist Hospital,TheHouston | 123 | $104,234 | $13,750 | $9,851 |
| St Davids HospitalAustin | 121 | $78,026 | $10,005 | $8,391 |
| University of Texas Medical Branch GalGalveston | 119 | $41,155 | $16,071 | $12,514 |
| Covenant Medical CenterLubbock | 116 | $123,978 | $11,118 | $8,548 |
| Texas Health Presbyterian Hospital DallasDallas | 112 | $52,000 | $10,917 | $9,319 |
| Methodist Sugar Land HospitalSugar Land | 98 | $56,270 | $9,853 | $8,247 |
| Providence Health CenterWaco | 96 | $34,872 | $10,116 | $8,935 |
| Medical Center of PlanoPlano | 96 | $106,392 | $11,935 | $8,251 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 94 | $51,210 | $10,712 | $8,946 |
| Longview Regional Medical CenterLongview | 92 | $65,719 | $9,428 | $8,017 |
| Methodist Willowbrook HospitalHouston | 91 | $62,959 | $10,718 | $8,312 |
| UT Southwestern University HospitalDallas | 88 | $42,200 | $13,155 | $9,199 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 86 | $69,060 | $13,454 | $11,834 |
| Medical Center of McKinneyMcKinney | 86 | $104,552 | $10,353 | $9,005 |
| St David's South Austin Medical CenterAustin | 82 | $89,953 | $10,870 | $8,812 |
| Houston Methodist West HospitalHouston | 82 | $62,142 | $10,831 | $9,272 |
| Midland Memorial HospitalMidland | 80 | $56,595 | $11,460 | $10,193 |
| Medical City Dallas HospitalDallas | 80 | $152,620 | $11,752 | $9,379 |
| Texas Health Arlington Memorial HospitalArlington | 79 | $44,562 | $11,678 | $9,216 |
| Hunt Regional Medical CenterGreenville | 78 | $43,732 | $10,657 | $9,440 |
| Shannon Medical CenterSan Angelo | 77 | $52,085 | $9,771 | $8,532 |
| Methodist Stone Oak HospitalSan Antonio | 77 | $99,955 | $9,434 | $7,803 |
| East Texas Medical Center AthensAthens | 76 | $80,204 | $10,255 | $8,964 |
| Corpus Christi Medical Center,TheCorpus Christi | 75 | $120,084 | $11,895 | $9,365 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs | 74 | $78,727 | $10,665 | $9,542 |
| Methodist Richardson Medical CenterRichardson | 74 | $56,010 | $10,043 | $8,775 |
| St Joseph Regional Health CenterBryan | 73 | $50,838 | $10,394 | $9,079 |
| CHRISTUS HospitalBeaumont | 72 | $65,380 | $11,680 | $10,081 |
| North Austin Medical CenterAustin | 72 | $71,927 | $11,024 | $9,186 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 72 | $72,830 | $9,330 | $8,119 |
| University Medical CenterLubbock | 71 | $61,989 | $15,709 | $13,968 |
| Adventhealth Central TexasKilleen | 70 | $38,511 | $10,636 | $9,359 |
| Weatherford Regional Medical CenterWeatherford | 70 | $98,081 | $11,706 | $9,911 |
| Las Palmas Medical CenterEl Paso | 68 | $124,575 | $12,099 | $9,802 |
| Clear Lake Regional Medical CenterWebster | 67 | $153,991 | $11,066 | $9,471 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 67 | $54,039 | $9,776 | $8,301 |
| Seton Medical Center AustinAustin | 66 | $76,888 | $11,560 | $9,996 |
| Texas Health Presbyterian Hospital PlanoPlano | 64 | $49,804 | $10,403 | $8,760 |
| Medical Center of ArlingtonArlington | 63 | $113,916 | $12,921 | $10,376 |
| Seton Medical Center HaysKyle | 63 | $92,178 | $10,699 | $9,554 |
| Laredo Medical CenterLaredo | 61 | $111,422 | $12,298 | $9,981 |
| Medical Center HospitalOdessa | 60 | $35,497 | $11,832 | $10,016 |
| Brownwood Regional Medical CenterBrownwood | 60 | $62,071 | $10,345 | $9,284 |
| Round Rock Medical CenterRound Rock | 59 | $82,721 | $11,684 | $8,021 |
| Denton Community HospitalDenton | 59 | $59,198 | $10,962 | $9,886 |
| Houston Methodist Baytown HospitalBaytown | 57 | $73,503 | $11,284 | $10,085 |
| Baylor Regional Medical Center at GrapevineGrapevine | 57 | $41,891 | $9,254 | $7,117 |
| Lake Pointe Medical CenterRowlett | 56 | $46,651 | $10,623 | $8,548 |
| Methodist Mansfield Medical CenterMansfield | 56 | $60,873 | $10,773 | $8,850 |
| Sid Peterson Memorial HospitalKerrville | 55 | $33,691 | $10,069 | $7,865 |
| Seton Medical Center WilliamsonRound Rock | 55 | $83,730 | $11,245 | $9,063 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 55 | $48,851 | $9,783 | $7,519 |
| Northwest Texas Hlthcare SystAmarillo | 54 | $120,627 | $12,533 | $10,978 |
| Mem Hermann Mem City HospHouston | 53 | $45,760 | $11,662 | $10,261 |
| Memorial Hermann NortheastHumble | 53 | $54,387 | $12,413 | $10,861 |
| Valley Baptist Medical CenterHarlingen | 52 | $137,051 | $11,214 | $9,672 |
| Memorial Hermann Texas Medical CenterHouston | 51 | $56,245 | $17,106 | $13,235 |
| Scott & White Hospital-Round RockRound Rock | 50 | $47,687 | $10,020 | $8,036 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 50 | $47,828 | $10,948 | $6,921 |
| South Texas Health SystemEdinburg | 48 | $168,649 | $12,298 | $10,906 |
| Memorial Hermann Katy HospitalKaty | 48 | $48,917 | $10,578 | $9,286 |
| North Hills HospitalNorth Richland Hills | 46 | $91,598 | $11,758 | $9,738 |
| Methodist Charlton Medical CenterDallas | 46 | $66,200 | $11,510 | $9,475 |
| Baylor Regional Medical Center at PlanoPlano | 46 | $37,435 | $8,891 | $7,169 |
| Titus Regional Medical CenterMt Pleasant | 44 | $24,444 | $10,584 | $9,361 |
| HCA Houston Healthcare SoutheastPasadena | 43 | $136,156 | $15,481 | $13,302 |
| Tomball Regional HospitalTomball | 42 | $119,537 | $11,892 | $10,275 |
| Texas Health Harris Methodist Hospital CleburneCleburne | 41 | $43,851 | $11,812 | $9,837 |
| CHI St Lukes Health Memorial LufkinLufkin | 41 | $65,152 | $10,454 | $9,170 |
| Nacogdoches Medical CenterNacogdoches | 41 | $118,785 | $9,190 | $7,758 |
| Sierra Medical CenterEl Paso | 41 | $142,858 | $9,510 | $7,911 |
| Seton Northwest HospitalAustin | 41 | $67,781 | $12,737 | $10,947 |
| Texas Health Harris Methodist Hospital AllianceFort Worth | 41 | $38,214 | $10,047 | $8,578 |
| Citizens Medical CenterVictoria | 40 | $34,759 | $9,702 | $8,542 |
| Scott & White Memorial HospitalTemple | 40 | $63,992 | $14,214 | $11,179 |
| Mem Hermann Baptist HospitalBeaumont | 40 | $69,782 | $11,364 | $9,779 |
| Plaza Medical Center of Fort WorthFort Worth | 40 | $98,586 | $12,652 | $9,256 |
| Palestine Regional Medical CenterPalestine | 40 | $66,039 | $9,805 | $8,867 |
| Texas Health Presbyterian Hospital RockwallRockwall | 40 | $48,369 | $9,391 | $6,817 |
| Sierra Providence East Medical CenterEl Paso | 37 | $105,320 | $11,070 | $9,251 |
| Methodist Dallas Medical CenterDallas | 36 | $81,323 | $16,266 | $13,043 |
| Conroe Regional Medical CenterConroe | 36 | $146,966 | $12,624 | $10,759 |
| Medical Center of LewisvilleLewisville | 36 | $119,711 | $11,099 | $9,876 |
| St Luke's the Woodlands HospitalConroe | 35 | $65,365 | $10,579 | $9,015 |
| Resolute Health HospitalNew Braunfels | 35 | $84,193 | $8,447 | $6,871 |
| Baylor University Medical CenterDallas | 34 | $49,087 | $17,632 | $9,222 |
| Baylor Medical Center at WaxahachieWaxahachie | 34 | $58,415 | $10,488 | $8,925 |
| Cedar Park Regional Medical CenterCedar Park | 34 | $67,076 | $8,705 | $7,505 |
| Jps Health NetworkFort Worth | 33 | $61,570 | $38,767 | $36,617 |
| West Houston Medical CenterHouston | 33 | $124,020 | $14,373 | $12,635 |
| Dallas Regional Medical CenterMesquite | 33 | $70,480 | $10,782 | $9,292 |
| The Hospitals of Providence Transmountain CampusEl Paso | 33 | $119,342 | $11,380 | $9,006 |
| North Texas Medical CenterGainesville | 32 | $37,642 | $12,214 | $11,143 |
| Mission Regional Medical CenterMission | 32 | $104,724 | $10,852 | $9,630 |
| Lake Granbury Medical CenterGranbury | 30 | $83,064 | $10,724 | $9,442 |
| Centennial Medical CenterFrisco | 29 | $51,463 | $9,994 | $8,812 |
| Guadalupe Regional Medical CenterSeguin | 28 | $32,783 | $10,480 | $8,393 |
| St Lukes Episcopal HospitalHouston | 28 | $78,221 | $13,146 | $9,703 |
| CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos | 28 | $50,740 | $10,731 | $9,285 |
| Texas Regional Medical Center at SunnyvaleSunnyvale | 28 | $40,112 | $8,522 | $7,028 |
| Texas Health Hospital FriscoFrisco | 28 | $38,585 | $7,940 | $6,890 |
| Baylor All Saints Medical Center at FwFort Worth | 27 | $56,791 | $11,427 | $9,243 |
| University Health SystemSan Antonio | 27 | $76,436 | $29,559 | $21,274 |
| Texas Health Presbyterian Hospital AllenAllen | 27 | $43,356 | $10,043 | $8,834 |
| Parkland Health and Hospital SystemDallas | 25 | $69,787 | $55,573 | $52,334 |
| University Medical Center of El PasoEl Paso | 25 | $47,357 | $27,089 | $24,640 |
| Medical City AllianceFort Worth | 25 | $85,390 | $11,706 | $9,738 |
| Medical City DecaturDecatur | 24 | $102,041 | $8,819 | $7,204 |
| Nacogdoches Memorial HospitalNacogdoches | 24 | $52,484 | $10,216 | $8,778 |
| Hillcrest Baptist Med CenterWaco | 23 | $39,884 | $11,733 | $9,526 |
| Texas Health Harris Methodist Hospital AzleAzle | 23 | $47,630 | $12,086 | $9,589 |
| Odessa Regional HospitalOdessa | 23 | $84,488 | $11,111 | $9,729 |
| Baylor Medical Center at CarrolltonCarrollton | 23 | $42,697 | $9,214 | $7,421 |
| Brazosport Regional Health SystemLake Jackson | 22 | $55,836 | $11,666 | $10,330 |
| Navarro Regional HospitalCorsicana | 22 | $80,972 | $11,850 | $10,885 |
| Hill Country Memorial HospitalFredericksburg | 22 | $82,683 | $14,760 | $13,222 |
| Detar Hospital NavarroVictoria | 21 | $118,100 | $10,730 | $8,975 |
| Texas Health Presbyterian Hospital KaufmanKaufman | 21 | $35,315 | $11,603 | $10,361 |
| Huntsville Memorial HospitalHuntsville | 21 | $31,217 | $11,379 | $9,688 |
| Texas Health Harris Methodist Hospital StephenvillStephenville | 21 | $36,605 | $12,754 | $11,357 |
| Scenic Mountain Medical CenterBig Spring | 21 | $39,186 | $12,573 | $11,400 |
| Valley Regional Medical CenterBrownsville | 21 | $128,850 | $10,980 | $9,661 |
| Harlingen Medical CenterHarlingen | 21 | $75,140 | $9,793 | $8,473 |
| Matagorda General HospitalBay City | 20 | $22,733 | $13,240 | $11,873 |
| Methodist Midlothian Medical CenterMidlothian | 20 | $53,554 | $8,657 | $6,769 |
| Providence Memorial HospitalEl Paso | 19 | $156,320 | $10,110 | $8,737 |
| Valley Baptist Medical Center - BrownsvilleBrownsville | 19 | $182,287 | $11,370 | $10,135 |
| Fort Duncan Medical CenterEagle Pass | 19 | $74,186 | $10,029 | $8,826 |
| Parkview Regional HospitalMexia | 19 | $49,532 | $10,681 | $9,307 |
| CHRISTUS Spohn Hospital AliceAlice | 19 | $59,174 | $13,459 | $12,085 |
| Ennis Regional Medical CenterEnnis | 19 | $57,891 | $11,723 | $9,859 |
| Memorial Hermann Sugar Land HospitalSugar Land | 19 | $44,039 | $10,537 | $9,331 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 19 | $33,038 | $10,022 | $9,077 |
| Baylor Medical Center at IrvingIrving | 18 | $61,888 | $12,441 | $11,534 |
| Val Verde Regional Medical CenterDel Rio | 18 | $35,775 | $14,768 | $12,825 |
| Woodland Heights Medical CenterLufkin | 18 | $75,081 | $9,363 | $8,094 |
| Doctors Hospital of LaredoLaredo | 18 | $107,216 | $11,557 | $10,741 |
| Lubbock Heart Hospital LpLubbock | 18 | $30,502 | $7,926 | $6,566 |
| University of Texas Health Science Center at TylerTyler | 17 | $47,919 | $10,331 | $7,584 |
| Rio Grande Regional HospitalMcAllen | 17 | $163,291 | $12,769 | $11,427 |
| Seton Medical Center Harker HeightsHarker Heights | 17 | $35,518 | $11,476 | $10,325 |
| CHI St Lukes Health Memorial LivingstonLivingston | 16 | $55,629 | $15,108 | $13,782 |
| CHRISTUS Jasper Memorial HospitalJasper | 16 | $31,210 | $15,350 | $14,228 |
| Houston Methodist Clear Lake HospitalHouston | 16 | $51,322 | $9,989 | $7,515 |
| East Texas Medical Center JacksonvilleJacksonville | 15 | $90,426 | $13,541 | $12,344 |
| Covenant Hospital PlainviewPlainview | 14 | $40,722 | $15,789 | $14,507 |
| St Luke's Hospital at the VintageHouston | 14 | $70,808 | $11,319 | $8,555 |
| Baptist Neighborhood Hospital Thousand OaksSan Antonio | 14 | $49,267 | $8,178 | $6,662 |
| HCA Houston Healthcare PearlandPearland | 14 | $165,236 | $11,721 | $10,555 |
| CHRISTUS Spohn HospitalBeeville | 13 | $52,824 | $15,258 | $14,380 |
| Eastland Memorial HospitalEastland | 13 | $18,291 | $10,704 | $9,451 |
| Wilson N Jones Regional Medical CenterSherman | 13 | $53,578 | $9,513 | $8,132 |
| Houston Northwest Medical CenterHouston | 13 | $127,505 | $15,054 | $13,919 |
| Baylor Scott & White Medical Center - Marble FallsMarble Falls | 13 | $42,019 | $9,690 | $8,560 |
| Wadley Regional Medical CenterTexarkana | 12 | $55,615 | $8,659 | $7,872 |
| Oakbend Medical CenterRichmond | 12 | $29,872 | $12,791 | $11,253 |
| The Medical Center of Southeast TexasPort Arthur | 12 | $57,485 | $9,943 | $8,855 |
| El Campo Memorial HospitalEl Campo | 12 | $31,931 | $12,422 | $10,987 |
| Las Colinas Medical CenterIrving | 12 | $102,735 | $12,844 | $9,763 |
| Doctors Hospital at RenaissanceEdinburg | 12 | $54,518 | $13,576 | $11,548 |
| Rolling Plains Memorial HospitalSweetwater | 11 | $23,589 | $12,913 | $11,327 |
| Freestone Medical CenterFairfield | 11 | $36,071 | $13,625 | $11,177 |
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
| Lubbock Heart Hospital LpLubbock, TX | $7,926 |
|---|---|
| Texas Health Hospital FriscoFrisco, TX | $7,940 |
| Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX | $8,178 |
| Resolute Health HospitalNew Braunfels, TX | $8,447 |
| Texas Regional Medical Center at SunnyvaleSunnyvale, TX | $8,522 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $55,573 |
|---|---|
| Jps Health NetworkFort Worth, TX | $38,767 |
| University Health SystemSan Antonio, TX | $29,559 |
| University Medical Center of El PasoEl Paso, TX | $27,089 |
| Baylor University Medical CenterDallas, TX | $17,632 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 179 hospitals in Texas was billed at $74,493 on average, while the average total payment was $11,464, of which Medicare paid $9,602. 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 6.5 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.