Stomach, esophageal and duodenal procedures with complications in Texas
What 12 hospitals in Texas charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327), from 2024 Medicare claims.
Average charge
$145,831
Hospital list price billed
Average payment
$21,535
Medicare + patient + other payers
Medicare paid
$15,788
Average per stay
State rank
#3 of 28
1 = lowest average payment
Hospitals in Texas billed an average of $145,831 for stomach, esophageal and duodenal procedures with complications, about 6.8 times the average total payment of $21,535. That payment is 21% below the U.S. average of $27,210.
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 $21,535Billed $145,831
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: stomach, esophageal and duodenal procedures 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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 31 | $67,977 | $22,767 | $17,480 |
| Methodist HospitalSan Antonio | 29 | $138,830 | $19,551 | $13,970 |
| UT Southwestern University HospitalDallas | 25 | $111,691 | $22,176 | $17,269 |
| Methodist Hospital,TheHouston | 20 | $168,867 | $22,702 | $17,613 |
| Methodist Richardson Medical CenterRichardson | 18 | $100,126 | $22,801 | $13,696 |
| Trinity Mother Frances SystTyler | 14 | $231,178 | $17,632 | $16,153 |
| Medical Center of PlanoPlano | 14 | $290,184 | $21,312 | $14,552 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $96,806 | $21,143 | $16,401 |
| St Davids HospitalAustin | 13 | $266,457 | $27,567 | $11,455 |
| East Texas Medical CenterTyler | 12 | $139,340 | $19,436 | $15,531 |
| Mem Hermann Mem City HospHouston | 12 | $109,799 | $24,971 | $20,409 |
| Nacogdoches Medical CenterNacogdoches | 11 | $163,620 | $14,774 | $13,290 |
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
| Nacogdoches Medical CenterNacogdoches, TX | $14,774 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $17,632 |
| East Texas Medical CenterTyler, TX | $19,436 |
| Methodist HospitalSan Antonio, TX | $19,551 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $21,143 |
Highest
| St Davids HospitalAustin, TX | $27,567 |
|---|---|
| Mem Hermann Mem City HospHouston, TX | $24,971 |
| Methodist Richardson Medical CenterRichardson, TX | $22,801 |
| Baylor University Medical CenterDallas, TX | $22,767 |
| Methodist Hospital,TheHouston, TX | $22,702 |
Stomach, esophageal and duodenal procedures with complications in other states
Questions
How much does stomach, esophageal and duodenal procedures with complications cost in Texas?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327) at 12 hospitals in Texas was billed at $145,831 on average, while the average total payment was $21,535, of which Medicare paid $15,788. 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 6.8 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.