Stomach, esophageal and duodenal procedures with major complications in Texas
What 18 hospitals in Texas charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with major complications (DRG 326), from 2024 Medicare claims.
Average charge
$293,458
Hospital list price billed
Average payment
$46,279
Medicare + patient + other payers
Medicare paid
$39,655
Average per stay
State rank
#6 of 26
1 = lowest average payment
Hospitals in Texas billed an average of $293,458 for stomach, esophageal and duodenal procedures with major complications, about 6.3 times the average total payment of $46,279. That payment is 19% below the U.S. average of $57,450.
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 $46,279Billed $293,458
About 16¢ 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 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 |
|---|---|---|---|---|
| UT Southwestern University HospitalDallas | 26 | $218,908 | $58,683 | $54,312 |
| Methodist HospitalSan Antonio | 25 | $286,773 | $38,267 | $28,664 |
| St Lukes Episcopal HospitalHouston | 24 | $333,999 | $56,414 | $51,131 |
| Methodist Richardson Medical CenterRichardson | 23 | $169,392 | $35,274 | $32,982 |
| Baylor University Medical CenterDallas | 22 | $125,528 | $46,050 | $35,017 |
| Mem Hermann Southwest HospHouston | 22 | $272,431 | $42,731 | $41,584 |
| Methodist Hospital,TheHouston | 22 | $391,719 | $62,228 | $52,287 |
| Baptist Medical CenterSan Antonio | 20 | $429,281 | $33,824 | $32,344 |
| Trinity Mother Frances SystTyler | 17 | $289,755 | $35,276 | $33,817 |
| Medical Center of PlanoPlano | 17 | $493,621 | $42,447 | $31,170 |
| University of Texas Medical Branch GalGalveston | 14 | $194,036 | $50,866 | $43,903 |
| Scott & White Memorial HospitalTemple | 13 | $162,727 | $45,423 | $41,384 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $255,252 | $70,199 | $34,468 |
| Kingwood Medical CenterKingwood | 13 | $636,728 | $46,205 | $43,773 |
| Memorial Hermann Texas Medical CenterHouston | 12 | $374,997 | $63,528 | $51,711 |
| Bsa HospitalAmarillo | 12 | $197,573 | $31,342 | $29,827 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $158,682 | $34,825 | $33,154 |
| St Davids HospitalAustin | 11 | $369,832 | $34,246 | $32,948 |
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
| Bsa HospitalAmarillo, TX | $31,342 |
|---|---|
| Baptist Medical CenterSan Antonio, TX | $33,824 |
| St Davids HospitalAustin, TX | $34,246 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $34,825 |
| Methodist Richardson Medical CenterRichardson, TX | $35,274 |
Highest
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $70,199 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $63,528 |
| Methodist Hospital,TheHouston, TX | $62,228 |
| UT Southwestern University HospitalDallas, TX | $58,683 |
| St Lukes Episcopal HospitalHouston, TX | $56,414 |
Stomach, esophageal and duodenal procedures with major complications in other states
Questions
How much does stomach, esophageal and duodenal procedures with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with major complications (DRG 326) at 18 hospitals in Texas was billed at $293,458 on average, while the average total payment was $46,279, of which Medicare paid $39,655. 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 6.3 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.