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Tendonitis, myositis and bursitis with major complications in Texas

What 2 hospitals in Texas charged and were paid for a Medicare hospital stay for tendonitis, myositis and bursitis with major complications (DRG 557), from 2024 Medicare claims.

DRG 557 Inpatient 2024 Medicare data
Average charge $101,000 Hospital list price billed
Average payment $11,908 Medicare + patient + other payers
Medicare paid $10,157 Average per stay
Volume 27 Medicare hospital stays

Hospitals in Texas billed an average of $101,000 for tendonitis, myositis and bursitis with major complications, about 8.5 times the average total payment of $11,908. That payment is 30% below the U.S. average of $17,052.

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 $11,908Billed $101,000

About 12¢ 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: tendonitis, myositis and bursitis 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 16 $101,517 $11,746 $9,899
St David's South Austin Medical CenterAustin 11 $100,248 $12,145 $10,532
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Tendonitis, myositis and bursitis with major complications in other states

Questions

How much does tendonitis, myositis and bursitis with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for tendonitis, myositis and bursitis with major complications (DRG 557) at 2 hospitals in Texas was billed at $101,000 on average, while the average total payment was $11,908, of which Medicare paid $10,157. 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 8.5 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.