facebook tracking Tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications cost in Texas: 1 hospitals compared (DRG 012)

Tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications in Texas

What 1 hospital in Texas charged and were paid for a Medicare hospital stay for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications (DRG 012), from 2024 Medicare claims.

DRG 012 Inpatient 2024 Medicare data
Average charge $234,846 Hospital list price billed
Average payment $46,485 Medicare + patient + other payers
Medicare paid $37,800 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Texas billed an average of $234,846 for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications, about 5.1 times the average total payment of $46,485. That payment is 12% below the U.S. average of $53,118.

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 $46,485Billed $234,846

About 20¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: tracheostomy for face, mouth and neck diagnoses or laryngectomy 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 All Saints Medical Center at FwFort Worth 12 $234,846 $46,485 $37,800
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Tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications in other states

Questions

How much does tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications cost in Texas?

In 2024 Medicare data, a hospital stay for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications (DRG 012) at 1 hospital in Texas was billed at $234,846 on average, while the average total payment was $46,485, of which Medicare paid $37,800. 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 5.1 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.