Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Texas
What 15 hospitals in Texas charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$682,383
Hospital list price billed
Average payment
$112,150
Medicare + patient + other payers
Medicare paid
$95,260
Average per stay
State rank
#8 of 24
1 = lowest average payment
Hospitals in Texas billed an average of $682,383 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 6.1 times the average total payment of $112,150. That payment is 19% below the U.S. average of $139,119.
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 $112,150Billed $682,383
About 16¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 | 41 | $900,669 | $78,692 | $68,981 |
| Mem Hermann Southwest HospHouston | 29 | $346,701 | $83,298 | $77,429 |
| Memorial Hermann Texas Medical CenterHouston | 26 | $606,773 | $147,444 | $118,415 |
| Methodist Hospital,TheHouston | 25 | $1,271,769 | $184,073 | $155,928 |
| Baylor University Medical CenterDallas | 22 | $409,905 | $101,932 | $81,365 |
| University Health SystemSan Antonio | 20 | $465,730 | $149,495 | $108,736 |
| Baptist Medical CenterSan Antonio | 19 | $498,335 | $64,738 | $63,246 |
| Clear Lake Regional Medical CenterWebster | 14 | $934,058 | $87,350 | $75,242 |
| Medical Center of PlanoPlano | 13 | $978,263 | $76,157 | $74,906 |
| Kingwood Medical CenterKingwood | 13 | $932,756 | $93,891 | $90,248 |
| St Davids HospitalAustin | 12 | $720,983 | $110,940 | $70,566 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $522,132 | $96,461 | $92,333 |
| University Medical Center of El PasoEl Paso | 11 | $303,187 | $98,398 | $93,848 |
| Jps Health NetworkFort Worth | 11 | $487,669 | $152,801 | $144,416 |
| UT Southwestern University HospitalDallas | 11 | $590,457 | $187,678 | $144,032 |
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
| Baptist Medical CenterSan Antonio, TX | $64,738 |
|---|---|
| Medical Center of PlanoPlano, TX | $76,157 |
| Methodist HospitalSan Antonio, TX | $78,692 |
| Mem Hermann Southwest HospHouston, TX | $83,298 |
| Clear Lake Regional Medical CenterWebster, TX | $87,350 |
Highest
| UT Southwestern University HospitalDallas, TX | $187,678 |
|---|---|
| Methodist Hospital,TheHouston, TX | $184,073 |
| Jps Health NetworkFort Worth, TX | $152,801 |
| University Health SystemSan Antonio, TX | $149,495 |
| Memorial Hermann Texas Medical CenterHouston, TX | $147,444 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Texas?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 15 hospitals in Texas was billed at $682,383 on average, while the average total payment was $112,150, of which Medicare paid $95,260. 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 6.1 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.