Trauma to the skin, subcutaneous tissue and breast without major complications in Texas
What 12 hospitals in Texas charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$63,351
Hospital list price billed
Average payment
$9,314
Medicare + patient + other payers
Medicare paid
$7,315
Average per stay
State rank
#19 of 25
1 = lowest average payment
Hospitals in Texas billed an average of $63,351 for trauma to the skin, subcutaneous tissue and breast without major complications, about 6.8 times the average total payment of $9,314. That payment is about the same as the U.S. average of $9,406.
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 $9,314Billed $63,351
About 15¢ 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: trauma to the skin, subcutaneous tissue and breast without 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 |
|---|---|---|---|---|
| Medical Center of PlanoPlano | 22 | $95,098 | $7,526 | $6,396 |
| Texoma Healthcare SystemDenison | 19 | $76,068 | $7,548 | $5,701 |
| Methodist HospitalSan Antonio | 18 | $54,680 | $7,631 | $6,292 |
| St David's South Austin Medical CenterAustin | 16 | $69,084 | $8,558 | $6,047 |
| University of Texas Medical Branch GalGalveston | 15 | $30,808 | $12,165 | $9,358 |
| Kingwood Medical CenterKingwood | 14 | $99,618 | $9,059 | $5,902 |
| University Health SystemSan Antonio | 13 | $39,784 | $22,579 | $18,179 |
| Denton Regional Medical CenterDenton | 13 | $103,217 | $8,179 | $6,738 |
| Mem Hermann Southwest HospHouston | 12 | $45,410 | $9,688 | $8,401 |
| Baylor Regional Medical Center at PlanoPlano | 12 | $26,862 | $6,086 | $4,862 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 12 | $37,820 | $6,942 | $4,656 |
| Seton Medical Center WilliamsonRound Rock | 11 | $49,929 | $7,586 | $6,696 |
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
| Baylor Regional Medical Center at PlanoPlano, TX | $6,086 |
|---|---|
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $6,942 |
| Medical Center of PlanoPlano, TX | $7,526 |
| Texoma Healthcare SystemDenison, TX | $7,548 |
| Seton Medical Center WilliamsonRound Rock, TX | $7,586 |
Highest
| University Health SystemSan Antonio, TX | $22,579 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $12,165 |
| Mem Hermann Southwest HospHouston, TX | $9,688 |
| Kingwood Medical CenterKingwood, TX | $9,059 |
| St David's South Austin Medical CenterAustin, TX | $8,558 |
Trauma to the skin, subcutaneous tissue and breast without major complications in other states
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 12 hospitals in Texas was billed at $63,351 on average, while the average total payment was $9,314, of which Medicare paid $7,315. 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.