facebook tracking Traumatic stupor and coma <1 hour with complications cost in Texas: 28 hospitals compared (DRG 086)

Traumatic stupor and coma <1 hour with complications in Texas

What 28 hospitals in Texas charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with complications (DRG 086), from 2024 Medicare claims.

DRG 086 Inpatient 2024 Medicare data
Average charge $76,111 Hospital list price billed
Average payment $13,149 Medicare + patient + other payers
Medicare paid $10,401 Average per stay
State rank #26 of 35 1 = lowest average payment

Hospitals in Texas billed an average of $76,111 for traumatic stupor and coma <1 hour with complications, about 5.8 times the average total payment of $13,149. That payment is 3% above the U.S. average of $12,797.

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 $13,149Billed $76,111

About 17¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: traumatic stupor and coma <1 hour 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
Memorial Hermann Texas Medical CenterHouston 61 $59,598 $16,431 $13,283
Texas Health Harris Methodist Fort WorthFort Worth 59 $56,241 $13,471 $9,166
Medical Center of PlanoPlano 45 $123,044 $11,283 $8,350
St David's South Austin Medical CenterAustin 35 $100,552 $10,494 $9,189
Mem Hermann Southwest HospHouston 30 $49,804 $13,912 $10,709
Denton Regional Medical CenterDenton 25 $137,263 $11,696 $8,462
Methodist HospitalSan Antonio 24 $89,987 $10,342 $8,253
Texas Health Presbyterian Hospital DallasDallas 24 $60,218 $10,608 $9,426
Baylor University Medical CenterDallas 23 $50,924 $13,121 $10,413
Baylor Regional Medical Center at GrapevineGrapevine 23 $52,621 $8,952 $7,007
Texas Health Presbyterian Hospital PlanoPlano 23 $47,785 $11,528 $8,414
Clear Lake Regional Medical CenterWebster 21 $116,231 $11,222 $9,191
Medical Center of ArlingtonArlington 21 $125,980 $13,124 $10,611
Scott & White Memorial HospitalTemple 20 $51,956 $13,929 $10,345
Bsa HospitalAmarillo 19 $54,831 $9,752 $8,227
University of Texas Medical Branch GalGalveston 18 $47,490 $17,534 $10,497
University Medical Center at BrackenridgeAustin 17 $92,891 $22,986 $21,095
Round Rock Medical CenterRound Rock 16 $123,131 $9,654 $8,124
University Health SystemSan Antonio 15 $67,614 $26,479 $21,675
Methodist Mansfield Medical CenterMansfield 13 $59,235 $11,183 $7,473
Baylor Scott and White Medical Center McKinneyMc Kinney 13 $49,629 $9,889 $6,800
United Regional Hlth Care SystWichita Falls 12 $44,768 $10,991 $10,039
University Medical Center of El PasoEl Paso 12 $57,154 $27,267 $24,861
Hillcrest Baptist Med CenterWaco 12 $48,519 $11,532 $9,930
Las Palmas Medical CenterEl Paso 12 $128,371 $12,267 $10,594
Methodist Sugar Land HospitalSugar Land 12 $74,105 $9,888 $8,392
Methodist Willowbrook HospitalHouston 12 $91,289 $10,449 $9,225
Shannon Medical CenterSan Angelo 11 $40,441 $9,500 $8,013
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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 GrapevineGrapevine, TX$8,952
Shannon Medical CenterSan Angelo, TX$9,500
Round Rock Medical CenterRound Rock, TX$9,654
Bsa HospitalAmarillo, TX$9,752
Methodist Sugar Land HospitalSugar Land, TX$9,888

Traumatic stupor and coma <1 hour with complications in other states

Questions

How much does traumatic stupor and coma <1 hour with complications cost in Texas?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with complications (DRG 086) at 28 hospitals in Texas was billed at $76,111 on average, while the average total payment was $13,149, of which Medicare paid $10,401. 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 5.8 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.