Viral illness with major complications in Texas
What 1 hospital in Texas charged and were paid for a Medicare hospital stay for viral illness with major complications (DRG 865), from 2024 Medicare claims.
Average charge
$173,655
Hospital list price billed
Average payment
$16,364
Medicare + patient + other payers
Medicare paid
$11,015
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Texas billed an average of $173,655 for viral illness with major complications, about 10.6 times the average total payment of $16,364. That payment is 31% below the U.S. average of $23,844.
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 $16,364Billed $173,655
About 9¢ 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: viral illness 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 Hospital,TheHouston | 11 | $173,655 | $16,364 | $11,015 |
Viral illness with major complications in other states
Questions
How much does viral illness with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for viral illness with major complications (DRG 865) at 1 hospital in Texas was billed at $173,655 on average, while the average total payment was $16,364, of which Medicare paid $11,015. 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 10.6 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.