facebook tracking Wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Texas: 7 hospitals compared (DRG 463)

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in Texas

What 7 hospitals in Texas charged and were paid for a Medicare hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 463), from 2024 Medicare claims.

DRG 463 Inpatient 2024 Medicare data
Average charge $448,600 Hospital list price billed
Average payment $47,175 Medicare + patient + other payers
Medicare paid $38,438 Average per stay
State rank #2 of 8 1 = lowest average payment

Hospitals in Texas billed an average of $448,600 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 9.5 times the average total payment of $47,175. That payment is 30% below the U.S. average of $66,992.

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 $47,175Billed $448,600

About 11¢ was paid for every $1 hospitals in Texas billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:

Texas hospitals: wound debridement and skin graft except hand for musculoskeletal and connective tissue d

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 26 $965,649 $60,713 $44,339
Baptist Medical CenterSan Antonio 12 $357,209 $32,032 $28,891
Methodist HospitalSan Antonio 12 $284,049 $32,013 $30,202
Baylor University Medical CenterDallas 11 $93,956 $45,867 $31,123
Mem Hermann Southwest HospHouston 11 $123,302 $37,149 $36,233
Methodist Hospital,TheHouston 11 $379,886 $58,227 $46,068
Texas Health Presbyterian Hospital DallasDallas 11 $254,348 $48,522 $45,778
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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

Methodist HospitalSan Antonio, TX$32,013
Baptist Medical CenterSan Antonio, TX$32,032
Mem Hermann Southwest HospHouston, TX$37,149
Baylor University Medical CenterDallas, TX$45,867
Texas Health Presbyterian Hospital DallasDallas, TX$48,522

Highest

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in other states

Questions

How much does wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Texas?

In 2024 Medicare data, a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 463) at 7 hospitals in Texas was billed at $448,600 on average, while the average total payment was $47,175, of which Medicare paid $38,438. 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 9.5 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.