Other Digestive System O.r. Procedures with Mcc in Texas
MS-DRG 356: Other digestive system o.r. procedures with mcc
$210,795typical hospital bill
$38,563typical amount paid
$33,144–$46,850range paid across 9 hospitals
Texas hospitals billed Medicare a typical $210,795 for this stay in 2024, about 5.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Baylor St Lukes Medical Center | Houston | 13 | $281,564 | $33,144 | |
| Methodist Hospital | San Antonio | 21 | $364,979 | $33,205 | |
| Texas Health Harris Methodist Fort Worth | Fort Worth | 18 | $202,356 | $33,602 | |
| Covenant Medical Center | Lubbock | 14 | $362,469 | $35,026 | |
| Baylor University Medical Center | Dallas | 19 | $123,200 | $38,563 | |
| Memorial Hermann Hospital System | Houston | 15 | $210,795 | $41,062 | |
| Houston Methodist Hospital | Houston | 16 | $330,013 | $44,467 | |
| Ut of Texas Southwestern University Hospital - William P. Clements Jr. | Dallas | 16 | $138,350 | $45,036 | |
| University of Texas Medical Branch Galveston | Galveston | 12 | $201,108 | $46,850 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.