Other Respiratory System O.r. Procedures with Mcc in Texas
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$165,400typical hospital bill
$27,034typical amount paid
$24,052–$51,824range paid across 11 hospitals
Texas hospitals billed Medicare a typical $165,400 for this stay in 2024, about 6.1 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 | |
|---|---|---|---|---|---|
| Christus Mother Frances Hospital | Tyler | 16 | $202,088 | $24,052 | |
| Baptist Medical Center | San Antonio | 14 | $280,695 | $24,294 | |
| Texas Health Presbyterian Hospital Dallas | Dallas | 12 | $117,738 | $26,285 | |
| Texas Health Harris Methodist Fort Worth | Fort Worth | 22 | $107,282 | $26,329 | |
| Methodist Hospital | San Antonio | 22 | $185,815 | $26,576 | |
| Covenant Medical Center | Lubbock | 13 | $295,051 | $27,034 | |
| Christus St Michael Health System | Texarkana | 13 | $150,252 | $28,226 | |
| Baylor Scott & White Medical Center - Temple | Temple | 11 | $102,263 | $37,987 | |
| Baylor University Medical Center | Dallas | 26 | $145,668 | $39,465 | |
| Ut of Texas Southwestern University Hospital - William P. Clements Jr. | Dallas | 53 | $165,400 | $47,668 | |
| Houston Methodist Hospital | Houston | 41 | $365,364 | $51,824 |
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.