Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc in Texas
MS-DRG 542: Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
$114,593typical hospital bill
$15,208typical amount paid
$12,111–$29,788range paid across 5 hospitals
Texas hospitals billed Medicare a typical $114,593 for this stay in 2024, about 7.5 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 | |
|---|---|---|---|---|---|
| Shannon Medical Center | San Angelo | 11 | $65,738 | $12,111 | |
| Medical City Dallas Hospital | Dallas | 11 | $173,911 | $14,125 | |
| Methodist Hospital | San Antonio | 17 | $114,593 | $15,208 | |
| Ut of Texas Southwestern University Hospital - William P. Clements Jr. | Dallas | 18 | $61,988 | $16,796 | |
| Houston Methodist Hospital | Houston | 11 | $225,453 | $29,788 |
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.