Pleural Effusion with Mcc in Texas
MS-DRG 186: Pleural effusion with mcc
$110,326typical hospital bill
$12,564typical amount paid
$11,514–$21,758range paid across 6 hospitals
Texas hospitals billed Medicare a typical $110,326 for this stay in 2024, about 8.8 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 | 11 | $112,841 | $11,514 | |
| Methodist Hospital | San Antonio | 19 | $107,811 | $11,634 | |
| Baptist Medical Center | San Antonio | 17 | $118,825 | $12,015 | |
| Memorial Hermann Hospital System | Houston | 11 | $71,137 | $13,113 | |
| Houston Methodist Hospital | Houston | 11 | $121,835 | $15,538 | |
| Baylor University Medical Center | Dallas | 11 | $90,303 | $21,758 |
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.