US Health Care Costs

Pneumonia, with complications in Texas

MS-DRG 194: Simple pneumonia and pleurisy with cc

$39,948typical hospital bill
$7,420typical amount paid
$5,437–$44,834range paid across 94 hospitals

Texas hospitals billed Medicare a typical $39,948 for this stay in 2024, about 5.4 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)

HospitalCityMedicare staysBilledPaid
Baylor Scott & White Medical Center PlanoPlano26$29,681$5,437
Baylor Scott and White Medical Center SunnyvaleSunnyvale11$30,972$5,752
Baylor Scott & White Medical Center GrapevineGrapevine42$32,735$5,858
Methodist Hospital Stone OakSan Antonio15$71,768$5,862
Nacogdoches Medical CenterNacogdoches17$99,689$5,959
Baylor Scott and White Medical Center McKinneyMc Kinney26$35,120$6,017
Texas Health Presbyterian Hospital RockwallRockwall14$38,506$6,031
Longview Regional Medical CenterLongview29$60,404$6,140
Houston Methodist the Woodlands HospitalThe Woodlands23$54,403$6,144
Paris Regional Medical CenterParis29$25,174$6,164
Baylor Scott & White Medical Center - Round RockRound Rock20$30,507$6,254
Peterson Regional Medical CenterKerrville22$26,019$6,376
Vhs Harlingen Hospital Company LLCHarlingen11$130,656$6,411
Texoma Medical CenterDenison19$59,855$6,456
Christus St Michael Health SystemTexarkana34$39,843$6,459
Shannon Medical CenterSan Angelo40$36,480$6,496
Citizens Medical CenterVictoria27$22,683$6,497
Hendrick Medical CenterAbilene55$62,909$6,539
Christus Mother Frances HospitalTyler51$56,365$6,553
Guadalupe Regional Medical CenterSeguin13$18,483$6,719
Bsa HospitalAmarillo54$43,565$6,727
Houston Methodist Sugarland HospitalSugar Land22$39,976$6,742
Texas Health Harris Methodist Hurst-Euless-BedfordBedford19$38,719$6,756
Baylor Scott & White Medical Center- College StatiCollege Station12$35,666$6,769
Palestine Regional Medical CenterPalestine14$53,558$6,856
Texas Health Presbyterian Hospital Flower MoundFlower Mound17$45,783$6,868
Houston Methodist Willowbrook HospitalHouston15$45,522$6,911
Medical City PlanoPlano11$73,216$6,922
Baylor Scott & White Medical Center - CentennialFrisco15$23,781$6,939
Hunt Regional Medical CenterGreenville29$26,563$6,953
Baptist Medical CenterSan Antonio30$73,023$6,968
Baylor Scott and White Medical Center Lake PointeRowlett25$34,904$7,046
Ascension Seton WilliamsonRound Rock16$58,418$7,080
Ut Health East Texas Athens HospitalAthens28$47,263$7,097
St Luke's the Woodlands HospitalThe Woodlands12$49,865$7,118
Methodist Richardson Medical CenterRichardson19$48,658$7,136
Houston Methodist West HospitalHouston12$44,346$7,138
Christus Santa Rosa Medical CenterSan Antonio30$34,428$7,155
Ascension ProvidenceWaco18$23,807$7,163
Ut Health East Texas Tyler Regional HospitalTyler35$53,661$7,184
De Tar Hospital NavarroVictoria13$96,572$7,252
Texas Health Harris Methodist Hospital AllianceFort Worth13$29,711$7,254
Texas Health Presbyterian Hospital AllenAllen21$31,120$7,285
AdventHealth Central TexasKilleen12$24,114$7,304
Ascension Seton HaysKyle16$34,888$7,318
Methodist Mansfield Medical CenterMansfield19$37,376$7,328
United Regional Health Care SystemWichita Falls79$32,509$7,401
Covenant Medical CenterLubbock24$72,873$7,439
Medical Center of McKinneyMcKinney15$56,245$7,463
Texas Health Harris Methodist Fort WorthFort Worth46$34,276$7,473
Memorial Hermann Katy HospitalKaty12$34,286$7,609
Texas Health Presbyterian Hospital DentonDenton25$32,771$7,672
HCA Houston Healthcare KingwoodKingwood26$88,852$7,786
Huntsville Memorial HospitalHuntsville19$34,617$7,795
Medical City Dallas HospitalDallas19$106,159$7,919
Texas Health Presbyterian Hospital PlanoPlano28$40,132$8,033
Methodist HospitalSan Antonio75$66,780$8,052
Texas Health Harris Methodist Hospital Southwest FFort Worth24$51,026$8,087
Christus Southeast Texas- St ElizabethBeaumont28$39,921$8,105
Texas Health Harris Methodist Hospital CleburneCleburne11$28,663$8,116
Baylor Scott and White All Saints Medical CenterFort Worth21$36,635$8,120
Methodist Charlton Medical CenterDallas13$35,462$8,120
Texas Health Presbyterian Hospital DallasDallas44$34,548$8,141
Christus Good Shepherd Medical CenterLongview48$38,781$8,141
HCA Houston Healthcare TomballTomball11$70,302$8,178
Hill Country Memorial HospitalFredericksburg14$57,474$8,211
Ascension Seton Medical Center AustinAustin15$47,377$8,242
Baptist Beaumont HospitalBeaumont26$47,323$8,272
Texas Health Huguley Hospital Fort Worth SouthFort Worth12$51,172$8,363
North Texas Medical CenterGainesville14$23,940$8,423
Baylor Scott & White Medical Center at IrvingIrving11$31,905$8,443
Texas Health Arlington Memorial HospitalArlington20$36,558$8,480
Houston Methodist HospitalHouston30$52,011$8,522
Midland Memorial HospitalMidland20$55,127$8,569
Ut of Texas Southwestern University Hospital - William P. Clements Jr.Dallas36$29,076$8,596
HCA Houston Healthcare ConroeConroe20$93,331$8,599
Medical City DentonDenton21$83,405$8,609
St David's Medical CenterAustin19$56,959$8,701
Memorial Hermann Memorial City HospitalHouston12$35,223$8,886
HCA Houston Healthcare Clear LakeWebster22$82,743$8,997
Memorial Hermann Hospital SystemHouston45$37,690$9,006
Baylor Scott & White Medical Center - TempleTemple35$32,266$9,147
Laredo Medical CenterLaredo16$61,341$9,222
Memorial Hermann Northeast HospitalHumble12$47,415$9,273
The Corpus Christi Medical CenterCorpus Christi15$78,943$9,594
St David's South Austin Medical CenterAustin15$40,268$10,224
Christus Spohn Hospital Corpus ChristiCorpus Christi17$53,396$10,257
Texas Health Presbyterian Hospital KaufmanKaufman14$29,798$10,646
Baylor University Medical CenterDallas29$30,569$11,305
University of Texas Medical Branch GalvestonGalveston25$30,975$11,518
University Medical CenterLubbock17$45,034$11,724
Memorial Hermann - Texas Medical CenterHouston14$48,178$11,946
Jps Health NetworkFort Worth14$34,560$39,937
Parkland Health & Hospital SystemDallas15$39,442$44,834

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.