Simple Pneumonia and Pleurisy Without Cc/Mcc in Texas
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$27,505typical hospital bill
$6,440typical amount paid
$4,891–$7,402range paid across 3 hospitals
Texas hospitals billed Medicare a typical $27,505 for this stay in 2024, about 4.3 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 | |
|---|---|---|---|---|---|
| Connally Memorial Medical Center | Floresville | 13 | $21,911 | $4,891 | |
| United Regional Health Care System | Wichita Falls | 11 | $27,505 | $6,440 | |
| Methodist Hospital | San Antonio | 21 | $50,998 | $7,402 |
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.