Neumonía, con complicaciones mayores en Texas

MS-DRG 193: Simple pneumonia and pleurisy with mcc

Los hospitales de Texas facturaron a Medicare una cantidad típica de $61,888 por esta hospitalización en 2024, unas 5.6 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.

Relacionados:Neumonía, con complicaciones

Estimar lo que usted pagaría

$61,888factura típica del hospital típico de EE. UU.: $46,587

$11,099monto típico realmente pagado típico de EE. UU.: $11,253

$7.9k–$56krango pagado en 179 hospitales

5.6×la factura comparada con lo que se pagó

Hospitales de Texas comparados

Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)

Hospital	Ciudad	Hospitalizaciones de Medicare	Facturado	Pagado	Precio en efectivo	Aseguradoras (mediana)
Lubbock Heart Hospital Lp	Lubbock	18	$30,502	$7,926	–	–
Texas Health Hospital Frisco	Frisco	28	$38,585	$7,940	–	–
Baptist Neighborhood Hospital Thousand Oaks	San Antonio	14	$49,267	$8,178	–	–
Resolute Health Hospital	New Braunfels	35	$84,193	$8,447	–	–
Baylor Scott and White Medical Center Sunnyvale	Sunnyvale	28	$40,112	$8,522	–	–
Methodist Midlothian Medical Center	Midlothian	20	$53,554	$8,657	–	–
Wadley Regional Medical Center	Texarkana	12	$55,615	$8,659	–	–
Ascension Seton Cedar Park	Cedar Park	34	$67,076	$8,705	–	–
Medical City Decatur	Decatur	24	$102,041	$8,819	–	–
Baylor Scott & White Medical Center Plano	Plano	46	$37,435	$8,891	–	–
Nacogdoches Medical Center	Nacogdoches	41	$118,785	$9,190	–	–
Carrollton Regional Medical Center	Carrollton	23	$42,697	$9,214	–	–
Baylor Scott & White Medical Center Grapevine	Grapevine	57	$41,891	$9,254	–	–
Houston Methodist the Woodlands Hospital	The Woodlands	72	$72,830	$9,330	–	$16,836$15,110–$20,001 · 9 planes
Woodland Heights Medical Center	Lufkin	18	$75,081	$9,363	–	–
Texas Health Presbyterian Hospital Rockwall	Rockwall	40	$48,369	$9,391	–	–
Longview Regional Medical Center	Longview	92	$65,719	$9,428	–	–
Methodist Hospital Stone Oak	San Antonio	77	$99,955	$9,434	–	$10,369$4,757–$17,454 · 54 planes
Sierra Medical Center	El Paso	41	$142,858	$9,510	–	–
Wilson N Jones Regional Medical Center	Sherman	13	$53,578	$9,513	–	–
Paris Regional Medical Center	Paris	123	$38,524	$9,606	–	–
Christus St Michael Health System	Texarkana	177	$65,682	$9,685	–	–
Baylor Scott & White Medical Center - Marble Falls	Marble Falls	13	$42,019	$9,690	–	–
Citizens Medical Center	Victoria	40	$34,759	$9,702	–	–
Christus Mother Frances Hospital	Tyler	216	$79,535	$9,721	–	$8,458$2,178–$13,278 · 27 planes
Shannon Medical Center	San Angelo	77	$52,085	$9,771	–	–
Texas Health Harris Methodist Hurst-Euless-Bedford	Bedford	67	$54,039	$9,776	–	–
Texas Health Presbyterian Hospital Flower Mound	Flower Mound	55	$48,851	$9,783	–	–
Harlingen Medical Center	Harlingen	21	$75,140	$9,793	–	–
Palestine Regional Medical Center	Palestine	40	$66,039	$9,805	–	–
Houston Methodist Sugarland Hospital	Sugar Land	98	$56,270	$9,853	–	–
Texoma Medical Center	Denison	146	$88,480	$9,914	–	–
The Medical Center of Southeast Texas	Port Arthur	12	$57,485	$9,943	–	–
Houston Methodist Clear Lake Hospital	Nassau Bay	16	$51,322	$9,989	–	$18,569$14,895–$20,024 · 8 planes
Baylor Scott & White Medical Center - Centennial	Frisco	29	$51,463	$9,994	–	–
St David's Medical Center	Austin	121	$78,026	$10,005	–	–
Baylor Scott & White Medical Center - Round Rock	Round Rock	50	$47,687	$10,020	–	–
Baylor Scott & White Medical Center- College Stati	College Station	19	$33,038	$10,022	–	–
Fort Duncan Medical Center	Eagle Pass	19	$74,186	$10,029	–	–
Texas Health Presbyterian Hospital Allen	Allen	27	$43,356	$10,043	–	–
Methodist Richardson Medical Center	Richardson	74	$56,010	$10,043	–	–
Texas Health Harris Methodist Hospital Alliance	Fort Worth	41	$38,214	$10,047	–	–
Peterson Regional Medical Center	Kerrville	55	$33,691	$10,069	–	–
The Hospitals of Providence - Memorial Campus	El Paso	19	$156,320	$10,110	–	–
Ascension Providence	Waco	96	$34,872	$10,116	–	–
Bsa Hospital	Amarillo	178	$67,005	$10,195	–	–
Nacogdoches Memorial Hospital	Nacogdoches	24	$52,484	$10,216	–	–
Ut Health East Texas Athens Hospital	Athens	76	$80,204	$10,255	–	–
Christus Santa Rosa Medical Center	San Antonio	140	$48,111	$10,299	–	–
University of Texas Health Science Center at Tyler	Tyler	17	$47,919	$10,331	–	–
Hendrick Medical Center Brownwood	Brownwood	60	$62,071	$10,345	–	–
Medical Center of McKinney	McKinney	86	$104,552	$10,353	–	–
Hendrick Medical Center	Abilene	181	$92,417	$10,362	–	$15,796$11,815–$17,840 · 5 planes
Baptist Medical Center	San Antonio	181	$112,621	$10,363	–	–
Chi St Joseph Health Regional Hospital	Bryan	73	$50,838	$10,394	–	–
Texas Health Presbyterian Hospital Plano	Plano	64	$49,804	$10,403	–	–
Chi St Lukes Health Memorial Lufkin	Lufkin	41	$65,152	$10,454	–	–
Guadalupe Regional Medical Center	Seguin	28	$32,783	$10,480	–	–
Baylor Scott & White Medical Center- Waxahachie	Waxahachie	34	$58,415	$10,488	–	–
Memorial Hermann Sugar Land Hospital	Sugar Land	19	$44,039	$10,537	–	–
Memorial Hermann Katy Hospital	Katy	48	$48,917	$10,578	–	–
St Luke's the Woodlands Hospital	The Woodlands	35	$65,365	$10,579	–	–
Titus Regional Medical Center	Mount Pleasant	44	$24,444	$10,584	–	–
Baylor Scott and White Medical Center Lake Pointe	Rowlett	56	$46,651	$10,623	–	–
AdventHealth Central Texas	Killeen	70	$38,511	$10,636	–	–
Hunt Regional Medical Center	Greenville	78	$43,732	$10,657	–	–
Christus Mother Frances Hospital Sulphur Springs	Sulphur Springs	74	$78,727	$10,665	–	–
Ut Health East Texas Tyler Regional Hospital	Tyler	128	$78,273	$10,675	–	–
Parkview Regional Hospital	Mexia	19	$49,532	$10,681	–	–
Ascension Seton Hays	Kyle	63	$92,178	$10,699	–	–
Eastland Memorial Hospital	Eastland	13	$18,291	$10,704	–	–
Texas Health Harris Methodist Hospital Southwest F	Fort Worth	94	$51,210	$10,712	–	–
Houston Methodist Willowbrook Hospital	Houston	91	$62,959	$10,718	–	$18,713$14,984–$20,193 · 8 planes
Lake Granbury Medical Center	Granbury	30	$83,064	$10,724	–	–
De Tar Hospital Navarro	Victoria	21	$118,100	$10,730	–	–
Christus Santa Rosa Hospital-San Marcos	San Marcos	28	$50,740	$10,731	–	–
Methodist Mansfield Medical Center	Mansfield	56	$60,873	$10,773	–	–
Dallas Regional Medical Center	Mesquite	33	$70,480	$10,782	–	–
Houston Methodist West Hospital	Houston	82	$62,142	$10,831	–	$19,955$15,546–$28,265 · 9 planes
Mission Regional Medical Center	Mission	32	$104,724	$10,853	–	–
St David's South Austin Medical Center	Austin	82	$89,953	$10,870	–	$12,223$5,045–$18,819 · 90 planes
Methodist Hospital	San Antonio	314	$103,634	$10,916	–	$11,756$4,757–$18,403 · 54 planes
Texas Health Presbyterian Hospital Dallas	Dallas	112	$52,000	$10,917	–	–
Baylor Scott and White Medical Center McKinney	Mc Kinney	50	$47,828	$10,948	–	–
Texas Health Presbyterian Hospital Denton	Denton	59	$59,198	$10,962	–	–
Valley Regional Medical Center	Brownsville	21	$128,850	$10,980	–	–
North Austin Medical Center	Austin	72	$71,927	$11,024	–	$12,364$6,012–$18,970 · 88 planes
HCA Houston Healthcare Clear Lake	Webster	67	$153,991	$11,066	–	$12,480$8,618–$17,939 · 61 planes
The Hospitals of Providence - East Campus	El Paso	37	$105,320	$11,070	–	–
Medical City Lewisville	Lewisville	36	$119,711	$11,099	–	–
Odessa Regional Medical Center	Odessa	23	$84,488	$11,111	–	–
Covenant Medical Center	Lubbock	116	$123,978	$11,118	–	–
Texas Health Harris Methodist Fort Worth	Fort Worth	159	$51,735	$11,146	–	–
Texas Health Huguley Hospital Fort Worth South	Fort Worth	142	$60,069	$11,213	–	–
Vhs Harlingen Hospital Company LLC	Harlingen	52	$137,051	$11,214	–	–
Medical City Denton	Denton	153	$118,408	$11,229	–	–
Ascension Seton Williamson	Round Rock	55	$83,730	$11,245	–	–
Houston Methodist Baytown Hospital	Baytown	57	$73,503	$11,284	–	–
St Luke's Hospital at the Vintage	Houston	14	$70,808	$11,319	–	–
Baptist Beaumont Hospital	Beaumont	40	$69,782	$11,364	–	–
Valley Baptist Medical Center- Brownsville	Brownsville	19	$182,287	$11,370	–	–
Huntsville Memorial Hospital	Huntsville	21	$31,217	$11,379	–	–
The Hospitals of Providence Transmountain Campus	El Paso	33	$119,342	$11,380	–	–
Baylor Scott and White All Saints Medical Center	Fort Worth	27	$56,791	$11,427	–	–
United Regional Health Care System	Wichita Falls	152	$42,625	$11,441	–	–
Midland Memorial Hospital	Midland	80	$56,595	$11,460	–	–
Seton Medical Center Harker Heights	Harker Heights	17	$35,518	$11,476	–	–
Methodist Charlton Medical Center	Dallas	46	$66,200	$11,510	–	–
Doctors Hospital of Laredo	Laredo	18	$107,216	$11,557	–	–
Ascension Seton Medical Center Austin	Austin	66	$76,888	$11,560	–	–
Christus Good Shepherd Medical Center	Longview	148	$49,583	$11,585	–	–
Texas Health Presbyterian Hospital Kaufman	Kaufman	21	$35,315	$11,603	–	–
Memorial Hermann Memorial City Hospital	Houston	53	$45,760	$11,662	–	–
Chi St Luke's Health Brazosport	Lake Jackson	22	$55,836	$11,666	–	–
Texas Health Arlington Memorial Hospital	Arlington	79	$44,562	$11,678	–	–
Christus Southeast Texas- St Elizabeth	Beaumont	72	$65,380	$11,680	–	–
Round Rock Medical Center	Round Rock	59	$82,721	$11,684	–	$10,907$5,027–$17,835 · 88 planes
Medical City Alliance	Fort Worth	25	$85,390	$11,706	–	–
Medical City Weatherford	Weatherford	70	$98,081	$11,706	–	–
HCA Houston Healthcare Pearland	Pearland	14	$165,236	$11,721	–	$13,624$10,752–$18,709 · 49 planes
Ennis Regional Medical Center	Ennis	19	$57,891	$11,723	–	–
Baylor Scott & White Medical Center Hillcrest	Waco	23	$39,884	$11,733	–	–
Medical City Dallas Hospital	Dallas	80	$152,620	$11,752	–	–
Medical City North Hills	North Richland Hills	46	$91,598	$11,758	–	–
Texas Health Harris Methodist Hospital Cleburne	Cleburne	41	$43,851	$11,812	–	–
Medical Center Hospital	Odessa	60	$35,497	$11,832	–	–
Navarro Regional Hospital	Corsicana	22	$80,973	$11,850	–	–
HCA Houston Healthcare Tomball	Tomball	42	$119,537	$11,892	–	$12,295$11,654–$18,121 · 48 planes
HCA Houston Healthcare Kingwood	Kingwood	161	$140,382	$11,893	–	$13,198$8,618–$19,429 · 61 planes
The Corpus Christi Medical Center	Corpus Christi	75	$120,084	$11,895	–	–
Medical City Plano	Plano	96	$106,392	$11,935	–	$12,155$4,921–$27,464 · 69 planes
Texas Health Harris Methodist Hospital Azle	Azle	23	$47,630	$12,086	–	–
Las Palmas Medical Center a Campus of Lpds Healthc	El Paso	68	$124,575	$12,099	–	–
North Texas Medical Center	Gainesville	32	$37,642	$12,214	–	–
South Texas Health System	Edinburg	48	$168,649	$12,298	–	–
Laredo Medical Center	Laredo	61	$111,422	$12,298	–	–
Memorial Hermann Northeast Hospital	Humble	53	$54,387	$12,413	–	–
El Campo Memorial Hospital	El Campo	12	$31,931	$12,422	–	–
Baylor Scott & White Medical Center at Irving	Irving	18	$61,888	$12,441	–	–
Northwest Texas Hospital	Amarillo	54	$120,627	$12,533	–	–
Scenic Mountain Medical Center	Big Spring	21	$39,186	$12,573	–	–
HCA Houston Healthcare Conroe	Conroe	36	$146,966	$12,624	–	–
Memorial Hermann Hospital System	Houston	204	$47,096	$12,641	–	–
Medical City Fort Worth	Fort Worth	40	$98,586	$12,652	–	–
Ascension Seton Northwest	Austin	41	$67,781	$12,737	–	–
Texas Health Harris Methodist Hospital Stephenvill	Stephenville	21	$36,605	$12,754	–	–
Rio Grande Regional Hospital	McAllen	17	$163,291	$12,769	–	–
Oakbend Medical Center	Richmond	12	$29,872	$12,791	–	–
Medical City Las Colinas	Irving	12	$102,735	$12,844	–	–
Rolling Plains Memorial Hospital	Sweetwater	11	$23,589	$12,913	–	–
Medical City Arlington	Arlington	63	$113,916	$12,921	–	–
Baylor St Lukes Medical Center	Houston	28	$78,221	$13,146	–	–
Ut of Texas Southwestern University Hospital - William P. Clements Jr.	Dallas	88	$42,200	$13,155	–	–
Matagorda Regional Medical Center	Bay City	20	$22,733	$13,240	–	–
Christus Spohn Hospital Corpus Christi	Corpus Christi	86	$69,060	$13,454	–	–
Christus Spohn Hospital Alice	Alice	19	$59,174	$13,459	–	–
Ut Health East Texas Jacksonville Hospital	Jacksonville	15	$90,426	$13,541	–	–
Doctors Hosptal at Renaissance	Edinburg	12	$54,518	$13,577	–	–
Freestone Medical Center	Fairfield	11	$36,071	$13,625	–	–
Houston Methodist Hospital	Houston	123	$104,234	$13,750	–	$21,751$11,978–$27,893 · 10 planes
Baylor Scott & White Medical Center - Temple	Temple	40	$63,992	$14,214	–	–
HCA Houston Healthcare West	Houston	33	$124,020	$14,373	–	$15,504$8,734–$21,097 · 59 planes
Hill Country Memorial Hospital	Fredericksburg	22	$82,683	$14,760	–	–
Val Verde Regional Medical Center	Del Rio	18	$35,775	$14,768	–	–
HCA Houston Healthcare Northwest	Houston	13	$127,505	$15,054	–	$18,288$11,837–$22,642 · 48 planes
Chi St Lukes Health Memorial Livingston	Livingston	16	$55,629	$15,108	–	–
Christus Spohn Hospital Beeville	Beeville	13	$52,824	$15,258	–	–
Christus Jasper Memorial Hospital	Jasper	16	$31,210	$15,350	–	–
HCA Houston Healthcare Southeast	Pasadena	43	$136,156	$15,481	–	$17,312$9,503–$24,622 · 59 planes
University Medical Center	Lubbock	71	$61,989	$15,709	–	–
Covenant Hospital Plainview	Plainview	14	$40,722	$15,789	–	–
University of Texas Medical Branch Galveston	Galveston	119	$41,155	$16,071	–	–
Methodist Dallas Medical Center	Dallas	36	$81,323	$16,266	–	–
Memorial Hermann - Texas Medical Center	Houston	51	$56,245	$17,106	–	–
Baylor University Medical Center	Dallas	34	$49,087	$17,633	–	$16,128$10,782–$26,351 · 28 planes
University Medical Center of El Paso	El Paso	25	$47,357	$27,089	–	–
University Health System	San Antonio	27	$76,436	$29,559	–	–
Jps Health Network	Fort Worth	33	$61,570	$38,767	–	–
Parkland Health & Hospital System	Dallas	25	$69,787	$55,573	–	–
HCA Houston Healthcare Medical Center	Houston	–	–	–	–	$11,582$10,124–$17,600 · 47 planes

Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.

Qué es

La neumonía es una infección que llena de líquido los sacos de aire de los pulmones y causa tos, fiebre y dificultad para respirar. Se hospitaliza cuando cuesta respirar, el oxígeno está bajo o el paciente es mayor o frágil.

Esta página trata la versión más compleja: pacientes que además tuvieron una complicación mayor u otra afección grave, como insuficiencia renal, una infección grave o insuficiencia respiratoria. Estas hospitalizaciones duran más y cuestan más.

Qué esperar

El tratamiento es con antibióticos, oxígeno si hace falta, líquidos y radiografías de tórax. La mayoría de las hospitalizaciones duran de tres a cinco días, seguidas de recuperación en casa.

Qué hace subir o bajar la factura

La factura depende sobre todo de la duración de la hospitalización y de si se necesita oxígeno o cuidados intensivos.

Información general, no es asesoría médica.

Preguntas frecuentes

¿Cuánto cuesta una hospitalización por neumonía, con complicaciones mayores en Texas?

En 179 hospitales de Texas, la factura típica por neumonía, con complicaciones mayores fue de $61,888 en 2024, y Medicare y el paciente juntos pagaron típicamente $11,099. El hospital típico de EE. UU. facturó $46,587.

¿Qué hospitales de Texas facturan menos y más por neumonía, con complicaciones mayores?

La factura promedio más baja es la de Eastland Memorial Hospital, $18,291. La más alta es la de Valley Baptist Medical Center- Brownsville, $182,287. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.

¿Por qué la factura del hospital es mucho más alta que lo que se paga?

La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.

¿Cuánto pagaré yo?

Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.

Antes de ir

Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.