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Healthcare Pricing Data: SAN ANTONIO, TX

9 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

9

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

9.1x

Across all procedures

vs National Average

+30%

Chargemaster rates

About This Data

SAN ANTONIO, TX has 9 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 9.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in SAN ANTONIO is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $376,939 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$122,048711.3x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$241,802611.2x
CERVICAL SPINAL FUSION WITH CC472$174,521610.0x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$102,70668.0x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$81,47866.8x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$74,96868.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$73,56769.0x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$59,97869.4x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$53,901610.8x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$48,92469.9x
CELLULITIS WITHOUT MCC603$44,67067.9x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$376,93959.8x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$341,01658.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$283,49158.4x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$237,112510.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$227,50457.8x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$175,75958.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$173,73858.8x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$161,66158.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$145,434510.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$140,48259.5x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$140,37159.0x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$139,46558.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$135,90859.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$123,32358.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$115,62458.9x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$102,63257.6x
SEIZURES WITH MCC100$101,89857.9x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$101,52558.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$100,85059.5x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error