Methodist Hospital
Methodist Hospital in San Antonio, Texas charges 10.9x the Medicare reimbursement rate across 295 analyzed procedures, with nearly one-fifth showing significant pricing variations.
San Antonio, TX 78229 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
10.95x
Charge / Medicare rate
Max markup
27.85x
Worst procedure
Procedures analyzed
295
With pricing data
Outlier procedures
19.3%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $526,960 | $263,480 | — | 27.9x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $587,764 | $293,882 | — | 21.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $73,497 | $36,748 | — | 20.1x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $134,143 | $67,072 | — | 17.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $186,498 | $93,249 | — | 17x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $73,506 | $36,753 | — | 16.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $72,865 | $36,432 | — | 16.5x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $387,443 | $193,721 | — | 16.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $588,034 | $294,017 | — | 16.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $194,278 | $97,139 | — | 16.4x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $79,949 | $39,975 | — | 16.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $90,346 | $45,173 | — | 16.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $104,723 | $52,362 | — | 15.5x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $114,577 | $57,288 | — | 15.2x |
| NEUROLOGICAL EYE DISORDERS | 123 | $76,159 | $38,080 | — | 15x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $88,712 | $44,356 | — | 14.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $162,511 | $81,256 | — | 14.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $477,702 | $238,851 | — | 14.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $91,931 | $45,965 | — | 14.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $296,526 | $148,263 | — | 14.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $409,629 | $204,815 | — | 14.4x |
| ENDOCRINE DISORDERS WITHOUT CC/MCC | 645 | $53,443 | $26,721 | — | 14.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $73,992 | $36,996 | — | 14.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $83,645 | $41,822 | — | 14.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $306,385 | $153,192 | — | 14.3x |
| RESPIRATORY SIGNS AND SYMPTOMS | 204 | $76,041 | $38,021 | — | 14.2x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $75,121 | $37,560 | — | 14.1x |
| DYSEQUILIBRIUM | 149 | $67,673 | $33,836 | — | 14.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $189,404 | $94,702 | — | 14.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $172,631 | $86,315 | — | 13.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $632,297 | $316,148 | — | 13.9x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $84,577 | $42,288 | — | 13.9x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $106,578 | $53,289 | — | 13.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $67,028 | $33,514 | — | 13.7x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $299,307 | $149,654 | — | 13.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $330,009 | $165,004 | — | 13.3x |
| HYPERTENSIVE ENCEPHALOPATHY WITH CC | 078 | $89,317 | $44,658 | — | 13.3x |
| HEADACHES WITHOUT MCC | 103 | $73,857 | $36,929 | — | 13.3x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $158,011 | $79,005 | — | 13.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $67,387 | $33,694 | — | 13.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $79,228 | $39,614 | — | 13.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $334,558 | $167,279 | — | 13.1x |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | 581 | $109,234 | $54,617 | — | 13.1x |
| HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 001 | $2,740,110 | $1,370,055 | — | 13x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $66,654 | $33,327 | — | 13x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $255,424 | $127,712 | — | 13x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $80,122 | $40,061 | — | 12.9x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $181,058 | $90,529 | — | 12.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $62,749 | $31,375 | — | 12.9x |
| OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | 319 | $403,007 | $201,503 | — | 12.8x |
Showing 50 of 295 procedures
How METHODIST HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use