UNIVERSITY HEALTH SYSTEM
SAN ANTONIO, TX 78229 · Acute Care Hospitals
98 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
98
With CMS pricing data
Avg Charge-to-Medicare Ratio
2.9x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Government - Hospital District or Authority
Above 90th Percentile
0%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from UNIVERSITY HEALTH SYSTEM, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UNIVERSITY HEALTH SYSTEM lists chargemaster rates that average 2.9x the corresponding Medicare reimbursement amount across 98 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TX has a chargemaster-to-Medicare ratio of 6.0x, with ratios across the state ranging from 0.3x to 16.9x. At 2.9x, this facility’s average ratio is below the state median. 237 hospitals in TX report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at UNIVERSITY HEALTH SYSTEM is EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC (DRG 982). The listed chargemaster rate is $133,623, while Medicare reimburses $23,728 for the same procedure — a ratio of 5.6x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
UNIVERSITY HEALTH SYSTEM is a government - hospital district or authority acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $133,623 | $23,728 | 5.6x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $164,822 | $30,527 | 5.4x | 0th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $135,261 | $25,070 | 5.4x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $225,377 | $42,071 | 5.4x | 0th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $243,158 | $49,230 | 4.9x | 0th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $135,010 | $30,520 | 4.4x | 1th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $152,632 | $35,146 | 4.3x | 1th | Compare your bill |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $610,887 | $142,672 | 4.3x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $127,233 | $31,224 | 4.1x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $259,122 | $65,107 | 4.0x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $225,423 | $58,389 | 3.9x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $90,569 | $23,620 | 3.8x | 1th | Compare your bill |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $954,551 | $250,632 | 3.8x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $141,447 | $37,582 | 3.8x | 1th | Compare your bill |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $449,615 | $122,202 | 3.7x | 0th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $176,584 | $47,991 | 3.7x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,559 | $25,234 | 3.7x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $112,840 | $31,091 | 3.6x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $183,906 | $50,790 | 3.6x | 1th | Compare your bill |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $120,936 | $33,489 | 3.6x | 0th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $112,830 | $32,256 | 3.5x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $95,955 | $27,888 | 3.4x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $89,636 | $26,321 | 3.4x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $61,876 | $18,203 | 3.4x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $103,045 | $31,285 | 3.3x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $106,479 | $32,884 | 3.2x | 0th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $119,911 | $37,222 | 3.2x | 0th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $168,579 | $53,596 | 3.1x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $198,743 | $63,339 | 3.1x | 0th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $47,776 | $15,422 | 3.1x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,952 | $16,128 | 3.0x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $170,828 | $57,613 | 3.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $81,707 | $27,617 | 3.0x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $59,961 | $20,324 | 3.0x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $48,330 | $16,475 | 2.9x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $64,312 | $22,030 | 2.9x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $65,484 | $22,554 | 2.9x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $76,663 | $26,922 | 2.9x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,486 | $18,243 | 2.8x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $58,187 | $20,841 | 2.8x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $116,348 | $41,876 | 2.8x | 0th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $65,988 | $23,899 | 2.8x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,146 | $26,985 | 2.8x | 0th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $56,943 | $21,394 | 2.7x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $61,163 | $22,972 | 2.7x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $74,337 | $28,194 | 2.6x | 0th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $38,052 | $14,484 | 2.6x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $52,369 | $20,032 | 2.6x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $63,706 | $24,538 | 2.6x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $62,678 | $24,118 | 2.6x | 1th | Compare your bill |
Showing 50 of 98 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TX hospitals
237 hospitals in TX report pricing data to CMS. This facility's average ratio of 2.9x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About UNIVERSITY HEALTH SYSTEM
How much does UNIVERSITY HEALTH SYSTEM charge compared to Medicare?
According to CMS IPPS data, UNIVERSITY HEALTH SYSTEM's listed chargemaster rates average 2.9x the Medicare reimbursement amount across 98 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at UNIVERSITY HEALTH SYSTEM?
The procedure with the highest chargemaster-to-Medicare ratio at UNIVERSITY HEALTH SYSTEM is EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC (DRG 982), with a listed charge of $133,623 compared to Medicare reimbursement of $23,728 — a ratio of 5.6x. Source: CMS IPPS Provider Summary.
Is UNIVERSITY HEALTH SYSTEM expensive compared to other TX hospitals?
UNIVERSITY HEALTH SYSTEM's average chargemaster-to-Medicare ratio is 2.9x. Ratios vary significantly across TX hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for UNIVERSITY HEALTH SYSTEM come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from UNIVERSITY HEALTH SYSTEM is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does UNIVERSITY HEALTH SYSTEM in SAN ANTONIO, TX accept Medicare?
UNIVERSITY HEALTH SYSTEM is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UNIVERSITY HEALTH SYSTEM directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.