Texas / Methodist Hospital
CMS certification 450388 · San Antonio, TX
Methodist Hospital: charges and Medicare payments
Methodist Hospital reported 17,711 Medicare inpatient stays across 279 DRGs in 2024. Across them it charged 9.83 times what it was paid — among the higher ratios in Texas, number 37 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 1615 stays at an average charge of $141,255, 56% above the national average. It also billed 6,106 outpatient services, charging 13.81 times what Medicare paid.
- 1Medicare inpatient stays 17,711
- 2Charge ÷ paid, inpatient 9.83×
- 3Rank in TX (highest ratio = 1) 37 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 279 DRGs that can be compared with the national average, Methodist Hospital charged more than the national average in 273 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 1615 | $141,255 | +56% | $14,943 |
| 291 Heart Failure and Shock with MCC | 831 | $96,092 | +70% | $10,167 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 437 | $334,085 | +113% | $24,640 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 350 | $71,454 | +46% | $8,634 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 329 | $110,749 | +51% | $12,700 |
| 193 Simple Pneumonia and Pleurisy with MCC | 314 | $103,634 | +73% | $10,916 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 269 | $90,447 | +50% | $10,350 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 261 | $57,200 | +42% | $7,409 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 239 | $132,822 | +75% | $12,025 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 229 | $69,075 | +45% | $8,611 |
| 177 Respiratory Infections and Inflammations with MCC | 228 | $120,875 | +71% | $13,851 |
| 682 Renal Failure with MCC | 220 | $102,304 | +55% | $11,417 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 216 | $163,803 | +64% | $14,711 |
| 683 Renal Failure with CC | 216 | $57,776 | +42% | $7,441 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 205 | $367,558 | +61% | $38,727 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 188 | $59,503 | +65% | $6,553 |
| 690 Kidney and Urinary Tract Infections without MCC | 178 | $52,991 | +40% | $7,052 |
| 312 Syncope and Collapse | 173 | $68,229 | +50% | $7,356 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 167 | $95,091 | +71% | $8,900 |
| 377 Gastrointestinal Hemorrhage with MCC | 165 | $120,978 | +42% | $13,952 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 164 | $191,952 | +68% | $14,159 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 162 | $146,742 | +57% | $14,724 |
| 189 Pulmonary Edema and Respiratory Failure | 157 | $110,331 | +92% | $10,259 |
| 069 Transient Ischemia without Thrombolytic | 155 | $80,057 | +59% | $6,836 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 155 | $202,411 | +80% | $17,659 |
| 305 Hypertension without MCC | 151 | $65,919 | +64% | $6,480 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 149 | $57,551 | +55% | $6,710 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 148 | $650,003 | +128% | $47,104 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 147 | $114,428 | +79% | $9,326 |
| 101 Seizures without MCC | 140 | $77,079 | +58% | $7,529 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 139 | $43,436 | +51% | $5,225 |
| 552 Medical Back Problems without MCC | 135 | $66,988 | +37% | $8,147 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 134 | $253,849 | +87% | $20,036 |
| 100 Seizures with MCC | 125 | $136,716 | +45% | $15,584 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 123 | $254,731 | +56% | $22,666 |
| 378 Gastrointestinal Hemorrhage with CC | 120 | $64,395 | +33% | $8,080 |
| 389 Gastrointestinal Obstruction with CC | 119 | $60,974 | +57% | $6,808 |
| 811 Red Blood Cell Disorders with MCC | 117 | $79,833 | +17% | $10,973 |
| 689 Kidney and Urinary Tract Infections with MCC | 116 | $72,347 | +41% | $9,322 |
| 329 Major Small and Large Bowel Procedures with MCC | 109 | $230,202 | +7% | $32,957 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 106 | $535,293 | +66% | $44,765 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 104 | $121,503 | +27% | $16,127 |
| 481 Hip and Femur Procedures except Major Joint with CC | 103 | $143,985 | +43% | $15,056 |
| 885 Psychoses | 101 | $52,929 | +20% | $10,611 |
| 394 Other Digestive System Diagnoses with CC | 100 | $65,301 | +39% | $8,095 |
| 314 Other Circulatory System Diagnoses with MCC | 98 | $146,352 | +54% | $15,953 |
| 330 Major Small and Large Bowel Procedures with CC | 93 | $132,430 | +11% | $17,675 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 92 | $89,737 | +58% | $10,117 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 86 | $154,391 | +51% | $15,813 |
| 638 Diabetes with CC | 84 | $55,797 | +34% | $7,717 |
| 884 Organic Disturbances and Intellectual Disability | 84 | $76,386 | +22% | $12,623 |
| 603 Cellulitis without MCC | 83 | $46,041 | +23% | $7,690 |
| 812 Red Blood Cell Disorders without MCC | 83 | $57,005 | +28% | $7,618 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 82 | $619,624 | +180% | $37,638 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 77 | $88,243 | +75% | $7,971 |
| 919 Complications of Treatment with MCC | 77 | $133,646 | +51% | $15,760 |
| 149 Dysequilibrium | 75 | $65,556 | +48% | $7,991 |
| 194 Simple Pneumonia and Pleurisy with CC | 75 | $66,780 | +74% | $8,052 |
| 637 Diabetes with MCC | 73 | $84,808 | +28% | $11,141 |
| 313 Chest Pain | 72 | $59,293 | +48% | $6,776 |
Showing the 60 most frequent of 279 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Hospital charged $141,255 on average, 27% more than the Texas average of $111,133, and was paid $14,943 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Methodist Hospital charged $96,092 on average, 41% more than the Texas average of $67,944, and was paid $10,167 against a state average of $11,820. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Methodist Hospital charged $334,085 on average, 41% more than the Texas average of $237,571, and was paid $24,640 against a state average of $25,777. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Methodist Hospital charged $71,454 on average, 23% more than the Texas average of $58,253, and was paid $8,634 against a state average of $10,103. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $56,622 was 56% above the state average of $36,220. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $264,805 was 20% above the state average of $221,522. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $130,489 was 39% above the state average of $93,719. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $43,229 was 15% below the state average of $50,995.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.