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.

1234
  1. 1Medicare inpatient stays 17,711
  2. 2Charge ÷ paid, inpatient 9.83×
  3. 3Rank in TX (highest ratio = 1) 37 of 190
  4. 4CMS price-transparency actions 0
DRG 871$141,255DRG 291$96,092DRG 274$334,085DRG 872$71,454DRG 698$110,749DRG 193$103,634DRG 640$90,447DRG 392$57,200DRG 280$132,822DRG 699$69,075
Average charge per stay at Methodist Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC1615$141,255+56%$14,943
291 Heart Failure and Shock with MCC831$96,092+70%$10,167
274 Percutaneous and Other Intracardiac Procedures without MCC437$334,085+113%$24,640
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC350$71,454+46%$8,634
698 Other Kidney and Urinary Tract Diagnoses with MCC329$110,749+51%$12,700
193 Simple Pneumonia and Pleurisy with MCC314$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 MCC239$132,822+75%$12,025
699 Other Kidney and Urinary Tract Diagnoses with CC229$69,075+45%$8,611
177 Respiratory Infections and Inflammations with MCC228$120,875+71%$13,851
682 Renal Failure with MCC220$102,304+55%$11,417
064 Intracranial Hemorrhage or Cerebral Infarction with MCC216$163,803+64%$14,711
683 Renal Failure with CC216$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 CC188$59,503+65%$6,553
690 Kidney and Urinary Tract Infections without MCC178$52,991+40%$7,052
312 Syncope and Collapse173$68,229+50%$7,356
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...167$95,091+71%$8,900
377 Gastrointestinal Hemorrhage with MCC165$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 Failure157$110,331+92%$10,259
069 Transient Ischemia without Thrombolytic155$80,057+59%$6,836
286 Circulatory Disorders except AMI, with Cardiac...155$202,411+80%$17,659
305 Hypertension without MCC151$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 MCC140$77,079+58%$7,529
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC139$43,436+51%$5,225
552 Medical Back Problems without MCC135$66,988+37%$8,147
208 Respiratory System Diagnosis with Ventilator Support <=96...134$253,849+87%$20,036
100 Seizures with MCC125$136,716+45%$15,584
321 Percutaneous Cardiovascular Procedures with Intraluminal...123$254,731+56%$22,666
378 Gastrointestinal Hemorrhage with CC120$64,395+33%$8,080
389 Gastrointestinal Obstruction with CC119$60,974+57%$6,808
811 Red Blood Cell Disorders with MCC117$79,833+17%$10,973
689 Kidney and Urinary Tract Infections with MCC116$72,347+41%$9,322
329 Major Small and Large Bowel Procedures with MCC109$230,202+7%$32,957
870 Septicemia or Severe Sepsis with MV >96 Hours106$535,293+66%$44,765
432 Cirrhosis and Alcoholic Hepatitis with MCC104$121,503+27%$16,127
481 Hip and Femur Procedures except Major Joint with CC103$143,985+43%$15,056
885 Psychoses101$52,929+20%$10,611
394 Other Digestive System Diagnoses with CC100$65,301+39%$8,095
314 Other Circulatory System Diagnoses with MCC98$146,352+54%$15,953
330 Major Small and Large Bowel Procedures with CC93$132,430+11%$17,675
308 Cardiac Arrhythmia and Conduction Disorders with MCC92$89,737+58%$10,117
522 Hip Replacement with Principal Diagnosis of Hip Fracture...86$154,391+51%$15,813
638 Diabetes with CC84$55,797+34%$7,717
884 Organic Disturbances and Intellectual Disability84$76,386+22%$12,623
603 Cellulitis without MCC83$46,041+23%$7,690
812 Red Blood Cell Disorders without MCC83$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 CC77$88,243+75%$7,971
919 Complications of Treatment with MCC77$133,646+51%$15,760
149 Dysequilibrium75$65,556+48%$7,991
194 Simple Pneumonia and Pleurisy with CC75$66,780+74%$8,052
637 Diabetes with MCC73$84,808+28%$11,141
313 Chest Pain72$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.