Texas / Methodist Hospital Stone Oak
CMS certification 670055 · San Antonio, TX · 2 entries in CMS's price-transparency list
Methodist Hospital Stone Oak: charges and Medicare payments
Methodist Hospital Stone Oak reported 3,639 Medicare inpatient stays across 121 DRGs in 2024. Across them it charged 9.59 times what it was paid — among the higher ratios in Texas, number 41 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: 417 stays at an average charge of $133,174, 47% above the national average. It also billed 2,132 outpatient services, charging 13.49 times what Medicare paid.
- 1Medicare inpatient stays 3,639
- 2Charge ÷ paid, inpatient 9.59×
- 3Rank in TX (highest ratio = 1) 41 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 121 DRGs that can be compared with the national average, Methodist Hospital Stone Oak charged more than the national average in 111 (92%). 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 | 417 | $133,174 | +47% | $13,285 |
| 291 Heart Failure and Shock with MCC | 167 | $98,772 | +75% | $8,827 |
| 552 Medical Back Problems without MCC | 87 | $67,579 | +38% | $6,678 |
| 193 Simple Pneumonia and Pleurisy with MCC | 77 | $99,955 | +67% | $9,434 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 70 | $54,692 | +36% | $5,640 |
| 177 Respiratory Infections and Inflammations with MCC | 68 | $91,654 | +30% | $11,330 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 63 | $68,787 | +40% | $7,142 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $76,944 | +28% | $8,993 |
| 682 Renal Failure with MCC | 59 | $98,544 | +49% | $10,063 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 54 | $86,258 | +17% | $10,736 |
| 312 Syncope and Collapse | 53 | $61,110 | +34% | $6,225 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 52 | $148,962 | +49% | $15,085 |
| 683 Renal Failure with CC | 52 | $56,504 | +39% | $6,509 |
| 330 Major Small and Large Bowel Procedures with CC | 51 | $104,494 | -12% | $15,912 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 49 | $334,547 | +20% | $47,681 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 48 | $167,207 | +63% | $14,070 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 47 | $319,991 | +40% | $33,545 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $101,335 | +76% | $8,566 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 44 | $47,517 | +32% | $5,421 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 43 | $163,145 | +75% | $12,913 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 42 | $222,956 | -4% | $30,643 |
| 689 Kidney and Urinary Tract Infections with MCC | 42 | $69,536 | +35% | $7,978 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 39 | $83,758 | +50% | $6,926 |
| 377 Gastrointestinal Hemorrhage with MCC | 39 | $113,912 | +33% | $12,483 |
| 378 Gastrointestinal Hemorrhage with CC | 38 | $66,250 | +36% | $7,006 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $146,062 | +45% | $16,442 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 37 | $91,780 | -12% | $13,159 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $56,678 | +53% | $5,599 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 36 | $354,371 | +126% | $23,031 |
| 057 Degenerative Nervous System Disorders without MCC | 34 | $68,136 | +20% | $8,782 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 33 | $165,554 | +118% | $10,966 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $55,296 | +46% | $5,972 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $182,025 | +59% | $12,883 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 32 | $252,631 | +24% | $31,965 |
| 472 Cervical Spinal Fusion with CC | 32 | $221,761 | +55% | $31,154 |
| 329 Major Small and Large Bowel Procedures with MCC | 31 | $248,722 | +16% | $28,091 |
| 811 Red Blood Cell Disorders with MCC | 31 | $78,024 | +14% | $9,639 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 30 | $105,362 | +4% | $13,148 |
| 305 Hypertension without MCC | 29 | $53,669 | +34% | $5,429 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 29 | $37,020 | +29% | $4,411 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 27 | $130,783 | -6% | $16,548 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 27 | $136,782 | +15% | $16,316 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 27 | $59,219 | +25% | $7,686 |
| 069 Transient Ischemia without Thrombolytic | 25 | $85,836 | +70% | $5,888 |
| 101 Seizures without MCC | 25 | $59,279 | +22% | $6,470 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $74,631 | +22% | $9,557 |
| 469 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $219,181 | +46% | $21,917 |
| 638 Diabetes with CC | 25 | $55,381 | +33% | $6,497 |
| 394 Other Digestive System Diagnoses with CC | 24 | $62,107 | +32% | $6,560 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 24 | $47,826 | +12% | $6,200 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $217,916 | +61% | $17,625 |
| 603 Cellulitis without MCC | 23 | $38,387 | +3% | $6,453 |
| 100 Seizures with MCC | 22 | $111,921 | +19% | $13,620 |
| 389 Gastrointestinal Obstruction with CC | 22 | $47,637 | +22% | $5,968 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $265,674 | +62% | $18,336 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 21 | $82,309 | -4% | $12,040 |
| 444 Disorders of The Biliary Tract with MCC | 21 | $115,982 | +39% | $11,220 |
| 517 Other Musculoskeletal System and Connective Tissue O.R.... | 21 | $84,014 | +7% | $10,134 |
| 884 Organic Disturbances and Intellectual Disability | 21 | $64,449 | +3% | $10,746 |
| 920 Complications of Treatment with CC | 21 | $62,596 | +26% | $8,969 |
Showing the 60 most frequent of 121 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Hospital Stone Oak charged $133,174 on average, 20% more than the Texas average of $111,133, and was paid $13,285 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Methodist Hospital Stone Oak charged $98,772 on average, 45% more than the Texas average of $67,944, and was paid $8,827 against a state average of $11,820. For Medical Back Problems without MCC (DRG 552), Methodist Hospital Stone Oak charged $67,579 on average, 10% more than the Texas average of $61,283, and was paid $6,678 against a state average of $9,108. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Methodist Hospital Stone Oak charged $99,955 on average, 36% more than the Texas average of $73,756, and was paid $9,434 against a state average of $11,597. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $45,461 was 23% below the state average of $58,833. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $38,668 was 38% above the state average of $27,955. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $44,303 was 13% below the state average of $50,995. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $128,986 was 31% above the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Methodist Hospital Stone Oak in San Antonio, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-10-30 (CMS case 1921)
- Met Requirements — 2025-05-05 (CMS case 4257)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.