University Health System: charges and Medicare payments

University Health System reported 3,013 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 2.65 times what it was paid — among the lower ratios in Texas, number 178 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: 340 stays at an average charge of $98,890, 10% above the national average. It also billed 2,717 outpatient services, charging 6.86 times what Medicare paid.

1Medicare inpatient stays 3,013
2Charge ÷ paid, inpatient 2.65×
3Rank in TX (highest ratio = 1) 178 of 190
4CMS price-transparency actions 0

Average charge per stay at University Health System, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 110 DRGs that can be compared with the national average, University Health System charged more than the national average in 39 (35%). 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	340	$98,890	+10%	$36,037
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	75	$48,015	-2%	$24,002
291 Heart Failure and Shock with MCC	74	$62,017	+10%	$28,866
853 Infectious and Parasitic Diseases with O.R. Procedures with...	73	$226,905	-1%	$75,834
481 Hip and Femur Procedures except Major Joint with CC	69	$92,042	-9%	$32,113
698 Other Kidney and Urinary Tract Diagnoses with MCC	56	$68,580	-7%	$30,489
885 Psychoses	55	$33,171	-25%	$29,977
699 Other Kidney and Urinary Tract Diagnoses with CC	51	$38,687	-19%	$22,418
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$100,451	+1%	$34,823
652 Kidney Transplant	48	$174,985	-48%	$63,877
267 Endovascular Cardiac Valve Replacement and Supplement...	47	$129,952	-41%	$57,998
683 Renal Failure with CC	47	$39,002	-4%	$23,058
177 Respiratory Infections and Inflammations with MCC	45	$73,250	+4%	$30,277
189 Pulmonary Edema and Respiratory Failure	43	$70,560	+23%	$27,654
682 Renal Failure with MCC	40	$59,873	-9%	$29,081
312 Syncope and Collapse	39	$43,767	-4%	$21,705
603 Cellulitis without MCC	39	$37,652	+1%	$21,046
690 Kidney and Urinary Tract Infections without MCC	39	$38,090	+1%	$21,844
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$39,245	-2%	$21,382
025 Craniotomy and Endovascular Intracranial Procedures with MCC	36	$183,360	-21%	$54,265
082 Traumatic Stupor and Coma >1 Hour with MCC	36	$126,867	+10%	$39,093
101 Seizures without MCC	36	$36,393	-25%	$21,241
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	36	$90,014	+4%	$33,565
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$61,334	+2%	$25,931
280 Acute Myocardial Infarction, Discharged Alive with MCC	33	$76,193	0%	$29,919
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$34,820	-6%	$20,429
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$71,058	+28%	$24,139
378 Gastrointestinal Hemorrhage with CC	31	$48,264	-1%	$22,263
083 Traumatic Stupor and Coma >1 Hour with CC	30	$64,189	-12%	$25,473
480 Hip and Femur Procedures except Major Joint with MCC	30	$130,874	-6%	$43,682
023 Craniotomy with Major Device Implant or Acute Complex Cns...	28	$202,608	-28%	$70,733
071 Other Cerebrovascular Disorders with CC	28	$51,280	+2%	$28,277
070 Other Cerebrovascular Disorders with MCC	27	$116,896	+54%	$32,259
193 Simple Pneumonia and Pleurisy with MCC	27	$76,436	+28%	$29,559
274 Percutaneous and Other Intracardiac Procedures without MCC	27	$75,934	-52%	$41,129
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$89,208	-13%	$33,392
205 Other Respiratory System Diagnoses with MCC	26	$73,519	-17%	$33,434
330 Major Small and Large Bowel Procedures with CC	26	$136,938	+15%	$41,305
432 Cirrhosis and Alcoholic Hepatitis with MCC	26	$77,916	-19%	$34,455
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	25	$750,674	-29%	$216,970
377 Gastrointestinal Hemorrhage with MCC	25	$85,116	0%	$31,603
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	25	$57,284	+20%	$22,061
184 Major Chest Trauma with CC	24	$64,276	+16%	$23,901
252 Other Vascular Procedures with MCC	23	$113,577	-34%	$48,814
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	23	$51,628	-24%	$24,292
956 Limb Reattachment, Hip and Femur Procedures for Multiple...	23	$131,684	-25%	$43,214
266 Endovascular Cardiac Valve Replacement and Supplement...	22	$171,986	-40%	$71,595
433 Cirrhosis and Alcoholic Hepatitis with CC	22	$69,406	+32%	$23,069
689 Kidney and Urinary Tract Infections with MCC	22	$55,042	+7%	$25,885
005 Liver Transplant with MCC or Intestinal Transplant	21	$414,832	-50%	$140,274
092 Other Disorders of Nervous System with CC	21	$63,232	+23%	$26,980
178 Respiratory Infections and Inflammations with CC	21	$45,799	+1%	$23,581
811 Red Blood Cell Disorders with MCC	21	$61,784	-9%	$27,907
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	21	$194,992	-10%	$74,534
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	20	$465,730	-24%	$149,495
235 Coronary Bypass without Cardiac Catheterization with MCC	20	$149,124	-49%	$58,042
027 Craniotomy and Endovascular Intracranial Procedures without...	19	$121,326	-13%	$35,105
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$72,451	+19%	$28,764
854 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$93,075	-5%	$34,767
920 Complications of Treatment with CC	19	$34,269	-31%	$23,445

Showing the 60 most frequent of 110 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage	323	$10,233	$1,376
Level 1 Intraocular Procedures	305	$10,570	$1,973
Level 2 Upper GI Procedures	202	$6,474	$1,615
Level 3 Vascular Procedures	135	$14,736	$2,766
Level 1 Endovascular Procedures	122	$18,456	$2,799
Level 3 Urology and Related Services	112	$9,145	$1,746
Level 3 Airway Endoscopy	88	$13,001	$1,459
Level 1 Laparoscopy and Related Services	88	$31,407	$4,916
Level 5 Urology and Related Services	83	$23,993	$4,490
Level 4 Airway Endoscopy	81	$14,695	$3,249
Level 3 Endovascular Procedures	80	$50,728	$9,540
Level 4 Vascular Procedures	74	$35,968	$4,613
Level 4 Musculoskeletal Procedures	66	$32,241	$6,208
Comprehensive Observation Services	62	$25,528	$2,314
Level 4 Urology and Related Services	58	$17,688	$2,984
Level 2 Endovascular Procedures	56	$23,388	$4,959
Level 3 Musculoskeletal Procedures	53	$23,642	$2,782
Level 2 Intraocular Procedures	52	$19,994	$3,284
Level 2 Musculoskeletal Procedures	46	$14,333	$1,328
Level 1 Nerve Procedures	44	$10,353	$1,615
Level 5 Musculoskeletal Procedures	43	$40,527	$11,406
Level 3 Excision/ Biopsy/ Incision and Drainage	42	$17,129	$2,466
Complex GI Procedures	42	$14,261	$4,945
Level 3 Electrophysiologic Procedures	38	$90,903	$20,557
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	37	$19,096	$3,002

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University Health System charged $98,890 on average, 11% less than the Texas average of $111,133, and was paid $36,037 against a state average of $16,694. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), University Health System charged $48,015 on average, 18% less than the Texas average of $58,253, and was paid $24,002 against a state average of $10,103. For Heart Failure and Shock with MCC (DRG 291), University Health System charged $62,017 on average, 9% less than the Texas average of $67,944, and was paid $28,866 against a state average of $11,820. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), University Health System charged $226,905 on average, 20% less than the Texas average of $283,065, and was paid $75,834 against a state average of $41,195. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,233 was 27% below the state average of $14,089. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,570 was 36% below the state average of $16,442. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,474 was 60% below the state average of $16,236. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,736 was 48% below the state average of $28,214.

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.