Diagnostic Related Groups (DRG)

Houston Methodist is committed to greater transparency to empower our patients to make informed health-care decisions. This page lists the average charges for inpatient diagnosis-related groups (DRG).   The DRG classification system is how some insurance plans categorize costs and pre-determine how much to pay hospitals for clinically similar diagnosis and surgical procedures during the inpatient stay.  

 

While this information lists the average charges for each DRG, it does not reflect the payment that will be made by your insurance company or your out-of-pocket patient costs. To better understand those payments, we encourage you to contact your insurance company, Medicare or Medicaid, or call us for self-pay estimates.

 

Houston Methodist Offers Exceptional Care

Please note that when comparing Houston Methodist's average charge per DRG to other hospitals, there are many variables to consider. Houston Methodist offers a level of quality care not available in many other hospitals. In addition, other hospitals may include different goods, supplies or procedures under a similarly named description. As a patient, price is just one component to consider. The quality and safety of services a hospital provides is just as important.

Understanding These Charges

  • Charges are the same for all patients, regardless of ability to pay or insurance company coverage 
  • Charges are not the actual expected reimbursement from patients or insurance companies to Houston Methodist
  • Our reimbursement depends on a variety of factors, including:
    • Negotiated health plan rates
    • Fixed government rates (Medicare and Medicaid)
    • Individually negotiated package pricing
    • Payment discounts
    • Patient’s ability to pay 
  • Our reimbursement could include:
    • Whether a procedure was performed on an inpatient or outpatient basis
    • Physician orders
    • Comorbidities and complications
    • Medical necessity
    • Specialty services and procedures

 

Separate Billing

Houston Methodist may not employ all the physicians who may provide service or care during hospitalizations. Charges for these services are not included in the CDM, and will be billed separately from the hospital. These physicians may include (but are not limited to):

  • Emergency room physicians
  • Radiologists
  • Pathologists
  • Anesthesiologists
  • Surgeons
  • Psychiatrists
  

DRG for Houston Methodist Hospital- Texas Medical Center: Download CSV File
DRG for Houston Methodist Baytown Hospital: Download CSV File
DRG for Houston Methodist Clear Lake Hospital: Download CSV File
DRG for Houston Methodist Sugar Land Hospital: Download CSV File
DRG for Houston Methodist West Hospital: Download CSV File
DRG for Houston Methodist Willowbrook Hospital: Download CSV File
DRG For Houston Methodist The Woodlands Hospital: Download CSV File

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