Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) in Texas: what insurers pay
Posted commercial rates at 49 Texas hospitals, each next to its own Medicare base rate.
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MS-DRG 194
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin Austin | $5,247 | 0.9× | 1 | 2026-01-01 |
| Mission Regional Medical Center Mission | $5,867 | 1.0× | 1 | 2026-09-01 |
| Chi St Luke's Health Brazosport Lake Jackson | $6,282 | 1.1× | 2 | 2026-02-28 |
| St David's Medical Center Austin | $7,340 | 1.3× | 5 | 2026-09-01 |
| Round Rock Medical Center Round Rock | $7,522 | 1.3× | 5 | 2026-09-01 |
| Harlingen Medical Center Harlingen | $7,728 | 1.3× | 2 | 2026-09-01 |
| Methodist Hospital Stone Oak San Antonio | $7,895 | 1.4× | 4 | 2026-09-01 |
| St David's South Austin Medical Center Austin | $8,661 | 1.5× | 5 | 2026-09-01 |
| North Austin Medical Center Austin | $8,950 | 1.6× | 5 | 2026-09-01 |
| Knapp Medical Center Weslaco | $9,200 | 1.6× | 1 | 2026-09-01 |
| Methodist Hospital San Antonio | $9,223 | 1.6× | 4 | 2026-09-01 |
| Valley Regional Medical Center Brownsville | $9,302 | 1.6× | 5 | 2026-09-01 |
| Hca Houston Healthcare Tomball Tomball | $9,738 | 1.7× | 4 | 2026-09-01 |
| Hca Houston Healthcare Clear Lake Webster | $9,840 | 1.7× | 4 | 2026-09-01 |
| Hca Houston Healthcare Conroe Conroe | $9,884 | 1.7× | 4 | 2026-09-01 |
| St. Luke's Health The Woodlands Hospital The Woodlands | $10,186 | 1.8× | 5 | 2026-02-28 |
| Hca Houston Healthcare Kingwood Kingwood | $10,514 | 1.8× | 4 | 2026-09-01 |
| Hca Houston Healthcare Medical Center Houston | $10,566 | 1.8× | 4 | 2026-09-01 |
| St. Luke's Health Sugar Land Hospital Sugar Land | $10,704 | 1.9× | 5 | 2026-02-28 |
| Baylor Scott & White Medical Center - Lake Pointe Rowlett | $10,746 | 1.9× | 4 | 2026-06-29 |
| Baylor University Medical Center Dallas | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott & White Medical Center - Irving Irving | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott & White Medical Center - Grapevine Grapevine | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott & White Medical Center - McKinney Mc Kinney | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott And White Medical Center Uptown Dallas | $11,317 | 2.0× | 4 | 2026-06-29 |
| Doctors Hospital at Renaissance Edinburg | $11,322 | 2.0× | 3 | 2026-04-01 |
| Houston Methodist Sugar Land Hospital Sugar Land | $11,390 | 2.0× | 2 | 2026-04-01 |
| Houston Methodist West Hospital Houston | $11,390 | 2.0× | 2 | 2026-04-01 |
| Houston Methodist The Woodlands Hospital The Woodlands | $11,390 | 2.0× | 2 | 2026-04-01 |
| Hca Houston Healthcare Southeast Pasadena | $11,727 | 2.0× | 4 | 2026-09-01 |
| Hca Houston Healthcare Northwest Houston | $11,727 | 2.0× | 4 | 2026-09-01 |
| Scott & White Hospital-Round Rock Round Rock | $11,810 | 2.0× | 5 | 2026-06-13 |
| Baylor Scott & White Medical Center ? Pflugerville Pflugerville | $11,810 | 2.0× | 5 | 2026-06-13 |
| Baylor Scott & White Medical Center- Austin Austin | $11,810 | 2.0× | 5 | 2026-06-13 |
| Baylor St. Luke's Medical Center Houston | $11,978 | 2.1× | 5 | 2026-02-28 |
| Methodist Mansfield Medical Center Mansfield | $12,036 | 2.1× | 4 | 2026-03-21 |
| Houston Methodist Baytown Hospital Baytown | $12,281 | 2.1× | 2 | 2026-04-01 |
| Medical City Weatherford Weatherford | $13,174 | 2.3× | 6 | 2026-09-01 |
| Medical City Mckinney McKinney | $13,200 | 2.3× | 6 | 2026-09-01 |
| Medical City Denton Denton | $13,756 | 2.4× | 6 | 2026-09-01 |
| Medical City Fort Worth Fort Worth | $13,888 | 2.4× | 6 | 2026-09-01 |
| Houston Methodist Hospital Houston | $14,189 | 2.5× | 2 | 2026-04-01 |
| Rio Grande Regional Hospital McAllen | $14,622 | 2.5× | 5 | 2026-09-01 |
| Medical City Plano Plano | $15,188 | 2.6× | 6 | 2026-09-01 |
| Medical City Dallas Dallas | $16,305 | 2.8× | 6 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas Dallas | $17,736 | 3.1× | 4 | 2026-04-21 |
| Texas Health Presbyterian Hospital Plano Plano | $17,736 | 3.1× | 4 | 2026-04-21 |
| University Health System San Antonio | $18,558 | 3.2× | 2 | 2025-10-14 |
| UT Southwestern William P. Clements Jr. University Hospital Dallas | $21,568 | 3.7× | 4 | 2026-03-10 |
MS-DRG 193
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin Austin | $8,558 | 0.9× | 1 | 2026-01-01 |
| St David's Medical Center Austin | $11,199 | 1.2× | 5 | 2026-09-01 |
| Methodist Hospital San Antonio | $13,913 | 1.5× | 4 | 2026-09-01 |
| Medical City Mckinney McKinney | $17,478 | 1.9× | 6 | 2026-09-01 |
| Baylor University Medical Center Dallas | $17,980 | 1.9× | 4 | 2026-06-29 |
| Medical City Plano Plano | $19,173 | 2.0× | 6 | 2026-09-01 |
| Houston Methodist Hospital Houston | $22,848 | 2.4× | 2 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas Dallas | $28,502 | 3.0× | 4 | 2026-04-21 |
MS-DRG 195
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin Austin | $4,092 | 0.9× | 1 | 2026-01-01 |
| St David's Medical Center Austin | $6,426 | 1.4× | 5 | 2026-09-01 |
| Methodist Hospital San Antonio | $7,961 | 1.8× | 4 | 2026-09-01 |
| Baylor University Medical Center Dallas | $8,544 | 1.9× | 4 | 2026-06-29 |
| Medical City Mckinney McKinney | $10,195 | 2.3× | 6 | 2026-09-01 |
| Houston Methodist Hospital Houston | $10,786 | 2.4× | 2 | 2026-04-01 |
| Medical City Plano Plano | $12,144 | 2.7× | 6 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas Dallas | $13,470 | 3.0× | 4 | 2026-04-21 |
Questions
How much do insurers pay for pneumonia (hospital stay) in Texas?
49 Texas hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 49 hospitals is $11,317, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.