CostGrade
F

11/100

#2,367 nationally

Methodist Hospital

7700 Floyd Curl Dr, San Antonio, TX 78229 · (210) 575-4000

Among the highest charge markups in the country

For every $1 of care Medicare actually paid for here, Methodist Hospital billed $10.07 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
10.1x
volume-weighted across all its priced work
Procedures priced
328
inpatient and outpatient combined
Rank in TX
#158
lower markup ranks higher
CMS quality stars
4/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 2.0/35

Better than 6% of U.S. hospitals.

Outpatient charge markup 3.0/25

Better than 12% of U.S. hospitals.

Price level vs national median 4.3/30

Better than 14% of U.S. hospitals.

Price consistency 1.4/10

Better than 14% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

1,615 $141,255 $14,943 +116%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

831 $96,092 $10,167 +121%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

712 $56,622 $2,810 +124%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

437 $334,085 $24,640 +168%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

369 $264,805 $20,454 +100%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

350 $71,454 $8,634 +82%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

344 $130,489 $9,402 +93%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

332 $43,229 $5,004 +23%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

329 $110,749 $12,700 +95%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

314 $103,634 $10,916 +122%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

$22,501 $587 +617%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

$326,691 $18,936 +305%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 024 · Inpatient stay

$561,500 $39,134 +265%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

$619,624 $37,638 +227%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

$36,245 $1,597 +219%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

$350,216 $26,867 +211%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

$295,790 $28,118 +201%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

$650,003 $47,104 +170%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc

MS-DRG 581 · Inpatient stay

$123,371 $12,897 -45%
Implantation Wireless Pa Pressure Monitor

APC 5200 · Hospital outpatient visit

$101,788 $25,149 -25%
Inguinal and Femoral Hernia Procedures with Complications

MS-DRG 351 · Inpatient stay

$83,565 $11,415 -23%
Kidney and Ureter Procedures for Neoplasm without Complications/mcc

MS-DRG 658 · Inpatient stay

$63,249 $11,433 -18%
Inflammation of the Male Reproductive System without Major Complications

MS-DRG 728 · Inpatient stay

$44,257 $6,462 -10%
Poisoning and Toxic Effects of Drugs without Major Complications

MS-DRG 918 · Inpatient stay

$35,181 $9,603 about average
Major Esophageal Disorders with Major Complications

MS-DRG 368 · Inpatient stay

$78,342 $12,735 about average
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

$59,484 $8,837 about average

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.