58/100
#1,028 nationally
University Health System
4502 Medical Dr, San Antonio, TX 78229 · (210) 358-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, University Health System billed $2.88 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
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 152
- inpatient and outpatient combined
- Rank in TX
- #38
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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.
Better than 79% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 40% 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 |
340 | $98,890 | $36,037 | +52% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
323 | $10,233 | $1,376 | about average |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
305 | $10,570 | $1,973 | -10% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
202 | $6,474 | $1,615 | -45% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
135 | $14,736 | $2,766 | -23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
122 | $18,456 | $2,799 | -27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
112 | $9,145 | $1,746 | -29% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
88 | $13,001 | $1,459 | +14% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
88 | $31,407 | $4,916 | -11% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
83 | $23,993 | $4,490 | -13% |
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 |
|---|---|---|---|
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$72,326 | $30,368 | +94% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$78,070 | $25,603 | +89% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$116,896 | $32,259 | +77% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
$139,596 | $48,150 | +71% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$296,444 | $86,865 | +65% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$76,436 | $29,559 | +64% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$71,058 | $24,139 | +56% |
|
Cirrhosis and Alcoholic Hepatitis with Complications
MS-DRG 433 · Inpatient stay |
$69,406 | $23,069 | +52% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$14,261 | $4,945 | -52% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$6,474 | $1,615 | -45% |
|
Liver Transplant with Major Complications or Intestinal Transplant
MS-DRG 005 · Inpatient stay |
$414,832 | $140,274 | -42% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$12,778 | $3,323 | -42% |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
$174,985 | $63,877 | -41% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$75,934 | $41,129 | -39% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
$149,124 | $58,042 | -38% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$48,921 | $33,262 | -38% |
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.