Hospital Costs and Charges

If you are considering a hospital procedure and are interested in an estimate of the cost, or are comparing costs among different providers, this page offers helpful information for you.

General Charge Information and the Chargemaster

A hospital “chargemaster” is a comprehensive listing of items that can be billed to a patient, payor or other entity. The charges listed in a health care organization’s (like UTMB Health's) chargemaster are the amount set before any discounts. Providers, by law, are required to use uniform charges as the starting point for all bills.

The chargemaster prices are for admission to or for the use of hospital services only. The price typically is intended to cover costs for hospital infrastructure, nursing, equipment and general personnel. Charges for physician services are typically not included and are billed separately.

Hospital charges are based on the actual care offered to each patient and the resources used to provide that care. Charges for the same condition can vary from patient to patient due to complications or different approaches to treatment needed due to an individual’s unique health condition.

Also, remember when considering cost, that like with any product or service, price is but one of several factors to evaluate in your decision. You may want to consider quality, safety, experience, scope of available services and other measures in your deliberations.  

Patient Responsibility

A patient’s financial responsibility ─ her or his share of these charges ─ will vary, depending on insurance coverage and plan specifications or payment plan negotiated.

Understandably, many patients who seek hospital charge information are interested in knowing their specific financial responsibility.

  • If you have health insurance, please contact your health plan to understand your coverage, deductibles and related financial obligations. [Get Insurance Information]
  • If you do not have health insurance, UTMB Health will provide information related to the hospital's financial assistance policy, and any prompt pay or other discounts that can be applied.

Other financial questions and estimates for services are available by clicking the “Requesting an Estimate” link on this page.

Inpatient Care

Charges for a hospital admission are typically grouped and paid by insurance companies as one lump sum payment.

A listing of some common, high volume admission reasons and average charge per hospital stay are included below for your reference.

The Average Charge most likely does not represent the amount you will be required to pay. If you have insurance, contact your insurance plan for specific information about your coverage for the needed hospital services, and to understand which portion of the charge may be your responsibility.

Check your insurance card for applicable phone numbers or check the Insurance Plans Accepted by UTMB Health.

MS DRG* MS DRG Description Average Charges
291 Heart Failure Shock with Major Complications $37,700
765 Cesarean Section w/ Complications $21,785
766 Cesarean Section w/o Complications $17,500
774 Vaginal Delivery w Complicating Diagnoses $13,000
775 Vaginal Delivery w/o Complicating Diagnoses $11,190
* Medicare Severity Diagnosis Related Groups
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Outpatient Care

Below we offer a listing of some common, high volume imaging, lab and other outpatient procedures and the associated charges for each service, for your reference.

The charge most likely does not represent the amount you will be required to pay.

If you have insurance, contact your insurance plan or payor for specific information about your coverage for these or other  needed outpatient service(s), and to understand which portion of the charge may be your responsibility.

Check your insurance card for applicable phone numbers or check in the web page for Insurance Plans Accepted by UTMB Health.

Common Radiology Procedures:

Procedure Description Charge
Ultrasound pregnant uterus after 1st trimester/First Gestation$514
Screening Mammography $404
Ultrasound Exam of Head and Neck $514
Chest X-Ray, 2 View $249

Common Lab Procedures:

Procedure Description Charge
Routine Venipuncture $51
Urine Pregnancy Test $49
Glucose Tolerance Test $99
Complete CBC $60
Urinalysis $29

Other Common Outpatient Procedures:

Procedure Description Charge
Hyperbaric Oxygen Therapy $437
Colonoscopy $4,368
Nasal/Sinus Endoscopy Surgery $5,037
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Additional financial Topics:

Insurance and Billing

UTMB Health is also pleased to offer a single point of customer service to our patients for services provided at our facilities by UTMB providers, so that we may answer many of your billing questions with one phone number, instead of requiring separate phone calls to different billing offices for hospital/clinic fees and health care provider charges.

 You may contact our UTMB Health Customer Service Office at (800) 994-0363 or (409) 771-8811.*

In addition, when you check in at any of our clinics, our Patient Services Specialists will be able to discuss outstanding balances and conveniently assist you by collecting payments toward any balance due, helping you stay current with your health care financial responsibilities.

* Please see information below regarding questions about fees from non-UTMB care providers.

Current UTMB patients are eligible to apply for financial assistance related to services already provided at UTMB. Existing UTMB and non-UTMB patients may contact Financial Counseling at (409) 772-6464 to learn about the application process.

Patients are not eligible for financial assistance if they a) have third party insurance (excluding patients with traditional Medicare); or b) if they are eligible for another third party program such as Medicaid, County Indigent Health Programs (CIHCP), etc; or c) are not Texas residents. Patients seeking treatment for certain elective, non-emergent procedures or outpatient services will be considered full pay patients, and payment in full will be expected at or before the time services are rendered.

Qualified applicants whose income and calculated assets are below 200% of the levels indicated in the Federal Poverty Guidelines (found at http://aspe.hhs.gov/poverty/) will qualify for a 100% charity discount on any balances.  Qualified applicants whose income and calculated assets are equal to or greater than 200%−but below 400% of the Federal Poverty Guidelines − will qualify for a 50% charity discount on any balances.

The Financial Counseling Office manages the process of vetting requests for assistance. An interview/screening process conducted by the office will determine if an individual is eligible to receive discounted medical services at UTMB.

Self-pay patients (individuals who are personally responsible for their bills because they do not have third party coverage, and do not qualify for full or partial charity care discounts) with income levels equal to or greater than 400% of Federal Poverty Guidelines may qualify for discounts up to 40% for inpatient services and 50% for outpatient services received.

If you are considering a hospital procedure and are interested in an estimate of the cost, or are comparing costs among different providers, the following page offers helpful information for you, including a definition of the hospital "chargemaster." Costs and charges information.

All accounts are payable in full upon receipt of your statement. If you have commercial health insurance, your coverage will be verified and a claim will be filed on your behalf. Our billing departments will cooperate fully with you and your insurance company to expedite payment of your claim.  If you have assigned insurance benefits to UTMB, your insurance company has 60 days from the date the claim is filed to complete payment.

In the event your insurance company fails to pay the claim after 60 days, it may be necessary for UTMB  to ask you to pay your hospital or physicians’ bills.

Please remember that the patient or guarantor, not the insurance company, is responsible for the settlement of the account. Once your insurance payment has been received, any remaining balance is expected in full, within 30 days.

If you cannot pay your patient balance in full, it may be possible to establish a payment plan. The term and payment amount is determined according to the amount owed. A customer service account specialist can assist you in establishing a payment plan. For more information, please call: 

For payment plan information, please contact our Customer Service Office at (800) 994-0363 or (409) 771-8811 or email RCObilling.customerservice@utmb.edu

It is policy at UTMB Health for our registration staff to provide a written disclosure to all patients receiving care as to whether the services requested/received are considered in-network or out-of-network. The guidance UTMB provides is based on the information provided by the patient at the time of service, and availability of the insurance company or other provider to confirm coverage details. Disclosures are provided in the Emergency Room, inpatient areas, day surgery units, ancillary areas, and clinics.

At UTMB Health, we serve patients with many types of insurance coverage, offered by many different companies and entities. UTMB and its providers accept most major health plans, which are outlined online. Remember to always check with your health insurance carrier regarding specific covered services. The list grows and changes frequently. If you don't see your insurance listed or if you have any questions, please contact us.

At this time, per its current policy, UTMB Health does not apply interest charges to bills issued for its clinical services.

If you would like to make a payment on your account (for services rendered after April 6, 2013) but are not a MyChart user, please call:

UTMB Customer Service: (800) 994-0363 or (409) 771-8811.
We accept the following forms of payment: formsofpayment

UTMB Health is happy to provide estimates for its services, and typically  provides a response to requests in 2-3 business days. Get details and make a request.

UTMB will mail you a monthly statement on each account on which you owe a balance. If you would like to receive a more detailed list of your hospital or professional charges, you may request an itemized statement. Our customer service account specialists can assist you via telephone, or you may submit a request for an itemized statement via email. Statements will be sent via US Mail to you at your address of record.

For itemized bills and information, please call (800) 994-0363 or (409) 771-8811 or email RCObilling.customerservice@utmb.edu