Aortic and heart assist procedures except pulsation balloon without major complications in Texas
What 21 hospitals in Texas charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.
Average charge
$254,892
Hospital list price billed
Average payment
$37,140
Medicare + patient + other payers
Medicare paid
$30,367
Average per stay
State rank
#16 of 35
1 = lowest average payment
Hospitals in Texas billed an average of $254,892 for aortic and heart assist procedures except pulsation balloon without major complications, about 6.9 times the average total payment of $37,140. That payment is 6% below the U.S. average of $39,522.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $37,140Billed $254,892
About 15¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: aortic and heart assist procedures except pulsation balloon without major complications
Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| The Heart Hospital Baylor PlanoPlano | 51 | $148,812 | $41,548 | $25,530 |
| UT Southwestern University HospitalDallas | 48 | $220,470 | $47,661 | $39,940 |
| Mem Hermann Southwest HospHouston | 22 | $136,675 | $44,504 | $26,183 |
| St Davids HospitalAustin | 21 | $575,760 | $37,004 | $27,185 |
| Trinity Mother Frances SystTyler | 20 | $297,221 | $28,552 | $27,234 |
| Methodist Hospital,TheHouston | 18 | $332,258 | $36,594 | $34,046 |
| Texas Health Harris Methodist Fort WorthFort Worth | 17 | $144,595 | $35,112 | $27,766 |
| Baylor Heart and Vascular HospitalDallas | 17 | $127,348 | $29,277 | $27,741 |
| Scott & White Memorial HospitalTemple | 15 | $119,120 | $39,895 | $31,320 |
| St Lukes Episcopal HospitalHouston | 15 | $325,947 | $38,722 | $36,592 |
| Hendrick Health SystemAbilene | 14 | $331,003 | $31,997 | $30,701 |
| Baptist Medical CenterSan Antonio | 13 | $278,798 | $29,145 | $27,744 |
| Baylor All Saints Medical Center at FwFort Worth | 13 | $126,842 | $31,905 | $29,881 |
| Methodist HospitalSan Antonio | 13 | $339,947 | $33,081 | $25,824 |
| Texas Health Presbyterian Hospital DallasDallas | 13 | $167,472 | $37,079 | $27,927 |
| Longview Regional Medical CenterLongview | 13 | $385,335 | $28,756 | $27,250 |
| United Regional Hlth Care SystWichita Falls | 12 | $122,399 | $34,830 | $33,334 |
| Memorial Hermann Texas Medical CenterHouston | 11 | $180,124 | $40,802 | $38,756 |
| Kingwood Medical CenterKingwood | 11 | $903,211 | $36,118 | $34,682 |
| CHRISTUS St Michael Health SystemTexarkana | 11 | $217,939 | $28,600 | $26,946 |
| Methodist Stone Oak HospitalSan Antonio | 11 | $255,817 | $27,582 | $26,098 |
Lowest and highest payments in Texas
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Methodist Stone Oak HospitalSan Antonio, TX | $27,582 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $28,552 |
| CHRISTUS St Michael Health SystemTexarkana, TX | $28,600 |
| Longview Regional Medical CenterLongview, TX | $28,756 |
| Baptist Medical CenterSan Antonio, TX | $29,145 |
Highest
| UT Southwestern University HospitalDallas, TX | $47,661 |
|---|---|
| Mem Hermann Southwest HospHouston, TX | $44,504 |
| The Heart Hospital Baylor PlanoPlano, TX | $41,548 |
| Memorial Hermann Texas Medical CenterHouston, TX | $40,802 |
| Scott & White Memorial HospitalTemple, TX | $39,895 |
Aortic and heart assist procedures except pulsation balloon without major complications in other states
Questions
How much does aortic and heart assist procedures except pulsation balloon without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 21 hospitals in Texas was billed at $254,892 on average, while the average total payment was $37,140, of which Medicare paid $30,367. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 6.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.