Cardiac defibrillator implant without major complications in Texas
What 3 hospitals in Texas charged and were paid for a Medicare hospital stay for cardiac defibrillator implant without major complications (DRG 277), from 2024 Medicare claims.
Average charge
$392,160
Hospital list price billed
Average payment
$37,919
Medicare + patient + other payers
Medicare paid
$33,202
Average per stay
State rank
#1 of 6
1 = lowest average payment
Hospitals in Texas billed an average of $392,160 for cardiac defibrillator implant without major complications, about 10.3 times the average total payment of $37,919. That payment is 23% below the U.S. average of $48,982.
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 $37,919Billed $392,160
About 10¢ 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: cardiac defibrillator implant 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 | 15 | $207,783 | $35,761 | $34,639 |
| Methodist HospitalSan Antonio | 14 | $321,439 | $41,014 | $29,217 |
| St Davids HospitalAustin | 12 | $705,140 | $37,006 | $36,054 |
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
| The Heart Hospital Baylor PlanoPlano, TX | $35,761 |
|---|---|
| St Davids HospitalAustin, TX | $37,006 |
| Methodist HospitalSan Antonio, TX | $41,014 |
Highest
| Methodist HospitalSan Antonio, TX | $41,014 |
|---|---|
| St Davids HospitalAustin, TX | $37,006 |
| The Heart Hospital Baylor PlanoPlano, TX | $35,761 |
Cardiac defibrillator implant without major complications in other states
Questions
How much does cardiac defibrillator implant without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for cardiac defibrillator implant without major complications (DRG 277) at 3 hospitals in Texas was billed at $392,160 on average, while the average total payment was $37,919, of which Medicare paid $33,202. 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 10.3 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.