Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in Texas
What 10 hospitals in Texas charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216), from 2024 Medicare claims.
Average charge
$665,739
Hospital list price billed
Average payment
$91,193
Medicare + patient + other payers
Medicare paid
$77,288
Average per stay
State rank
#7 of 20
1 = lowest average payment
Hospitals in Texas billed an average of $665,739 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 7.3 times the average total payment of $91,193. That payment is 15% below the U.S. average of $107,634.
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 $91,193Billed $665,739
About 14¢ 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 valve and other major cardiothoracic procedures with cardiac catheterization wit
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 | 30 | $318,194 | $85,434 | $69,218 |
| Methodist Hospital,TheHouston | 18 | $773,309 | $126,338 | $97,592 |
| Methodist HospitalSan Antonio | 17 | $860,091 | $58,931 | $56,655 |
| Mem Hermann Mem City HospHouston | 17 | $222,525 | $69,316 | $68,245 |
| HCA Houston Healthcare Medical CenterHouston | 17 | $1,047,827 | $81,566 | $66,634 |
| St Lukes Episcopal HospitalHouston | 16 | $754,921 | $134,014 | $113,971 |
| Baptist Medical CenterSan Antonio | 15 | $971,109 | $87,428 | $59,906 |
| Memorial Hermann Texas Medical CenterHouston | 15 | $615,093 | $125,133 | $105,303 |
| St Davids HospitalAustin | 15 | $1,042,068 | $77,193 | $75,996 |
| Mem Hermann Southwest HospHouston | 11 | $241,418 | $63,597 | $62,302 |
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 HospitalSan Antonio, TX | $58,931 |
|---|---|
| Mem Hermann Southwest HospHouston, TX | $63,597 |
| Mem Hermann Mem City HospHouston, TX | $69,316 |
| St Davids HospitalAustin, TX | $77,193 |
| HCA Houston Healthcare Medical CenterHouston, TX | $81,566 |
Highest
| St Lukes Episcopal HospitalHouston, TX | $134,014 |
|---|---|
| Methodist Hospital,TheHouston, TX | $126,338 |
| Memorial Hermann Texas Medical CenterHouston, TX | $125,133 |
| Baptist Medical CenterSan Antonio, TX | $87,428 |
| The Heart Hospital Baylor PlanoPlano, TX | $85,434 |
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in Texas?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216) at 10 hospitals in Texas was billed at $665,739 on average, while the average total payment was $91,193, of which Medicare paid $77,288. 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 7.3 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.