Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Texas
What 25 hospitals in Texas charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$435,899
Hospital list price billed
Average payment
$74,398
Medicare + patient + other payers
Medicare paid
$61,415
Average per stay
State rank
#16 of 37
1 = lowest average payment
Hospitals in Texas billed an average of $435,899 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.9 times the average total payment of $74,398. That payment is 11% below the U.S. average of $83,705.
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 $74,398Billed $435,899
About 17¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 | 183 | $215,029 | $66,417 | $49,505 |
| Methodist Hospital,TheHouston | 107 | $604,691 | $79,436 | $73,987 |
| UT Southwestern University HospitalDallas | 92 | $287,677 | $86,018 | $75,019 |
| St Lukes Episcopal HospitalHouston | 72 | $531,275 | $91,779 | $72,806 |
| Memorial Hermann Texas Medical CenterHouston | 62 | $522,453 | $99,671 | $78,385 |
| Baylor University Medical CenterDallas | 56 | $246,272 | $79,843 | $55,289 |
| St Davids HospitalAustin | 49 | $686,000 | $68,023 | $46,822 |
| Methodist HospitalSan Antonio | 37 | $712,905 | $64,007 | $54,706 |
| Mem Hermann Mem City HospHouston | 35 | $310,765 | $66,257 | $59,503 |
| Baylor All Saints Medical Center at FwFort Worth | 30 | $242,019 | $75,960 | $52,711 |
| Mem Hermann Southwest HospHouston | 20 | $336,204 | $67,876 | $61,921 |
| Texas Health Presbyterian Hospital DallasDallas | 20 | $355,373 | $62,490 | $60,971 |
| The Heart Hospital Baylor DentonDenton | 20 | $183,392 | $54,005 | $47,040 |
| Round Rock Medical CenterRound Rock | 18 | $639,147 | $51,700 | $50,250 |
| Seton Medical Center AustinAustin | 16 | $604,173 | $68,474 | $66,855 |
| Clear Lake Regional Medical CenterWebster | 15 | $914,417 | $61,756 | $60,765 |
| HCA Houston Healthcare Medical CenterHouston | 15 | $1,181,150 | $75,745 | $74,543 |
| Medical City Dallas HospitalDallas | 14 | $1,147,921 | $61,310 | $58,268 |
| Scott & White Hospital-Round RockRound Rock | 14 | $278,658 | $63,554 | $52,685 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $311,776 | $75,965 | $53,029 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 13 | $361,923 | $51,968 | $50,609 |
| Longview Regional Medical CenterLongview | 13 | $596,816 | $51,262 | $49,881 |
| Baptist Medical CenterSan Antonio | 12 | $576,029 | $51,822 | $50,625 |
| University Health SystemSan Antonio | 12 | $295,456 | $95,897 | $86,740 |
| Scott & White Memorial HospitalTemple | 11 | $321,350 | $77,378 | $56,791 |
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
| Longview Regional Medical CenterLongview, TX | $51,262 |
|---|---|
| Round Rock Medical CenterRound Rock, TX | $51,700 |
| Baptist Medical CenterSan Antonio, TX | $51,822 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $51,968 |
| The Heart Hospital Baylor DentonDenton, TX | $54,005 |
Highest
| Memorial Hermann Texas Medical CenterHouston, TX | $99,671 |
|---|---|
| University Health SystemSan Antonio, TX | $95,897 |
| St Lukes Episcopal HospitalHouston, TX | $91,779 |
| UT Southwestern University HospitalDallas, TX | $86,018 |
| Baylor University Medical CenterDallas, TX | $79,843 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Texas?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 25 hospitals in Texas was billed at $435,899 on average, while the average total payment was $74,398, of which Medicare paid $61,415. 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 5.9 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.