facebook tracking Carotid artery stent procedures with complications cost in Texas: 16 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in Texas

What 16 hospitals in Texas charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $128,964 Hospital list price billed
Average payment $18,063 Medicare + patient + other payers
Medicare paid $15,916 Average per stay
State rank #10 of 23 1 = lowest average payment

Hospitals in Texas billed an average of $128,964 for carotid artery stent procedures with complications, about 7.1 times the average total payment of $18,063. That payment is 8% below the U.S. average of $19,727.

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 $18,063Billed $128,964

About 14¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: carotid artery stent procedures with 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
East Texas Medical CenterTyler 53 $121,441 $17,796 $16,576
The Heart Hospital Baylor PlanoPlano 27 $58,327 $16,659 $15,709
Mem Hermann Southwest HospHouston 22 $95,100 $19,816 $19,078
Methodist HospitalSan Antonio 21 $185,530 $18,116 $14,222
Methodist Hospital,TheHouston 18 $155,254 $21,042 $16,385
Denton Community HospitalDenton 17 $80,706 $17,839 $17,326
Baylor Heart and Vascular HospitalDallas 17 $70,457 $17,957 $14,406
Baylor All Saints Medical Center at FwFort Worth 16 $69,453 $19,488 $15,895
St Davids HospitalAustin 15 $209,671 $16,464 $15,594
Methodist Sugar Land HospitalSugar Land 15 $169,296 $19,159 $14,445
Trinity Mother Frances SystTyler 14 $134,504 $17,884 $14,106
Houston Methodist the Woodlands HospitalThe Woodlands 14 $163,574 $16,451 $15,169
Baptist Medical CenterSan Antonio 13 $279,051 $16,887 $15,450
Covenant Medical CenterLubbock 11 $145,161 $16,923 $15,252
Texas Health Harris Methodist Fort WorthFort Worth 11 $101,591 $17,965 $16,761
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 11 $124,519 $18,336 $15,639
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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

Houston Methodist the Woodlands HospitalThe Woodlands, TX$16,451
St Davids HospitalAustin, TX$16,464
The Heart Hospital Baylor PlanoPlano, TX$16,659
Baptist Medical CenterSan Antonio, TX$16,887
Covenant Medical CenterLubbock, TX$16,923

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in Texas?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 16 hospitals in Texas was billed at $128,964 on average, while the average total payment was $18,063, of which Medicare paid $15,916. 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 7.1 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.