facebook tracking Carotid artery stent procedures without complications cost in Texas: 18 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in Texas

What 18 hospitals in Texas charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $113,988 Hospital list price billed
Average payment $14,463 Medicare + patient + other payers
Medicare paid $12,111 Average per stay
State rank #12 of 33 1 = lowest average payment

Hospitals in Texas billed an average of $113,988 for carotid artery stent procedures without complications, about 7.9 times the average total payment of $14,463. That payment is 8% below the U.S. average of $15,778.

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 $14,463Billed $113,988

About 13¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: carotid artery stent procedures without 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 64 $104,152 $14,146 $13,391
The Heart Hospital Baylor PlanoPlano 39 $57,185 $13,132 $12,176
St Davids HospitalAustin 35 $210,411 $15,895 $10,932
Bsa HospitalAmarillo 27 $70,587 $13,384 $11,700
Baylor Heart and Vascular HospitalDallas 27 $62,301 $14,037 $11,519
Trinity Mother Frances SystTyler 16 $96,937 $13,156 $12,021
Round Rock Medical CenterRound Rock 15 $223,072 $12,923 $11,508
Texoma Healthcare SystemDenison 14 $152,917 $13,495 $12,063
Clear Lake Regional Medical CenterWebster 13 $167,761 $15,309 $12,111
Houston Methodist the Woodlands HospitalThe Woodlands 13 $154,430 $13,073 $11,567
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 12 $78,577 $16,120 $11,455
Baylor Scott and White Medical Center McKinneyMc Kinney 12 $61,270 $12,776 $11,824
United Regional Hlth Care SystWichita Falls 11 $47,214 $15,194 $13,858
Baptist Medical CenterSan Antonio 11 $209,151 $15,397 $11,014
Texas Health Harris Methodist Fort WorthFort Worth 11 $76,989 $18,063 $12,447
Mem Hermann Southwest HospHouston 11 $61,294 $18,248 $13,567
Methodist Hospital,TheHouston 11 $143,853 $17,588 $12,287
Methodist HospitalSan Antonio 11 $141,945 $13,905 $10,715
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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.

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in Texas?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 18 hospitals in Texas was billed at $113,988 on average, while the average total payment was $14,463, of which Medicare paid $12,111. 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 7.9 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.