Circulatory disorders except AMI, with cardiac catheterization with major complications in Texas
What 75 hospitals in Texas charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.
Average charge
$137,491
Hospital list price billed
Average payment
$20,406
Medicare + patient + other payers
Medicare paid
$16,138
Average per stay
State rank
#23 of 47
1 = lowest average payment
Hospitals in Texas billed an average of $137,491 for circulatory disorders except ami, with cardiac catheterization with major complications, about 6.7 times the average total payment of $20,406. That payment is 7% below the U.S. average of $21,968.
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 $20,406Billed $137,491
About 15¢ 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: circulatory disorders except ami, with cardiac catheterization with 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 |
|---|---|---|---|---|
| St Davids HospitalAustin | 160 | $154,825 | $16,882 | $13,660 |
| Methodist HospitalSan Antonio | 155 | $202,411 | $17,659 | $13,731 |
| Methodist Hospital,TheHouston | 149 | $186,157 | $25,111 | $19,494 |
| UT Southwestern University HospitalDallas | 96 | $125,427 | $31,616 | $17,285 |
| University of Texas Medical Branch GalGalveston | 66 | $82,198 | $25,009 | $19,535 |
| Memorial Hermann Texas Medical CenterHouston | 64 | $167,452 | $33,672 | $21,469 |
| The Heart Hospital Baylor PlanoPlano | 61 | $90,331 | $16,230 | $13,887 |
| Mem Hermann Southwest HospHouston | 57 | $90,968 | $21,063 | $14,854 |
| St David's South Austin Medical CenterAustin | 49 | $196,980 | $16,890 | $15,418 |
| Hendrick Health SystemAbilene | 48 | $127,085 | $16,859 | $15,610 |
| St Lukes Episcopal HospitalHouston | 43 | $183,758 | $28,624 | $22,349 |
| Houston Methodist Baytown HospitalBaytown | 43 | $102,811 | $18,375 | $16,371 |
| Baptist Medical CenterSan Antonio | 37 | $201,699 | $16,509 | $13,700 |
| Baylor Heart and Vascular HospitalDallas | 33 | $67,859 | $15,328 | $11,328 |
| Mem Hermann Mem City HospHouston | 32 | $88,299 | $19,313 | $16,417 |
| Round Rock Medical CenterRound Rock | 31 | $174,739 | $16,348 | $13,205 |
| Plaza Medical Center of Fort WorthFort Worth | 30 | $196,638 | $18,830 | $15,043 |
| Kingwood Medical CenterKingwood | 29 | $254,515 | $19,521 | $14,894 |
| Methodist Sugar Land HospitalSugar Land | 29 | $92,875 | $16,409 | $14,404 |
| Parkland Health and Hospital SystemDallas | 28 | $149,401 | $56,991 | $52,664 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 28 | $71,200 | $16,228 | $14,255 |
| Methodist Willowbrook HospitalHouston | 28 | $100,111 | $17,603 | $14,311 |
| Seton Medical Center AustinAustin | 27 | $156,638 | $18,700 | $17,192 |
| Trinity Mother Frances SystTyler | 27 | $114,629 | $15,456 | $14,256 |
| Bsa HospitalAmarillo | 27 | $93,371 | $16,062 | $12,366 |
| Clear Lake Regional Medical CenterWebster | 26 | $179,861 | $16,882 | $14,417 |
| Seton Medical Center HaysKyle | 26 | $170,554 | $16,440 | $15,374 |
| Baylor University Medical CenterDallas | 25 | $98,307 | $32,289 | $17,898 |
| Scott & White Memorial HospitalTemple | 25 | $125,849 | $21,458 | $17,520 |
| Scott & White Hospital-Round RockRound Rock | 25 | $75,101 | $17,242 | $12,988 |
| Good Shepherd Medical Center MarshallMarshall | 24 | $100,888 | $17,597 | $15,090 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 24 | $84,389 | $15,382 | $12,744 |
| Citizens Medical CenterVictoria | 21 | $40,423 | $15,706 | $13,779 |
| Covenant Medical CenterLubbock | 21 | $167,819 | $16,782 | $13,352 |
| Medical Center of PlanoPlano | 21 | $234,351 | $16,256 | $14,564 |
| University Medical CenterLubbock | 21 | $103,783 | $24,169 | $18,414 |
| CHRISTUS St Michael Health SystemTexarkana | 21 | $113,323 | $16,374 | $13,807 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 20 | $73,727 | $16,404 | $15,369 |
| CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos | 19 | $66,462 | $17,180 | $14,367 |
| Texas Health Harris Methodist Fort WorthFort Worth | 18 | $86,633 | $19,068 | $14,754 |
| Methodist Stone Oak HospitalSan Antonio | 18 | $193,134 | $14,754 | $13,666 |
| Medical City Dallas HospitalDallas | 17 | $266,241 | $17,773 | $13,849 |
| Methodist Mansfield Medical CenterMansfield | 17 | $88,461 | $16,030 | $14,084 |
| Baylor All Saints Medical Center at FwFort Worth | 16 | $101,475 | $18,894 | $15,694 |
| Denton Regional Medical CenterDenton | 16 | $179,258 | $17,010 | $15,777 |
| Sierra Medical CenterEl Paso | 16 | $227,273 | $16,582 | $13,422 |
| Memorial Hermann Sugar Land HospitalSugar Land | 16 | $93,662 | $17,398 | $14,999 |
| Weatherford Regional Medical CenterWeatherford | 15 | $106,497 | $18,735 | $16,641 |
| University Health SystemSan Antonio | 15 | $115,132 | $34,593 | $24,663 |
| Texoma Healthcare SystemDenison | 15 | $136,313 | $16,129 | $12,756 |
| Baylor Medical Center at WaxahachieWaxahachie | 15 | $72,115 | $16,369 | $15,172 |
| Memorial Hermann NortheastHumble | 15 | $64,162 | $18,498 | $15,299 |
| St Luke's the Woodlands HospitalConroe | 15 | $96,775 | $16,118 | $14,706 |
| Houston Methodist West HospitalHouston | 15 | $83,432 | $18,683 | $13,564 |
| United Regional Hlth Care SystWichita Falls | 14 | $50,917 | $18,235 | $15,432 |
| Medical Center HospitalOdessa | 14 | $81,186 | $18,776 | $14,420 |
| Northwest Texas Hlthcare SystAmarillo | 14 | $144,413 | $19,754 | $16,550 |
| Baylor Regional Medical Center at GrapevineGrapevine | 14 | $81,780 | $12,894 | $9,950 |
| Longview Regional Medical CenterLongview | 14 | $161,443 | $15,167 | $13,003 |
| Houston Methodist Clear Lake HospitalHouston | 14 | $162,347 | $19,182 | $17,987 |
| Lake Pointe Medical CenterRowlett | 14 | $72,005 | $15,557 | $14,508 |
| Denton Community HospitalDenton | 14 | $75,581 | $18,174 | $14,112 |
| Providence Health CenterWaco | 13 | $46,435 | $16,128 | $13,855 |
| East Texas Medical CenterTyler | 13 | $127,382 | $16,801 | $15,543 |
| Texas Health Presbyterian Hospital DallasDallas | 12 | $77,336 | $17,114 | $15,617 |
| Baylor Regional Medical Center at PlanoPlano | 12 | $78,396 | $16,129 | $12,167 |
| Medical City AllianceFort Worth | 12 | $175,653 | $16,791 | $15,975 |
| St Joseph Regional Health CenterBryan | 11 | $85,999 | $17,030 | $13,803 |
| Jps Health NetworkFort Worth | 11 | $144,060 | $40,673 | $38,870 |
| Las Palmas Medical CenterEl Paso | 11 | $302,924 | $20,561 | $13,391 |
| Conroe Regional Medical CenterConroe | 11 | $122,704 | $17,652 | $16,627 |
| Tomball Regional HospitalTomball | 11 | $207,821 | $18,644 | $15,575 |
| Huguley Health SystemFort Worth | 11 | $91,556 | $18,958 | $14,232 |
| Texas Health Presbyterian Hospital PlanoPlano | 11 | $74,818 | $23,323 | $10,877 |
| Memorial Hermann Katy HospitalKaty | 11 | $78,957 | $16,618 | $15,134 |
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
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $12,894 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $14,754 |
| Longview Regional Medical CenterLongview, TX | $15,167 |
| Baylor Heart and Vascular HospitalDallas, TX | $15,328 |
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $15,382 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $56,991 |
|---|---|
| Jps Health NetworkFort Worth, TX | $40,673 |
| University Health SystemSan Antonio, TX | $34,593 |
| Memorial Hermann Texas Medical CenterHouston, TX | $33,672 |
| Baylor University Medical CenterDallas, TX | $32,289 |
Circulatory disorders except AMI, with cardiac catheterization with major complications in other states
Questions
How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 75 hospitals in Texas was billed at $137,491 on average, while the average total payment was $20,406, of which Medicare paid $16,138. 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 6.7 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.