facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost in Texas: 64 hospitals compared (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications in Texas

What 64 hospitals in Texas charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $82,228 Hospital list price billed
Average payment $9,659 Medicare + patient + other payers
Medicare paid $7,108 Average per stay
State rank #21 of 45 1 = lowest average payment

Hospitals in Texas billed an average of $82,228 for circulatory disorders except ami, with cardiac catheterization without major complications, about 8.5 times the average total payment of $9,659. That payment is 7% below the U.S. average of $10,394.

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 $9,659Billed $82,228

About 12¢ 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 without 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
Methodist HospitalSan Antonio 147 $114,428 $9,326 $6,445
Hendrick Health SystemAbilene 94 $83,712 $8,484 $6,809
St Davids HospitalAustin 67 $104,297 $8,847 $6,199
The Heart Hospital Baylor PlanoPlano 53 $54,779 $8,099 $6,479
Baylor Heart and Vascular HospitalDallas 50 $47,712 $8,426 $5,426
Methodist Hospital,TheHouston 41 $78,521 $12,834 $8,395
Baptist Medical CenterSan Antonio 36 $149,405 $9,321 $6,806
Bsa HospitalAmarillo 36 $43,292 $10,212 $5,409
Baylor Regional Medical Center at GrapevineGrapevine 34 $49,280 $7,237 $5,536
Clear Lake Regional Medical CenterWebster 34 $106,367 $9,412 $7,054
Methodist Sugar Land HospitalSugar Land 33 $64,022 $8,528 $6,728
Scott & White Hospital-Round RockRound Rock 32 $57,417 $8,271 $6,285
St Lukes Episcopal HospitalHouston 31 $105,946 $12,349 $8,551
Paris Regional Medical CenterParis 31 $48,915 $7,887 $6,623
UT Southwestern University HospitalDallas 30 $82,589 $13,556 $9,524
East Texas Medical CenterTyler 30 $78,873 $9,018 $7,460
Plaza Medical Center of Fort WorthFort Worth 30 $143,467 $10,286 $7,347
Houston Methodist the Woodlands HospitalThe Woodlands 30 $64,486 $7,657 $6,244
University of Texas Medical Branch GalGalveston 28 $42,386 $13,208 $10,246
St David's South Austin Medical CenterAustin 27 $89,727 $9,684 $6,370
Round Rock Medical CenterRound Rock 27 $100,077 $8,178 $6,666
Memorial Hermann Texas Medical CenterHouston 26 $72,144 $14,996 $9,994
CHI St Lukes Health Memorial LufkinLufkin 26 $84,164 $9,145 $6,729
Weatherford Regional Medical CenterWeatherford 25 $60,054 $9,826 $7,559
Mem Hermann Southwest HospHouston 24 $64,032 $10,912 $9,568
CHRISTUS Santa Rosa HospitalSan Antonio 24 $57,405 $9,343 $7,182
Denton Regional Medical CenterDenton 24 $136,438 $10,170 $6,826
United Regional Hlth Care SystWichita Falls 23 $38,765 $9,045 $7,697
Houston Methodist Baytown HospitalBaytown 23 $68,030 $10,495 $8,955
Conroe Regional Medical CenterConroe 22 $132,361 $10,496 $9,199
Methodist Willowbrook HospitalHouston 22 $55,698 $9,031 $6,720
Trinity Mother Frances SystTyler 21 $78,743 $8,493 $6,525
Baylor All Saints Medical Center at FwFort Worth 20 $56,817 $9,963 $7,224
Mem Hermann Mem City HospHouston 20 $52,239 $10,722 $8,063
St Joseph Regional Health CenterBryan 19 $67,189 $9,351 $6,746
Brownwood Regional Medical CenterBrownwood 18 $75,288 $8,794 $7,525
Denton Community HospitalDenton 18 $50,538 $10,701 $6,945
Methodist Stone Oak HospitalSan Antonio 18 $123,884 $7,366 $5,806
Scott & White Memorial HospitalTemple 17 $62,183 $11,680 $8,990
Hunt Regional Medical CenterGreenville 17 $30,302 $8,894 $6,775
Kingwood Medical CenterKingwood 17 $173,278 $10,493 $7,769
Sierra Medical CenterEl Paso 16 $145,786 $9,062 $5,450
CHRISTUS St Michael Health SystemTexarkana 16 $63,155 $8,386 $7,138
CHRISTUS HospitalBeaumont 15 $49,011 $9,909 $8,386
Texas Health Harris Methodist Fort WorthFort Worth 15 $42,939 $13,016 $6,109
Texoma Healthcare SystemDenison 15 $107,245 $8,356 $6,777
Lubbock Heart Hospital LpLubbock 15 $44,192 $6,852 $5,329
Baylor University Medical CenterDallas 14 $56,496 $14,289 $6,842
Seton Medical Center AustinAustin 14 $95,662 $11,789 $7,403
Mem Hermann Baptist HospitalBeaumont 14 $76,882 $10,292 $8,530
University Medical CenterLubbock 14 $58,812 $13,920 $11,815
Citizens Medical CenterVictoria 13 $23,775 $8,371 $6,990
Good Shepherd Medical Center MarshallMarshall 13 $82,658 $10,292 $8,118
Valley Baptist Medical CenterHarlingen 13 $128,751 $11,144 $6,656
Covenant Medical CenterLubbock 13 $121,418 $10,390 $6,191
St Luke's the Woodlands HospitalConroe 13 $74,932 $9,170 $6,871
Sid Peterson Memorial HospitalKerrville 12 $50,466 $8,232 $6,383
Texas Health Presbyterian Hospital DallasDallas 12 $64,084 $8,718 $7,400
Woodland Heights Medical CenterLufkin 12 $92,445 $7,661 $6,301
Medical City Dallas HospitalDallas 12 $157,791 $9,634 $7,891
Providence Health CenterWaco 11 $50,087 $8,816 $7,157
Las Palmas Medical CenterEl Paso 11 $154,525 $11,412 $8,179
Huguley Health SystemFort Worth 11 $70,642 $8,901 $7,258
Baylor Scott & White Medical Center- College StatiCollege Station 11 $55,005 $8,809 $6,306
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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.

Circulatory disorders except AMI, with cardiac catheterization without major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 64 hospitals in Texas was billed at $82,228 on average, while the average total payment was $9,659, of which Medicare paid $7,108. 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 8.5 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.