Concomitant aortic and mitral valve procedures in Texas
What 1 hospital in Texas charged and were paid for a Medicare hospital stay for concomitant aortic and mitral valve procedures (DRG 212), from 2024 Medicare claims.
Average charge
$312,882
Hospital list price billed
Average payment
$92,490
Medicare + patient + other payers
Medicare paid
$74,950
Average per stay
Volume
28
Medicare hospital stays
Hospitals in Texas billed an average of $312,882 for concomitant aortic and mitral valve procedures, about 3.4 times the average total payment of $92,490. That payment is 27% below the U.S. average of $126,075.
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 $92,490Billed $312,882
About 30¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: concomitant aortic and mitral valve procedures
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 | 28 | $312,882 | $92,490 | $74,950 |
Concomitant aortic and mitral valve procedures in other states
Questions
How much does concomitant aortic and mitral valve procedures cost in Texas?
In 2024 Medicare data, a hospital stay for concomitant aortic and mitral valve procedures (DRG 212) at 1 hospital in Texas was billed at $312,882 on average, while the average total payment was $92,490, of which Medicare paid $74,950. 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 3.4 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.