facebook tracking Concomitant left atrial appendage closure and cardiac ablation cost in Texas: 4 hospitals compared (DRG 317)

Concomitant left atrial appendage closure and cardiac ablation in Texas

What 4 hospitals in Texas charged and were paid for a Medicare hospital stay for concomitant left atrial appendage closure and cardiac ablation (DRG 317), from 2024 Medicare claims.

DRG 317 Inpatient 2024 Medicare data
Average charge $530,234 Hospital list price billed
Average payment $48,517 Medicare + patient + other payers
Medicare paid $44,768 Average per stay
State rank #1 of 3 1 = lowest average payment

Hospitals in Texas billed an average of $530,234 for concomitant left atrial appendage closure and cardiac ablation, about 10.9 times the average total payment of $48,517. That payment is 16% below the U.S. average of $57,530.

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 $48,517Billed $530,234

About 9¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: concomitant left atrial appendage closure and cardiac ablation

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 44 $601,123 $46,401 $42,741
St Davids HospitalAustin 41 $787,767 $48,613 $45,557
Methodist Hospital,TheHouston 26 $250,876 $53,853 $46,849
Texas Health Presbyterian Hospital DallasDallas 18 $173,866 $45,762 $44,919
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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

Texas Health Presbyterian Hospital DallasDallas, TX$45,762
Methodist HospitalSan Antonio, TX$46,401
St Davids HospitalAustin, TX$48,613
Methodist Hospital,TheHouston, TX$53,853

Highest

Methodist Hospital,TheHouston, TX$53,853
St Davids HospitalAustin, TX$48,613
Methodist HospitalSan Antonio, TX$46,401
Texas Health Presbyterian Hospital DallasDallas, TX$45,762

Concomitant left atrial appendage closure and cardiac ablation in other states

Questions

How much does concomitant left atrial appendage closure and cardiac ablation cost in Texas?

In 2024 Medicare data, a hospital stay for concomitant left atrial appendage closure and cardiac ablation (DRG 317) at 4 hospitals in Texas was billed at $530,234 on average, while the average total payment was $48,517, of which Medicare paid $44,768. 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 10.9 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.