facebook tracking Coronary bypass with cardiac catheterization or open ablation with major complications cost in Texas: 36 hospitals compared (DRG 233)

Coronary bypass with cardiac catheterization or open ablation with major complications in Texas

What 36 hospitals in Texas charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.

DRG 233 Inpatient 2024 Medicare data
Average charge $461,888 Hospital list price billed
Average payment $60,263 Medicare + patient + other payers
Medicare paid $51,247 Average per stay
State rank #12 of 38 1 = lowest average payment

Hospitals in Texas billed an average of $461,888 for coronary bypass with cardiac catheterization or open ablation with major complications, about 7.7 times the average total payment of $60,263. That payment is 13% below the U.S. average of $69,514.

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 $60,263Billed $461,888

About 13¢ 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: coronary bypass with cardiac catheterization or open ablation 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
Methodist HospitalSan Antonio 39 $554,324 $68,599 $42,279
Trinity Mother Frances SystTyler 35 $464,501 $47,434 $45,923
Methodist Hospital,TheHouston 29 $462,642 $70,843 $60,253
Mem Hermann Southwest HospHouston 26 $305,788 $61,468 $59,886
St Davids HospitalAustin 24 $547,691 $58,628 $47,746
The Heart Hospital Baylor DentonDenton 24 $198,301 $48,882 $43,100
St Lukes Episcopal HospitalHouston 21 $447,895 $73,052 $67,521
CHRISTUS St Michael Health SystemTexarkana 21 $311,898 $51,910 $50,540
Houston Methodist the Woodlands HospitalThe Woodlands 21 $443,874 $55,906 $54,352
Baptist Medical CenterSan Antonio 20 $616,546 $45,850 $44,321
Texas Health Harris Methodist Fort WorthFort Worth 20 $279,175 $83,532 $45,095
Texoma Healthcare SystemDenison 19 $568,039 $54,806 $53,304
Medical Center of PlanoPlano 19 $648,561 $62,276 $47,104
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 17 $373,874 $55,440 $53,364
St Joseph Regional Health CenterBryan 16 $342,044 $55,724 $53,743
East Texas Medical CenterTyler 16 $404,901 $51,927 $49,857
Medical Center HospitalOdessa 16 $192,300 $54,890 $48,247
The Heart Hospital Baylor PlanoPlano 16 $203,111 $57,607 $44,770
Conroe Regional Medical CenterConroe 15 $761,577 $58,732 $48,756
Mem Hermann Mem City HospHouston 15 $268,508 $62,324 $52,929
Clear Lake Regional Medical CenterWebster 15 $838,246 $57,860 $50,324
Methodist Willowbrook HospitalHouston 15 $558,510 $68,818 $67,513
Texas Health Presbyterian Hospital DallasDallas 14 $249,979 $54,693 $53,006
Denton Regional Medical CenterDenton 14 $839,407 $57,664 $51,684
University Medical CenterLubbock 14 $308,792 $64,737 $61,976
St Luke's the Woodlands HospitalConroe 14 $317,668 $63,542 $40,894
Hendrick Health SystemAbilene 13 $551,917 $62,190 $60,999
CHRISTUS Santa Rosa HospitalSan Antonio 13 $297,147 $48,441 $46,837
Memorial Hermann Texas Medical CenterHouston 12 $465,109 $108,540 $62,218
CHI St Lukes Health Memorial LufkinLufkin 12 $315,786 $40,634 $39,203
Plaza Medical Center of Fort WorthFort Worth 12 $688,447 $60,312 $56,032
Methodist Charlton Medical CenterDallas 12 $261,525 $59,591 $39,734
Corpus Christi Medical Center,TheCorpus Christi 12 $693,629 $55,776 $48,087
South Texas Health SystemEdinburg 11 $1,243,451 $63,457 $56,047
Baylor All Saints Medical Center at FwFort Worth 11 $276,945 $77,688 $58,511
Round Rock Medical CenterRound Rock 11 $678,972 $53,534 $52,347
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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

CHI St Lukes Health Memorial LufkinLufkin, TX$40,634
Baptist Medical CenterSan Antonio, TX$45,850
Trinity Mother Frances SystTyler, TX$47,434
CHRISTUS Santa Rosa HospitalSan Antonio, TX$48,441
The Heart Hospital Baylor DentonDenton, TX$48,882

Coronary bypass with cardiac catheterization or open ablation with major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 36 hospitals in Texas was billed at $461,888 on average, while the average total payment was $60,263, of which Medicare paid $51,247. 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 7.7 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.