Coronary bypass with cardiac catheterization or open ablation without major complications in Texas
What 14 hospitals in Texas charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.
Average charge
$388,665
Hospital list price billed
Average payment
$41,223
Medicare + patient + other payers
Medicare paid
$33,249
Average per stay
State rank
#13 of 36
1 = lowest average payment
Hospitals in Texas billed an average of $388,665 for coronary bypass with cardiac catheterization or open ablation without major complications, about 9.4 times the average total payment of $41,223. That payment is 10% below the U.S. average of $45,866.
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 $41,223Billed $388,665
About 11¢ 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 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 |
|---|---|---|---|---|
| Trinity Mother Frances SystTyler | 61 | $355,132 | $35,176 | $31,669 |
| Hendrick Health SystemAbilene | 33 | $396,990 | $41,153 | $37,765 |
| CHRISTUS St Michael Health SystemTexarkana | 28 | $264,135 | $37,600 | $33,382 |
| East Texas Medical CenterTyler | 26 | $309,215 | $38,818 | $33,247 |
| St Davids HospitalAustin | 23 | $445,378 | $41,340 | $33,743 |
| Methodist HospitalSan Antonio | 20 | $481,477 | $42,994 | $29,628 |
| The Heart Hospital Baylor PlanoPlano | 18 | $172,820 | $45,523 | $31,213 |
| Plaza Medical Center of Fort WorthFort Worth | 16 | $665,367 | $52,729 | $31,300 |
| University Medical CenterLubbock | 16 | $233,806 | $48,383 | $46,162 |
| St David's South Austin Medical CenterAustin | 15 | $565,655 | $41,155 | $33,799 |
| Round Rock Medical CenterRound Rock | 13 | $512,541 | $51,912 | $26,024 |
| St Joseph Regional Health CenterBryan | 12 | $250,406 | $40,753 | $27,040 |
| Clear Lake Regional Medical CenterWebster | 12 | $674,060 | $44,606 | $34,095 |
| Texoma Healthcare SystemDenison | 11 | $394,800 | $36,500 | $34,710 |
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
| Trinity Mother Frances SystTyler, TX | $35,176 |
|---|---|
| Texoma Healthcare SystemDenison, TX | $36,500 |
| CHRISTUS St Michael Health SystemTexarkana, TX | $37,600 |
| East Texas Medical CenterTyler, TX | $38,818 |
| St Joseph Regional Health CenterBryan, TX | $40,753 |
Highest
| Plaza Medical Center of Fort WorthFort Worth, TX | $52,729 |
|---|---|
| Round Rock Medical CenterRound Rock, TX | $51,912 |
| University Medical CenterLubbock, TX | $48,383 |
| The Heart Hospital Baylor PlanoPlano, TX | $45,523 |
| Clear Lake Regional Medical CenterWebster, TX | $44,606 |
Coronary bypass with cardiac catheterization or open ablation without major complications in other states
Questions
How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 14 hospitals in Texas was billed at $388,665 on average, while the average total payment was $41,223, of which Medicare paid $33,249. 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 9.4 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.