facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Texas: 31 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Texas

What 31 hospitals in Texas charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $298,672 Hospital list price billed
Average payment $49,666 Medicare + patient + other payers
Medicare paid $38,728 Average per stay
State rank #13 of 37 1 = lowest average payment

Hospitals in Texas billed an average of $298,672 for coronary bypass without cardiac catheterization with major complications, about 6.0 times the average total payment of $49,666. That payment is 12% below the U.S. average of $56,401.

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 $49,666Billed $298,672

About 17¢ 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 without cardiac catheterization 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 Hospital,TheHouston 103 $379,640 $54,951 $45,732
The Heart Hospital Baylor DentonDenton 96 $132,116 $42,492 $30,889
Baylor University Medical CenterDallas 77 $150,381 $56,837 $38,646
The Heart Hospital Baylor PlanoPlano 62 $163,773 $56,150 $34,641
St Lukes Episcopal HospitalHouston 61 $300,658 $54,264 $39,122
Mem Hermann Southwest HospHouston 52 $214,787 $47,629 $40,445
Mem Hermann Mem City HospHouston 40 $217,771 $50,205 $38,802
Baptist Medical CenterSan Antonio 37 $470,625 $36,953 $31,252
Clear Lake Regional Medical CenterWebster 32 $664,777 $47,088 $32,812
Texas Health Harris Methodist Fort WorthFort Worth 26 $199,456 $41,757 $40,115
Texas Health Presbyterian Hospital DallasDallas 26 $208,308 $48,861 $39,955
Houston Methodist the Woodlands HospitalThe Woodlands 26 $369,738 $43,346 $41,778
Methodist HospitalSan Antonio 25 $403,444 $43,666 $35,801
Memorial Hermann Texas Medical CenterHouston 22 $410,428 $67,388 $53,025
CHRISTUS Santa Rosa HospitalSan Antonio 22 $229,785 $41,257 $39,958
Medical City Dallas HospitalDallas 22 $838,263 $55,179 $34,294
University Health SystemSan Antonio 20 $149,124 $58,042 $49,120
Baylor All Saints Medical Center at FwFort Worth 18 $157,782 $58,730 $34,986
UT Southwestern University HospitalDallas 17 $196,818 $58,542 $39,956
Providence Health CenterWaco 16 $152,921 $36,380 $34,896
Medical Center HospitalOdessa 16 $119,874 $44,760 $36,901
Texas Health Presbyterian Hospital PlanoPlano 15 $191,275 $46,784 $35,492
Methodist Sugar Land HospitalSugar Land 15 $401,545 $45,332 $44,135
Hendrick Health SystemAbilene 14 $503,004 $50,361 $49,145
St Davids HospitalAustin 14 $374,654 $45,221 $36,817
Texoma Healthcare SystemDenison 13 $422,544 $41,753 $40,176
Corpus Christi Medical Center,TheCorpus Christi 13 $536,090 $57,365 $32,811
Seton Medical Center AustinAustin 12 $351,757 $45,874 $44,565
Plaza Medical Center of Fort WorthFort Worth 12 $576,050 $46,744 $43,276
Trinity Mother Frances SystTyler 11 $400,617 $40,978 $39,831
Medical Center of PlanoPlano 11 $597,790 $41,586 $40,629
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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

Providence Health CenterWaco, TX$36,380
Baptist Medical CenterSan Antonio, TX$36,953
Trinity Mother Frances SystTyler, TX$40,978
CHRISTUS Santa Rosa HospitalSan Antonio, TX$41,257
Medical Center of PlanoPlano, TX$41,586

Highest

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 31 hospitals in Texas was billed at $298,672 on average, while the average total payment was $49,666, of which Medicare paid $38,728. 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 6.0 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.