facebook tracking Coronary intravascular lithotripsy with intraluminal device with major complications cost in Texas: 5 hospitals compared (DRG 323)

Coronary intravascular lithotripsy with intraluminal device with major complications in Texas

What 5 hospitals in Texas charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323), from 2024 Medicare claims.

DRG 323 Inpatient 2024 Medicare data
Average charge $340,907 Hospital list price billed
Average payment $31,230 Medicare + patient + other payers
Medicare paid $27,846 Average per stay
State rank #1 of 12 1 = lowest average payment

Hospitals in Texas billed an average of $340,907 for coronary intravascular lithotripsy with intraluminal device with major complications, about 10.9 times the average total payment of $31,230. That payment is 23% below the U.S. average of $40,408.

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 $31,230Billed $340,907

About 9¢ 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 intravascular lithotripsy with intraluminal device 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 34 $385,438 $29,512 $27,761
CHRISTUS Santa Rosa HospitalSan Antonio 25 $240,537 $33,478 $27,705
The Heart Hospital Baylor PlanoPlano 20 $206,947 $30,641 $29,711
Baptist Medical CenterSan Antonio 15 $509,886 $31,957 $26,155
St Davids HospitalAustin 11 $444,514 $31,514 $27,350
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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

Methodist HospitalSan Antonio, TX$29,512
The Heart Hospital Baylor PlanoPlano, TX$30,641
St Davids HospitalAustin, TX$31,514
Baptist Medical CenterSan Antonio, TX$31,957
CHRISTUS Santa Rosa HospitalSan Antonio, TX$33,478

Highest

CHRISTUS Santa Rosa HospitalSan Antonio, TX$33,478
Baptist Medical CenterSan Antonio, TX$31,957
St Davids HospitalAustin, TX$31,514
The Heart Hospital Baylor PlanoPlano, TX$30,641
Methodist HospitalSan Antonio, TX$29,512

Coronary intravascular lithotripsy with intraluminal device with major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323) at 5 hospitals in Texas was billed at $340,907 on average, while the average total payment was $31,230, of which Medicare paid $27,846. 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.