facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Texas: 38 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Texas

What 38 hospitals in Texas charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $371,149 Hospital list price billed
Average payment $49,759 Medicare + patient + other payers
Medicare paid $46,009 Average per stay
State rank #16 of 42 1 = lowest average payment

Hospitals in Texas billed an average of $371,149 for endovascular cardiac valve replacement and supplement procedures with major complications, about 7.5 times the average total payment of $49,759. That payment is 13% below the U.S. average of $57,249.

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 $49,759Billed $371,149

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: endovascular cardiac valve replacement and supplement procedures 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 148 $650,003 $47,104 $43,118
The Heart Hospital Baylor PlanoPlano 147 $206,809 $45,847 $44,193
Texas Health Presbyterian Hospital DallasDallas 134 $159,756 $45,745 $44,263
St Davids HospitalAustin 119 $496,132 $45,195 $42,764
Baylor Heart and Vascular HospitalDallas 113 $207,930 $43,685 $43,151
Scott & White Hospital-Round RockRound Rock 104 $203,171 $46,377 $44,452
Methodist Hospital,TheHouston 99 $448,149 $57,499 $52,540
UT Southwestern University HospitalDallas 86 $242,374 $56,122 $50,816
Mem Hermann Mem City HospHouston 85 $158,828 $47,466 $46,651
Memorial Hermann Texas Medical CenterHouston 63 $290,150 $69,552 $58,182
HCA Houston Healthcare Medical CenterHouston 52 $536,250 $49,054 $44,088
Round Rock Medical CenterRound Rock 47 $685,332 $47,024 $40,881
Scott & White Memorial HospitalTemple 46 $211,344 $53,445 $52,008
Medical City Dallas HospitalDallas 46 $703,961 $59,353 $41,844
Texas Health Harris Methodist Fort WorthFort Worth 42 $234,240 $45,658 $44,864
St Lukes Episcopal HospitalHouston 41 $484,478 $73,666 $61,461
Sierra Medical CenterEl Paso 38 $765,916 $46,709 $39,944
Plaza Medical Center of Fort WorthFort Worth 34 $763,288 $47,537 $45,876
Baylor Scott & White Medical Center- College StatiCollege Station 33 $206,106 $44,072 $43,627
Texas Health Heart & Vascular Hospital ArlingtonArlington 30 $190,577 $46,763 $46,545
Trinity Mother Frances SystTyler 29 $393,241 $41,456 $40,146
St David's South Austin Medical CenterAustin 29 $757,547 $46,682 $45,558
Houston Methodist West HospitalHouston 27 $396,201 $45,554 $44,406
St Luke's the Woodlands HospitalConroe 26 $371,692 $53,989 $39,928
Seton Medical Center AustinAustin 24 $491,762 $56,744 $45,836
CHRISTUS Santa Rosa HospitalSan Antonio 24 $292,713 $44,261 $42,988
Baylor All Saints Medical Center at FwFort Worth 23 $245,503 $51,533 $50,203
Mem Hermann Southwest HospHouston 23 $198,477 $48,418 $47,481
Hendrick Health SystemAbilene 23 $497,650 $48,166 $46,373
University Health SystemSan Antonio 22 $171,986 $71,595 $62,598
Longview Regional Medical CenterLongview 18 $553,950 $42,166 $41,260
Mem Hermann Baptist HospitalBeaumont 16 $234,640 $47,888 $46,468
South Texas Health SystemEdinburg 15 $413,823 $47,341 $46,244
Kingwood Medical CenterKingwood 14 $608,593 $58,975 $40,601
University Medical CenterLubbock 13 $309,371 $55,811 $54,999
Corpus Christi Medical Center,TheCorpus Christi 13 $495,899 $46,102 $44,942
Baptist Medical CenterSan Antonio 12 $580,970 $41,804 $40,816
Texas Health Presbyterian Hospital PlanoPlano 11 $149,058 $42,477 $41,883
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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.

Highest

St Lukes Episcopal HospitalHouston, TX$73,666
University Health SystemSan Antonio, TX$71,595
Memorial Hermann Texas Medical CenterHouston, TX$69,552
Medical City Dallas HospitalDallas, TX$59,353
Kingwood Medical CenterKingwood, TX$58,975

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 38 hospitals in Texas was billed at $371,149 on average, while the average total payment was $49,759, of which Medicare paid $46,009. 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 7.5 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.