Heart failure and shock with complications in Texas
What 15 hospitals in Texas charged and were paid for a Medicare hospital stay for heart failure and shock with complications (DRG 292), from 2024 Medicare claims.
Average charge
$40,618
Hospital list price billed
Average payment
$8,105
Medicare + patient + other payers
Medicare paid
$6,279
Average per stay
State rank
#10 of 30
1 = lowest average payment
Hospitals in Texas billed an average of $40,618 for heart failure and shock with complications, about 5.0 times the average total payment of $8,105. That payment is 15% below the U.S. average of $9,533.
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 $8,105Billed $40,618
About 20¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: heart failure and shock with 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 |
|---|---|---|---|---|
| The Heart Hospital Baylor PlanoPlano | 28 | $33,038 | $6,676 | $4,509 |
| UT Southwestern University HospitalDallas | 23 | $37,322 | $8,315 | $6,055 |
| Scott & White Memorial HospitalTemple | 22 | $34,706 | $9,922 | $7,117 |
| Baylor University Medical CenterDallas | 19 | $26,968 | $9,365 | $6,469 |
| Mem Hermann Baptist HospitalBeaumont | 15 | $51,121 | $8,556 | $7,183 |
| Mem Hermann Southwest HospHouston | 14 | $39,837 | $8,912 | $7,918 |
| Hendrick Health SystemAbilene | 14 | $48,737 | $6,691 | $6,096 |
| Bsa HospitalAmarillo | 14 | $42,767 | $6,253 | $5,476 |
| St Lukes Episcopal HospitalHouston | 12 | $71,204 | $8,471 | $6,573 |
| Baylor Regional Medical Center at GrapevineGrapevine | 12 | $31,640 | $5,688 | $4,226 |
| University Medical CenterLubbock | 12 | $33,035 | $12,086 | $10,750 |
| Longview Regional Medical CenterLongview | 12 | $53,575 | $6,424 | $4,875 |
| Scott & White Hospital-Round RockRound Rock | 12 | $37,249 | $6,564 | $5,157 |
| Seton Medical Center AustinAustin | 11 | $58,643 | $8,563 | $7,508 |
| Texas Health Presbyterian Hospital DallasDallas | 11 | $32,015 | $8,956 | $5,743 |
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
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $5,688 |
|---|---|
| Bsa HospitalAmarillo, TX | $6,253 |
| Longview Regional Medical CenterLongview, TX | $6,424 |
| Scott & White Hospital-Round RockRound Rock, TX | $6,564 |
| The Heart Hospital Baylor PlanoPlano, TX | $6,676 |
Highest
| University Medical CenterLubbock, TX | $12,086 |
|---|---|
| Scott & White Memorial HospitalTemple, TX | $9,922 |
| Baylor University Medical CenterDallas, TX | $9,365 |
| Texas Health Presbyterian Hospital DallasDallas, TX | $8,956 |
| Mem Hermann Southwest HospHouston, TX | $8,912 |
Heart failure and shock with complications in other states
Questions
How much does heart failure and shock with complications cost in Texas?
In 2024 Medicare data, a hospital stay for heart failure and shock with complications (DRG 292) at 15 hospitals in Texas was billed at $40,618 on average, while the average total payment was $8,105, of which Medicare paid $6,279. 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 5.0 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.