What 7 hospitals in Texas charged and were paid for a Medicare hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001), from 2024 Medicare claims.
Hospitals in Texas billed an average of $1,730,461 for heart transplant or implant of heart assist system with major complications, about 5.4 times the average total payment of $321,405. That payment is 8% below the U.S. average of $349,592.
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.
About 19¢ was paid for every $1 hospitals in Texas billed for this stay.
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 | 29 | $2,373,680 | $370,457 | $306,751 |
| UT Southwestern University HospitalDallas | 26 | $1,132,899 | $283,409 | $274,697 |
| Baylor University Medical CenterDallas | 25 | $826,670 | $320,608 | $193,801 |
| Memorial Hermann Texas Medical CenterHouston | 23 | $1,842,229 | $391,909 | $266,039 |
| Methodist HospitalSan Antonio | 22 | $2,545,241 | $372,545 | $159,386 |
| The Heart Hospital Baylor PlanoPlano | 16 | $698,417 | $195,921 | $194,803 |
| Medical City Dallas HospitalDallas | 13 | $2,922,378 | $232,665 | $227,458 |
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.
| The Heart Hospital Baylor PlanoPlano, TX | $195,921 |
|---|---|
| Medical City Dallas HospitalDallas, TX | $232,665 |
| UT Southwestern University HospitalDallas, TX | $283,409 |
| Baylor University Medical CenterDallas, TX | $320,608 |
| Methodist Hospital,TheHouston, TX | $370,457 |
| Memorial Hermann Texas Medical CenterHouston, TX | $391,909 |
|---|---|
| Methodist HospitalSan Antonio, TX | $372,545 |
| Methodist Hospital,TheHouston, TX | $370,457 |
| Baylor University Medical CenterDallas, TX | $320,608 |
| UT Southwestern University HospitalDallas, TX | $283,409 |
In 2024 Medicare data, a hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001) at 7 hospitals in Texas was billed at $1,730,461 on average, while the average total payment was $321,405, of which Medicare paid $237,546. Your own cost depends on your insurance, deductible and the hospital.
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 5.4 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.