Major chest procedures with complications in Texas
What 24 hospitals in Texas charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$161,854
Hospital list price billed
Average payment
$20,919
Medicare + patient + other payers
Medicare paid
$16,788
Average per stay
State rank
#11 of 41
1 = lowest average payment
Hospitals in Texas billed an average of $161,854 for major chest procedures with complications, about 7.7 times the average total payment of $20,919. That payment is 18% below the U.S. average of $25,501.
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 $20,919Billed $161,854
About 13¢ 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: major chest procedures 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 |
|---|---|---|---|---|
| Methodist HospitalSan Antonio | 45 | $166,324 | $19,501 | $16,036 |
| Trinity Mother Frances SystTyler | 41 | $175,515 | $17,987 | $16,586 |
| Methodist Hospital,TheHouston | 38 | $147,623 | $21,901 | $19,180 |
| The Heart Hospital Baylor PlanoPlano | 38 | $89,099 | $21,013 | $14,805 |
| Baylor University Medical CenterDallas | 34 | $73,861 | $24,064 | $17,728 |
| Baptist Medical CenterSan Antonio | 33 | $240,895 | $18,385 | $15,926 |
| UT Southwestern University HospitalDallas | 29 | $80,137 | $22,840 | $17,098 |
| Scott & White Memorial HospitalTemple | 25 | $110,908 | $24,246 | $18,905 |
| East Texas Medical CenterTyler | 21 | $176,526 | $19,591 | $18,066 |
| Texas Health Presbyterian Hospital DallasDallas | 21 | $109,461 | $21,663 | $15,471 |
| Bsa HospitalAmarillo | 18 | $151,255 | $19,988 | $16,990 |
| St David's South Austin Medical CenterAustin | 16 | $208,981 | $20,928 | $15,372 |
| Texas Health Harris Methodist Fort WorthFort Worth | 15 | $122,042 | $24,662 | $15,624 |
| Medical City Dallas HospitalDallas | 15 | $395,143 | $24,284 | $14,453 |
| Medical Center of PlanoPlano | 14 | $303,013 | $18,693 | $17,272 |
| St Davids HospitalAustin | 13 | $168,397 | $17,824 | $16,318 |
| Clear Lake Regional Medical CenterWebster | 12 | $309,984 | $25,665 | $16,333 |
| University Medical CenterLubbock | 12 | $136,782 | $26,227 | $24,258 |
| Longview Regional Medical CenterLongview | 12 | $204,659 | $17,913 | $16,553 |
| Texas Health Presbyterian Hospital PlanoPlano | 12 | $124,840 | $18,560 | $17,064 |
| Methodist Stone Oak HospitalSan Antonio | 12 | $210,174 | $19,043 | $13,110 |
| CHRISTUS St Michael Health SystemTexarkana | 11 | $95,431 | $17,519 | $16,285 |
| Houston Methodist West HospitalHouston | 11 | $184,721 | $19,514 | $18,179 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 11 | $179,113 | $20,347 | $15,200 |
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
| CHRISTUS St Michael Health SystemTexarkana, TX | $17,519 |
|---|---|
| St Davids HospitalAustin, TX | $17,824 |
| Longview Regional Medical CenterLongview, TX | $17,913 |
| Trinity Mother Frances SystTyler, TX | $17,987 |
| Baptist Medical CenterSan Antonio, TX | $18,385 |
Highest
| University Medical CenterLubbock, TX | $26,227 |
|---|---|
| Clear Lake Regional Medical CenterWebster, TX | $25,665 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $24,662 |
| Medical City Dallas HospitalDallas, TX | $24,284 |
| Scott & White Memorial HospitalTemple, TX | $24,246 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in Texas?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 24 hospitals in Texas was billed at $161,854 on average, while the average total payment was $20,919, of which Medicare paid $16,788. 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 7.7 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.