Major chest procedures with major complications in Texas
What 39 hospitals in Texas charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.
Average charge
$281,768
Hospital list price billed
Average payment
$39,872
Medicare + patient + other payers
Medicare paid
$33,359
Average per stay
State rank
#12 of 38
1 = lowest average payment
Hospitals in Texas billed an average of $281,768 for major chest procedures with major complications, about 7.1 times the average total payment of $39,872. That payment is 12% below the U.S. average of $45,128.
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 $39,872Billed $281,768
About 14¢ 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 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 | 50 | $281,083 | $34,423 | $28,611 |
| Trinity Mother Frances SystTyler | 38 | $278,671 | $30,541 | $28,826 |
| Bsa HospitalAmarillo | 35 | $194,317 | $35,448 | $29,240 |
| Texas Health Harris Methodist Fort WorthFort Worth | 32 | $152,295 | $34,089 | $29,307 |
| Methodist Hospital,TheHouston | 32 | $311,942 | $44,871 | $39,477 |
| CHRISTUS St Michael Health SystemTexarkana | 31 | $145,979 | $32,433 | $29,563 |
| Baylor University Medical CenterDallas | 29 | $209,409 | $60,384 | $40,245 |
| Medical Center of PlanoPlano | 27 | $432,132 | $32,402 | $29,640 |
| Baptist Medical CenterSan Antonio | 26 | $364,640 | $31,748 | $30,731 |
| Methodist Willowbrook HospitalHouston | 26 | $291,588 | $44,455 | $31,927 |
| UT Southwestern University HospitalDallas | 25 | $144,349 | $49,458 | $32,995 |
| Mem Hermann Southwest HospHouston | 25 | $171,233 | $41,438 | $34,949 |
| Memorial Hermann Texas Medical CenterHouston | 24 | $241,697 | $52,484 | $44,634 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 23 | $216,610 | $33,765 | $28,171 |
| East Texas Medical CenterTyler | 22 | $255,032 | $33,910 | $30,632 |
| Scott & White Memorial HospitalTemple | 21 | $148,242 | $56,693 | $30,425 |
| Plaza Medical Center of Fort WorthFort Worth | 21 | $401,949 | $38,996 | $34,861 |
| The Heart Hospital Baylor PlanoPlano | 21 | $119,040 | $32,519 | $28,365 |
| Kingwood Medical CenterKingwood | 20 | $580,541 | $38,150 | $36,466 |
| Hendrick Health SystemAbilene | 19 | $341,096 | $42,058 | $37,197 |
| Denton Regional Medical CenterDenton | 18 | $521,226 | $43,171 | $32,233 |
| United Regional Hlth Care SystWichita Falls | 17 | $138,485 | $39,328 | $35,820 |
| Medical City Dallas HospitalDallas | 17 | $564,375 | $42,132 | $39,111 |
| Texas Health Presbyterian Hospital DallasDallas | 16 | $151,816 | $32,830 | $30,559 |
| Houston Methodist West HospitalHouston | 16 | $233,847 | $34,233 | $32,805 |
| Good Shepherd Medical Center MarshallMarshall | 15 | $200,881 | $35,644 | $33,979 |
| Jps Health NetworkFort Worth | 15 | $132,465 | $64,563 | $60,054 |
| Round Rock Medical CenterRound Rock | 14 | $688,874 | $39,187 | $38,021 |
| Covenant Medical CenterLubbock | 13 | $488,297 | $42,281 | $27,303 |
| Clear Lake Regional Medical CenterWebster | 13 | $458,904 | $34,642 | $33,378 |
| Huguley Health SystemFort Worth | 13 | $208,896 | $29,921 | $28,740 |
| St Lukes Episcopal HospitalHouston | 12 | $201,713 | $43,155 | $27,078 |
| Texoma Healthcare SystemDenison | 12 | $276,074 | $34,215 | $32,662 |
| St Davids HospitalAustin | 12 | $429,149 | $37,910 | $37,094 |
| University of Texas Medical Branch GalGalveston | 11 | $265,370 | $63,290 | $47,668 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 11 | $223,109 | $37,400 | $35,321 |
| Northwest Texas Hlthcare SystAmarillo | 11 | $313,900 | $39,598 | $37,963 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 11 | $166,301 | $30,641 | $29,262 |
| St David's South Austin Medical CenterAustin | 11 | $550,296 | $53,361 | $28,052 |
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
| Huguley Health SystemFort Worth, TX | $29,921 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $30,541 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $30,641 |
| Baptist Medical CenterSan Antonio, TX | $31,748 |
| Medical Center of PlanoPlano, TX | $32,402 |
Highest
| Jps Health NetworkFort Worth, TX | $64,563 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $63,290 |
| Baylor University Medical CenterDallas, TX | $60,384 |
| Scott & White Memorial HospitalTemple, TX | $56,693 |
| St David's South Austin Medical CenterAustin, TX | $53,361 |
Major chest procedures with major complications in other states
Questions
How much does major chest procedures with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 39 hospitals in Texas was billed at $281,768 on average, while the average total payment was $39,872, of which Medicare paid $33,359. 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 7.1 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.