Major chest procedures without complications in Texas
What 6 hospitals in Texas charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.
Average charge
$102,152
Hospital list price billed
Average payment
$17,395
Medicare + patient + other payers
Medicare paid
$13,347
Average per stay
State rank
#6 of 26
1 = lowest average payment
Hospitals in Texas billed an average of $102,152 for major chest procedures without complications, about 5.9 times the average total payment of $17,395. That payment is 11% below the U.S. average of $19,593.
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 $17,395Billed $102,152
About 17¢ 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 without 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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 37 | $67,888 | $19,429 | $12,740 |
| Methodist Hospital,TheHouston | 17 | $98,776 | $16,118 | $14,039 |
| Methodist Dallas Medical CenterDallas | 15 | $67,560 | $19,287 | $15,442 |
| Methodist HospitalSan Antonio | 15 | $137,674 | $14,715 | $11,709 |
| St David's South Austin Medical CenterAustin | 15 | $191,560 | $14,072 | $12,142 |
| Scott & White Memorial HospitalTemple | 12 | $99,658 | $18,071 | $15,174 |
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
| St David's South Austin Medical CenterAustin, TX | $14,072 |
|---|---|
| Methodist HospitalSan Antonio, TX | $14,715 |
| Methodist Hospital,TheHouston, TX | $16,118 |
| Scott & White Memorial HospitalTemple, TX | $18,071 |
| Methodist Dallas Medical CenterDallas, TX | $19,287 |
Highest
| Baylor University Medical CenterDallas, TX | $19,429 |
|---|---|
| Methodist Dallas Medical CenterDallas, TX | $19,287 |
| Scott & White Memorial HospitalTemple, TX | $18,071 |
| Methodist Hospital,TheHouston, TX | $16,118 |
| Methodist HospitalSan Antonio, TX | $14,715 |
Major chest procedures without complications in other states
Questions
How much does major chest procedures without complications cost in Texas?
In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 6 hospitals in Texas was billed at $102,152 on average, while the average total payment was $17,395, of which Medicare paid $13,347. 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 5.9 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.