facebook tracking Other cardiothoracic procedures without major complications cost in Texas: 10 hospitals compared (DRG 229)

Other cardiothoracic procedures without major complications in Texas

What 10 hospitals in Texas charged and were paid for a Medicare hospital stay for other cardiothoracic procedures without major complications (DRG 229), from 2024 Medicare claims.

DRG 229 Inpatient 2024 Medicare data
Average charge $185,188 Hospital list price billed
Average payment $26,757 Medicare + patient + other payers
Medicare paid $22,731 Average per stay
State rank #12 of 26 1 = lowest average payment

Hospitals in Texas billed an average of $185,188 for other cardiothoracic procedures without major complications, about 6.9 times the average total payment of $26,757. That payment is 11% below the U.S. average of $29,975.

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 $26,757Billed $185,188

About 14¢ was paid for every $1 hospitals in Texas billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:

Texas hospitals: other cardiothoracic procedures without 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 Hospital,TheHouston 51 $251,105 $31,884 $24,280
The Heart Hospital Baylor PlanoPlano 44 $127,350 $23,123 $21,961
Baylor All Saints Medical Center at FwFort Worth 32 $135,455 $25,558 $24,387
Baylor Heart and Vascular HospitalDallas 30 $134,608 $32,356 $19,301
Methodist HospitalSan Antonio 27 $347,998 $25,340 $23,586
The Heart Hospital Baylor DentonDenton 20 $126,074 $21,209 $20,312
Texas Health Harris Methodist Fort WorthFort Worth 18 $122,460 $24,643 $23,952
St Davids HospitalAustin 16 $306,872 $25,797 $20,848
Mem Hermann Southwest HospHouston 14 $128,584 $26,209 $24,761
Texas Health Presbyterian Hospital DallasDallas 11 $99,099 $24,869 $23,628
Advertisement

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.

Highest

Baylor Heart and Vascular HospitalDallas, TX$32,356
Methodist Hospital,TheHouston, TX$31,884
Mem Hermann Southwest HospHouston, TX$26,209
St Davids HospitalAustin, TX$25,797
Baylor All Saints Medical Center at FwFort Worth, TX$25,558

Other cardiothoracic procedures without major complications in other states

Questions

How much does other cardiothoracic procedures without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for other cardiothoracic procedures without major complications (DRG 229) at 10 hospitals in Texas was billed at $185,188 on average, while the average total payment was $26,757, of which Medicare paid $22,731. 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 6.9 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.