Other circulatory system diagnoses with complications in Texas
What 27 hospitals in Texas charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.
Average charge
$58,267
Hospital list price billed
Average payment
$9,203
Medicare + patient + other payers
Medicare paid
$6,552
Average per stay
State rank
#8 of 37
1 = lowest average payment
Hospitals in Texas billed an average of $58,267 for other circulatory system diagnoses with complications, about 6.3 times the average total payment of $9,203. That payment is 11% below the U.S. average of $10,367.
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 $9,203Billed $58,267
About 16¢ 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: other circulatory system diagnoses 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 Hospital,TheHouston | 44 | $69,551 | $10,768 | $6,696 |
| Methodist HospitalSan Antonio | 36 | $79,042 | $8,416 | $5,750 |
| UT Southwestern University HospitalDallas | 32 | $46,178 | $9,586 | $6,478 |
| Hendrick Health SystemAbilene | 20 | $55,081 | $7,525 | $6,125 |
| Baylor Regional Medical Center at GrapevineGrapevine | 20 | $37,119 | $6,743 | $5,102 |
| University of Texas Medical Branch GalGalveston | 18 | $38,900 | $12,769 | $9,043 |
| Baylor University Medical CenterDallas | 18 | $38,269 | $10,338 | $7,450 |
| Baptist Medical CenterSan Antonio | 18 | $75,368 | $8,640 | $6,138 |
| Bsa HospitalAmarillo | 17 | $35,533 | $7,464 | $5,686 |
| Memorial Hermann Texas Medical CenterHouston | 16 | $58,257 | $16,556 | $8,064 |
| Texas Health Harris Methodist Fort WorthFort Worth | 16 | $41,106 | $8,568 | $7,484 |
| Mem Hermann Southwest HospHouston | 16 | $38,884 | $10,322 | $8,717 |
| St Lukes Episcopal HospitalHouston | 16 | $47,832 | $9,745 | $7,334 |
| St Davids HospitalAustin | 15 | $72,487 | $8,038 | $5,476 |
| The Heart Hospital Baylor PlanoPlano | 14 | $26,636 | $6,505 | $5,406 |
| United Regional Hlth Care SystWichita Falls | 13 | $30,834 | $9,862 | $6,350 |
| Trinity Mother Frances SystTyler | 13 | $54,381 | $6,929 | $5,896 |
| Texoma Healthcare SystemDenison | 13 | $57,001 | $7,267 | $6,476 |
| Denton Regional Medical CenterDenton | 13 | $72,967 | $8,536 | $7,000 |
| Medical City Dallas HospitalDallas | 13 | $114,888 | $8,706 | $7,044 |
| Methodist Stone Oak HospitalSan Antonio | 13 | $80,148 | $6,830 | $5,669 |
| Scott & White Memorial HospitalTemple | 12 | $55,385 | $11,759 | $7,450 |
| Medical Center of McKinneyMcKinney | 12 | $97,333 | $11,378 | $4,966 |
| Baylor Heart and Vascular HospitalDallas | 12 | $29,918 | $6,473 | $5,041 |
| Clear Lake Regional Medical CenterWebster | 11 | $94,154 | $8,358 | $7,019 |
| Medical Center of PlanoPlano | 11 | $75,318 | $8,708 | $6,101 |
| Houston Methodist West HospitalHouston | 11 | $52,227 | $8,232 | $7,194 |
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
| Baylor Heart and Vascular HospitalDallas, TX | $6,473 |
|---|---|
| The Heart Hospital Baylor PlanoPlano, TX | $6,505 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $6,743 |
| Methodist Stone Oak HospitalSan Antonio, TX | $6,830 |
| Trinity Mother Frances SystTyler, TX | $6,929 |
Highest
| Memorial Hermann Texas Medical CenterHouston, TX | $16,556 |
|---|---|
| University of Texas Medical Branch GalGalveston, TX | $12,769 |
| Scott & White Memorial HospitalTemple, TX | $11,759 |
| Medical Center of McKinneyMcKinney, TX | $11,378 |
| Methodist Hospital,TheHouston, TX | $10,768 |
Other circulatory system diagnoses with complications in other states
Questions
How much does other circulatory system diagnoses with complications cost in Texas?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 27 hospitals in Texas was billed at $58,267 on average, while the average total payment was $9,203, of which Medicare paid $6,552. 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 6.3 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.