Other circulatory system operating room procedures in Texas
What 16 hospitals in Texas charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$196,956
Hospital list price billed
Average payment
$35,170
Medicare + patient + other payers
Medicare paid
$29,205
Average per stay
State rank
#13 of 21
1 = lowest average payment
Hospitals in Texas billed an average of $196,956 for other circulatory system operating room procedures, about 5.6 times the average total payment of $35,170. That payment is about the same as the U.S. average of $35,518.
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 $35,170Billed $196,956
About 18¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: other circulatory system operating room procedures
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 | 27 | $254,478 | $34,707 | $26,814 |
| Baptist Medical CenterSan Antonio | 26 | $227,418 | $23,117 | $21,984 |
| UT Southwestern University HospitalDallas | 23 | $425,621 | $114,599 | $98,984 |
| Bsa HospitalAmarillo | 22 | $93,146 | $21,163 | $19,628 |
| Mem Hermann Southwest HospHouston | 20 | $117,553 | $26,650 | $25,076 |
| Methodist HospitalSan Antonio | 18 | $251,068 | $22,407 | $17,707 |
| Texas Health Harris Methodist Fort WorthFort Worth | 16 | $148,468 | $30,951 | $19,461 |
| Memorial Hermann Texas Medical CenterHouston | 15 | $187,492 | $39,270 | $27,614 |
| Scott & White Memorial HospitalTemple | 14 | $79,158 | $38,328 | $25,081 |
| Texas Health Presbyterian Hospital DallasDallas | 13 | $104,002 | $27,432 | $19,835 |
| Round Rock Medical CenterRound Rock | 13 | $108,725 | $22,900 | $18,135 |
| Trinity Mother Frances SystTyler | 12 | $188,327 | $21,529 | $20,621 |
| St Lukes Episcopal HospitalHouston | 12 | $248,091 | $37,260 | $30,839 |
| St Davids HospitalAustin | 12 | $211,616 | $23,267 | $22,553 |
| Clear Lake Regional Medical CenterWebster | 11 | $227,519 | $24,966 | $23,774 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 11 | $123,646 | $19,069 | $17,734 |
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
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $19,069 |
|---|---|
| Bsa HospitalAmarillo, TX | $21,163 |
| Trinity Mother Frances SystTyler, TX | $21,529 |
| Methodist HospitalSan Antonio, TX | $22,407 |
| Round Rock Medical CenterRound Rock, TX | $22,900 |
Highest
| UT Southwestern University HospitalDallas, TX | $114,599 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $39,270 |
| Scott & White Memorial HospitalTemple, TX | $38,328 |
| St Lukes Episcopal HospitalHouston, TX | $37,260 |
| Methodist Hospital,TheHouston, TX | $34,707 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in Texas?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 16 hospitals in Texas was billed at $196,956 on average, while the average total payment was $35,170, of which Medicare paid $29,205. 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 5.6 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.