facebook tracking Permanent cardiac pacemaker implant with major complications cost in Texas: 41 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Texas

What 41 hospitals in Texas charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $208,700 Hospital list price billed
Average payment $27,639 Medicare + patient + other payers
Medicare paid $23,831 Average per stay
State rank #19 of 41 1 = lowest average payment

Hospitals in Texas billed an average of $208,700 for permanent cardiac pacemaker implant with major complications, about 7.6 times the average total payment of $27,639. That payment is 10% below the U.S. average of $30,574.

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 $27,639Billed $208,700

About 13¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: permanent cardiac pacemaker implant 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 68 $251,487 $26,583 $21,671
Mem Hermann Southwest HospHouston 44 $92,175 $30,697 $25,162
Baptist Medical CenterSan Antonio 31 $289,982 $25,775 $22,376
Methodist Hospital,TheHouston 26 $285,717 $38,304 $30,555
St Davids HospitalAustin 24 $366,694 $34,458 $21,839
CHRISTUS St Michael Health SystemTexarkana 24 $171,798 $24,645 $21,478
East Texas Medical CenterTyler 23 $169,806 $23,049 $21,646
University of Texas Medical Branch GalGalveston 22 $134,659 $37,213 $28,878
Baylor Regional Medical Center at GrapevineGrapevine 22 $150,776 $23,009 $21,748
Texas Health Presbyterian Hospital DallasDallas 21 $142,152 $25,276 $23,904
St David's South Austin Medical CenterAustin 21 $298,061 $23,616 $22,198
Hendrick Health SystemAbilene 20 $259,842 $28,949 $24,095
Bsa HospitalAmarillo 19 $121,275 $24,673 $21,470
CHRISTUS Santa Rosa HospitalSan Antonio 19 $129,223 $23,160 $21,789
The Heart Hospital Baylor PlanoPlano 19 $137,604 $23,459 $22,147
Memorial Hermann Texas Medical CenterHouston 18 $219,792 $35,532 $32,295
St Joseph Regional Health CenterBryan 17 $147,773 $25,652 $24,140
Clear Lake Regional Medical CenterWebster 17 $406,467 $28,337 $26,507
United Regional Hlth Care SystWichita Falls 16 $78,759 $28,709 $27,383
Providence Health CenterWaco 16 $142,222 $23,210 $22,243
Trinity Mother Frances SystTyler 16 $191,227 $20,592 $19,697
Texoma Healthcare SystemDenison 16 $174,872 $24,535 $23,204
Kingwood Medical CenterKingwood 16 $447,153 $28,352 $26,978
Methodist Sugar Land HospitalSugar Land 16 $223,230 $28,350 $21,932
Methodist Willowbrook HospitalHouston 16 $189,207 $29,199 $23,126
Houston Methodist the Woodlands HospitalThe Woodlands 16 $194,151 $22,854 $21,528
Texas Health Harris Methodist Fort WorthFort Worth 15 $165,766 $26,918 $19,869
Denton Regional Medical CenterDenton 15 $297,898 $27,529 $23,085
Houston Methodist Clear Lake HospitalHouston 15 $215,491 $26,233 $24,601
Medical Center HospitalOdessa 14 $95,086 $24,202 $22,725
Seton Medical Center AustinAustin 13 $255,376 $25,831 $24,483
Houston Methodist Baytown HospitalBaytown 13 $220,513 $28,036 $26,649
North Austin Medical CenterAustin 13 $248,207 $25,437 $23,852
Baylor Scott & White Medical Center- College StatiCollege Station 13 $134,607 $27,222 $22,738
South Texas Health SystemEdinburg 12 $328,913 $26,814 $25,577
Baylor All Saints Medical Center at FwFort Worth 12 $216,025 $44,694 $39,584
Round Rock Medical CenterRound Rock 12 $290,932 $23,264 $22,040
Scott & White Memorial HospitalTemple 11 $156,654 $42,951 $23,984
Shannon Medical CenterSan Angelo 11 $194,869 $27,657 $20,210
Memorial Hermann Katy HospitalKaty 11 $87,837 $25,352 $24,019
Methodist Stone Oak HospitalSan Antonio 11 $168,945 $20,809 $19,473
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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.

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Texas?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 41 hospitals in Texas was billed at $208,700 on average, while the average total payment was $27,639, of which Medicare paid $23,831. 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 7.6 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.