Major Chest Procedures Without Cc/Mcc in Texas
MS-DRG 165: Major chest procedures without cc/mcc
$99,217typical hospital bill
$17,095typical amount paid
$14,072–$19,429range paid across 6 hospitals
Texas hospitals billed Medicare a typical $99,217 for this stay in 2024, about 5.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| St David's South Austin Medical Center | Austin | 15 | $191,560 | $14,072 | – | $16,815$7,561–$26,448 · 90 plans | |
| Methodist Hospital | San Antonio | 15 | $137,674 | $14,715 | – | $16,338$6,760–$25,821 · 53 plans | |
| Houston Methodist Hospital | Houston | 17 | $98,776 | $16,118 | – | $30,769$16,862–$39,416 · 10 plans | |
| Baylor Scott & White Medical Center - Temple | Temple | 12 | $99,658 | $18,071 | – | – | |
| Methodist Dallas Medical Center | Dallas | 15 | $67,560 | $19,287 | – | – | |
| Baylor University Medical Center | Dallas | 37 | $67,888 | $19,429 | – | – | |
| HCA Houston Healthcare Clear Lake | Webster | – | – | – | – | $17,190$16,435–$26,122 · 61 plans | |
| HCA Houston Healthcare Kingwood | Kingwood | – | – | – | – | $18,768$17,228–$27,706 · 61 plans | |
| HCA Houston Healthcare Medical Center | Houston | – | – | – | – | $16,455$15,601–$25,165 · 47 plans | |
| HCA Houston Healthcare Northwest | Houston | – | – | – | – | $23,126$20,864–$33,224 · 48 plans | |
| HCA Houston Healthcare Pearland | Pearland | – | – | – | – | $18,130$17,222–$26,917 · 49 plans | |
| HCA Houston Healthcare Southeast | Pasadena | – | – | – | – | $22,281$16,203–$31,299 · 59 plans | |
| HCA Houston Healthcare Tomball | Tomball | – | – | – | – | $16,716$16,209–$25,619 · 48 plans | |
| HCA Houston Healthcare West | Houston | – | – | – | – | $20,720$15,409–$28,564 · 59 plans | |
| Houston Methodist Clear Lake Hospital | Nassau Bay | – | – | – | – | $26,053$20,998–$28,325 · 8 plans | |
| Houston Methodist the Woodlands Hospital | The Woodlands | – | – | – | – | $24,519$21,454–$28,293 · 9 plans | |
| Houston Methodist West Hospital | Houston | – | – | – | – | $28,228$21,911–$39,015 · 9 plans | |
| Houston Methodist Willowbrook Hospital | Houston | – | – | – | – | $26,341$21,095–$28,325 · 8 plans | |
| Methodist Hospital Stone Oak | San Antonio | – | – | – | – | $14,770$6,760–$25,443 · 53 plans | |
| North Austin Medical Center | Austin | – | – | – | – | $16,885$9,715–$26,445 · 88 plans | |
| Round Rock Medical Center | Round Rock | – | – | – | – | $15,242$7,324–$26,064 · 88 plans |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.