Cardiac Congenital and Valvular Disorders with Mcc in Texas
MS-DRG 306: Cardiac congenital and valvular disorders with mcc
$100,712typical hospital bill
$19,146typical amount paid
$13,560–$24,732range paid across 2 hospitals
Texas hospitals billed Medicare a typical $100,712 for this stay in 2024, about 5.3 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 | |
|---|---|---|---|---|---|
| Baylor Scott & White the Heart Hospital Plano | Plano | 19 | $42,179 | $13,560 | |
| Houston Methodist Hospital | Houston | 12 | $159,244 | $24,732 |
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.