Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Texas
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$764,115typical hospital bill
$83,500typical amount paid
$58,931–$134,014range paid across 10 hospitals
Texas hospitals billed Medicare a typical $764,115 for this stay in 2024, about 9.2 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 | |
|---|---|---|---|---|---|
| Methodist Hospital | San Antonio | 17 | $860,091 | $58,931 | |
| Memorial Hermann Hospital System | Houston | 11 | $241,418 | $63,597 | |
| Memorial Hermann Memorial City Hospital | Houston | 17 | $222,525 | $69,316 | |
| St David's Medical Center | Austin | 15 | $1,042,068 | $77,193 | |
| HCA Houston Healthcare Medical Center | Houston | 17 | $1,047,827 | $81,566 | |
| Baylor Scott & White the Heart Hospital Plano | Plano | 30 | $318,194 | $85,434 | |
| Baptist Medical Center | San Antonio | 15 | $971,109 | $87,428 | |
| Memorial Hermann - Texas Medical Center | Houston | 15 | $615,093 | $125,133 | |
| Houston Methodist Hospital | Houston | 18 | $773,309 | $126,338 | |
| Baylor St Lukes Medical Center | Houston | 16 | $754,921 | $134,014 |
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.