Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Texas
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$361,923typical hospital bill
$67,876typical amount paid
$51,262–$99,671range paid across 25 hospitals
Texas hospitals billed Medicare a typical $361,923 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)
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.