Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Texas
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$415,608typical hospital bill
$43,395typical amount paid
$36,242–$70,144range paid across 13 hospitals
Texas hospitals billed Medicare a typical $415,608 for this stay in 2024, about 9.6 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 | |
|---|---|---|---|---|---|
| Christus Mother Frances Hospital | Tyler | 22 | $434,260 | $36,242 | |
| Round Rock Medical Center | Round Rock | 14 | $734,336 | $37,065 | |
| Ut Health East Texas Tyler Regional Hospital | Tyler | 13 | $393,033 | $38,809 | |
| Methodist Hospital | San Antonio | 39 | $570,617 | $39,531 | |
| St David's Medical Center | Austin | 28 | $535,122 | $41,036 | |
| Ascension Seton Medical Center Austin | Austin | 26 | $415,608 | $41,888 | |
| Baylor Scott & White the Heart Hospital Plano | Plano | 165 | $172,441 | $43,395 | |
| Memorial Hermann Hospital System | Houston | 11 | $202,497 | $45,575 | |
| Houston Methodist Hospital | Houston | 15 | $445,675 | $49,019 | |
| Baylor University Medical Center | Dallas | 33 | $138,995 | $53,289 | |
| Baylor Scott and White All Saints Medical Center | Fort Worth | 12 | $191,937 | $54,617 | |
| Ut of Texas Southwestern University Hospital - William P. Clements Jr. | Dallas | 48 | $175,372 | $57,894 | |
| Baylor St Lukes Medical Center | Houston | 14 | $509,276 | $70,144 |
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.