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 | |
|---|---|---|---|---|---|
| St David's South Austin Medical Center | Austin | 15 | $191,560 | $14,072 | |
| Methodist Hospital | San Antonio | 15 | $137,674 | $14,715 | |
| Houston Methodist Hospital | Houston | 17 | $98,776 | $16,118 | |
| 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 |
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.