US Health Care Costs

Heart valve replacement through a catheter (TAVR), with major complications in Texas

MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc

$382,467typical hospital bill
$47,223typical amount paid
$41,456–$73,666range paid across 38 hospitals

Texas hospitals billed Medicare a typical $382,467 for this stay in 2024, about 8.1 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)

HospitalCityMedicare staysBilledPaid
Christus Mother Frances HospitalTyler29$393,241$41,456
Baptist Medical CenterSan Antonio12$580,970$41,804
Longview Regional Medical CenterLongview18$553,950$42,166
Texas Health Presbyterian Hospital PlanoPlano11$149,058$42,477
Baylor Scott & White Heart & Vascular Hospital - DallasDallas113$207,930$43,685
Baylor Scott & White Medical Center- College StatiCollege Station33$206,106$44,072
Christus Santa Rosa Medical CenterSan Antonio24$292,713$44,261
St David's Medical CenterAustin119$496,132$45,195
Houston Methodist West HospitalHouston27$396,201$45,554
Texas Health Harris Methodist Fort WorthFort Worth42$234,240$45,658
Texas Health Presbyterian Hospital DallasDallas134$159,756$45,745
Baylor Scott & White the Heart Hospital PlanoPlano147$206,809$45,847
The Corpus Christi Medical CenterCorpus Christi13$495,899$46,102
Baylor Scott & White Medical Center - Round RockRound Rock104$203,171$46,377
St David's South Austin Medical CenterAustin29$757,547$46,682
Sierra Medical CenterEl Paso38$765,916$46,709
Texas Health Heart & Vascular Hospital ArlingtonArlington30$190,577$46,763
Round Rock Medical CenterRound Rock47$685,332$47,024
Methodist HospitalSan Antonio148$650,003$47,104
South Texas Health SystemEdinburg15$413,823$47,341
Memorial Hermann Memorial City HospitalHouston85$158,828$47,466
Medical City Fort WorthFort Worth34$763,288$47,537
Baptist Beaumont HospitalBeaumont16$234,640$47,888
Hendrick Medical CenterAbilene23$497,650$48,166
Memorial Hermann Hospital SystemHouston23$198,477$48,418
HCA Houston Healthcare Medical CenterHouston52$536,250$49,054
Baylor Scott and White All Saints Medical CenterFort Worth23$245,503$51,533
Baylor Scott & White Medical Center - TempleTemple46$211,344$53,445
St Luke's the Woodlands HospitalThe Woodlands26$371,692$53,989
University Medical CenterLubbock13$309,371$55,811
Ut of Texas Southwestern University Hospital - William P. Clements Jr.Dallas86$242,374$56,122
Ascension Seton Medical Center AustinAustin24$491,762$56,744
Houston Methodist HospitalHouston99$448,149$57,499
HCA Houston Healthcare KingwoodKingwood14$608,593$58,975
Medical City Dallas HospitalDallas46$703,961$59,353
Memorial Hermann - Texas Medical CenterHouston63$290,150$69,552
University Health SystemSan Antonio22$171,986$71,595
Baylor St Lukes Medical CenterHouston41$484,478$73,666

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.