Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Heart valve surgery (open) in Texas: what insurers pay

Posted commercial rates at 8 Texas hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Methodist Hospital San Antonio$68,4701.8×62026-09-01
St David's Medical Center Austin$71,5121.9×62026-09-01
Ascension Seton Medical Center Austin Austin$76,7902.0×22026-01-01
Baylor University Medical Center Dallas$79,2672.1×62026-06-29
Houston Methodist Hospital Houston$94,1272.5×62026-04-01
Medical City Plano Plano$99,9602.6×62026-09-01
Medical City Mckinney McKinney$101,5442.7×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$149,3083.9×42026-04-21

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
St David's Medical Center Austin$77,0941.4×62026-09-01
Ascension Seton Medical Center Austin Austin$77,5261.4×22026-01-01
Methodist Hospital San Antonio$79,9301.5×62026-09-01
Houston Methodist Hospital Houston$106,6311.9×62026-04-01
Baylor University Medical Center Dallas$114,1302.1×62026-06-29
Medical City Plano Plano$125,7482.3×62026-09-01
Medical City Mckinney McKinney$127,3322.3×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$218,1144.0×42026-04-21

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$83,6591.2×22026-01-01
Methodist Hospital San Antonio$90,4221.3×62026-09-01
St David's Medical Center Austin$97,6201.4×62026-09-01
Houston Methodist Hospital Houston$115,4631.6×62026-04-01
Baylor University Medical Center Dallas$145,4122.1×62026-06-29
Medical City Plano Plano$163,1662.3×62026-09-01
Medical City Mckinney McKinney$165,4762.4×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$272,0543.9×42026-04-21

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Methodist Hospital San Antonio$74,6901.6×62026-09-01
Ascension Seton Medical Center Austin Austin$83,6591.8×22026-01-01
St David's Medical Center Austin$97,6202.1×62026-09-01
Baylor University Medical Center Dallas$97,7352.1×62026-06-29
Houston Methodist Hospital Houston$114,9002.4×62026-04-01
Medical City Plano Plano$130,6782.8×62026-09-01
Medical City Mckinney McKinney$132,9882.8×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$182,0403.9×42026-04-21

Questions

How much do insurers pay for heart valve surgery (open) in Texas?

8 Texas hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 8 hospitals is $86,697, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.