Acute myocardial infarction, expired with major complications
What 145 hospitals in the U.S. charged and were paid for a Medicare hospital stay for acute myocardial infarction, expired with major complications (DRG 283), from 2024 Medicare claims.
Average charge
$103,299
Hospital list price billed
Average payment
$21,068
Medicare + patient + other payers
Medicare paid
$17,723
Average per stay
Volume
2,154
Medicare hospital stays
Hospitals in the U.S. billed an average of $103,299 for acute myocardial infarction, expired with major complications, about 4.9 times the average total payment of $21,068.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $21,068Billed $103,299
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Methodist HospitalSan Antonio, TX | $14,079 |
|---|---|
| Iowa Methodist Medical CenterDes Moines, IA | $14,327 |
| Jackson-Madison Cnty Gen HospJackson, TN | $14,521 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $15,028 |
| Huntsville HospitalHuntsville, AL | $15,299 |
| Carilion Medical CenterRoanoke, VA | $15,551 |
| Mem Hermann Southwest HospHouston, TX | $17,104 |
| Adventhealth OrlandoOrlando, FL | $17,879 |
| ECU Health Medical CenterGreenville, NC | $18,321 |
| South Shore HospitalSouth Weymouth, MA | $18,661 |
Highest
| NYU Hospitals CenterNew York, NY | $37,811 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $36,609 |
| New York-Presbyterian HospitalNew York, NY | $35,419 |
| Mary Hitchcock Mem HospitalLebanon, NH | $32,574 |
| Medstar Washington Hospital CenterWashington, DC | $28,118 |
| Inova Fairfax HospitalFalls Church, VA | $24,957 |
| Staten Island University HospitalStaten Island, NY | $23,748 |
| Albany Medical Center HospitalAlbany, NY | $21,954 |
| Providence Sacred Heart Medical CenterSpokane, WA | $21,855 |
| Lahey Clinic HospitalBurlington, MA | $21,790 |
Acute myocardial infarction, expired with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 3 | $103,772 | $17,730 | $15,299 – $24,680 |
| Alaska | 1 | $177,548 | $22,413 | – |
| Arizona | 2 | $92,382 | $15,748 | $15,283 – $16,068 |
| California | 7 | $191,381 | $31,425 | $22,258 – $57,823 |
| Connecticut | 2 | $98,949 | $21,257 | $20,297 – $22,137 |
| Delaware | 1 | $55,512 | $16,964 | – |
| Florida | 11 | $97,875 | $17,891 | $13,151 – $28,566 |
| Georgia | 2 | $167,027 | $20,423 | $20,241 – $20,605 |
| Hawaii | 1 | $85,097 | $21,344 | – |
| Illinois | 6 | $88,431 | $20,389 | $15,164 – $24,654 |
| Indiana | 1 | $31,260 | $15,436 | – |
| Iowa | 2 | $57,974 | $14,099 | $13,684 – $14,327 |
| Kansas | 1 | $118,093 | $18,130 | – |
| Kentucky | 1 | $83,272 | $22,250 | – |
| Louisiana | 2 | $129,840 | $14,390 | $14,183 – $14,597 |
| Maine | 2 | $88,187 | $18,366 | $17,660 – $19,071 |
| Maryland | 2 | $92,214 | $96,846 | $23,685 – $163,910 |
| Massachusetts | 10 | $67,192 | $21,304 | $16,227 – $28,581 |
| Michigan | 3 | $72,192 | $17,278 | $16,664 – $18,397 |
| Minnesota | 2 | $45,928 | $21,321 | $18,848 – $23,985 |
| Missouri | 1 | $108,890 | $23,190 | – |
| Nebraska | 1 | $62,394 | $15,907 | – |
| Nevada | 1 | $87,501 | $18,066 | – |
| New Hampshire | 1 | $122,372 | $32,574 | – |
| New Jersey | 6 | $88,566 | $19,212 | $16,774 – $21,634 |
| New York | 8 | $201,034 | $31,182 | $18,817 – $42,442 |
| North Carolina | 5 | $64,732 | $18,474 | $15,028 – $24,545 |
| North Dakota | 1 | $60,182 | $17,186 | – |
| Ohio | 3 | $103,296 | $18,162 | $15,203 – $21,713 |
| Oklahoma | 3 | $104,621 | $15,885 | $15,274 – $16,733 |
| Oregon | 2 | $52,301 | $20,158 | $18,435 – $21,577 |
| Pennsylvania | 5 | $148,209 | $19,274 | $15,830 – $28,509 |
| Rhode Island | 1 | $69,550 | $26,888 | – |
| South Carolina | 5 | $84,149 | $18,693 | $13,539 – $28,525 |
| Tennessee | 7 | $96,507 | $17,813 | $12,486 – $37,693 |
| Texas | 7 | $130,163 | $14,827 | $13,757 – $17,104 |
| Vermont | 1 | $57,066 | $9,753 | – |
| Virginia | 11 | $79,659 | $17,954 | $13,561 – $27,955 |
| Washington | 8 | $91,682 | $19,087 | $16,762 – $21,855 |
| West Virginia | 1 | $89,603 | $18,935 | – |
| Wisconsin | 4 | $90,437 | $24,193 | $14,911 – $36,609 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 34 | $286,560 | $35,419 |
| ECU Health Medical CenterGreenville, NC | 32 | $55,500 | $18,321 |
| Adventhealth OrlandoOrlando, FL | 31 | $156,580 | $17,879 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 30 | $72,355 | $15,028 |
| Jackson-Madison Cnty Gen HospJackson, TN | 30 | $43,225 | $14,521 |
| Methodist HospitalSan Antonio, TX | 27 | $178,421 | $14,079 |
| Carilion Medical CenterRoanoke, VA | 26 | $56,361 | $15,551 |
| Inova Fairfax HospitalFalls Church, VA | 25 | $83,416 | $24,957 |
| South Shore HospitalSouth Weymouth, MA | 23 | $49,759 | $18,661 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 23 | $160,031 | $36,609 |
| Huntsville HospitalHuntsville, AL | 22 | $75,871 | $15,299 |
| Lahey Clinic HospitalBurlington, MA | 22 | $48,026 | $21,790 |
| NYU Hospitals CenterNew York, NY | 22 | $267,816 | $37,811 |
| Providence Sacred Heart Medical CenterSpokane, WA | 22 | $113,325 | $21,855 |
| Medstar Washington Hospital CenterWashington, DC | 21 | $126,579 | $28,118 |
Questions
How much does acute myocardial infarction, expired with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for acute myocardial infarction, expired with major complications (DRG 283) at 145 hospitals in the U.S. was billed at $103,299 on average, while the average total payment was $21,068, of which Medicare paid $17,723. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for acute myocardial infarction, expired with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($31,425), New York ($31,182), Wisconsin ($24,193) and lowest in Texas ($14,827), Oklahoma ($15,885), Michigan ($17,278).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.