Aortic and heart assist procedures except pulsation balloon with major complications
What 36 hospitals in the U.S. charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon with major complications (DRG 268), from 2024 Medicare claims.
Average charge
$390,217
Hospital list price billed
Average payment
$85,314
Medicare + patient + other payers
Medicare paid
$74,108
Average per stay
Volume
529
Medicare hospital stays
Hospitals in the U.S. billed an average of $390,217 for aortic and heart assist procedures except pulsation balloon with major complications, about 4.6 times the average total payment of $85,314.
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 $85,314Billed $390,217
About 22¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
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
| Shands Hospital at the University of FloridaGainesville, FL | $69,586 |
|---|---|
| Barnes Jewish HospitalSt Louis, MO | $88,713 |
| UT Southwestern University HospitalDallas, TX | $90,973 |
| USC University HospitalLos Angeles, CA | $118,658 |
Highest
| USC University HospitalLos Angeles, CA | $118,658 |
|---|---|
| UT Southwestern University HospitalDallas, TX | $90,973 |
| Barnes Jewish HospitalSt Louis, MO | $88,713 |
| Shands Hospital at the University of FloridaGainesville, FL | $69,586 |
Aortic and heart assist procedures except pulsation balloon 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 | 1 | $329,885 | $97,791 | – |
| Arizona | 2 | $387,327 | $62,355 | $58,424 – $65,445 |
| California | 2 | $570,449 | $121,977 | $118,658 – $127,249 |
| Connecticut | 1 | $244,102 | $77,623 | – |
| Florida | 3 | $436,811 | $69,206 | $68,455 – $69,586 |
| Illinois | 1 | $500,008 | $88,746 | – |
| Kentucky | 2 | $226,730 | $63,719 | $54,069 – $71,884 |
| Maryland | 2 | $176,198 | $146,352 | $132,012 – $160,693 |
| Massachusetts | 2 | $338,490 | $91,917 | $91,074 – $92,630 |
| Michigan | 1 | $253,585 | $87,014 | – |
| Minnesota | 1 | $327,301 | $102,676 | – |
| Missouri | 1 | $344,158 | $88,713 | – |
| New Hampshire | 1 | $309,021 | $86,815 | – |
| New Jersey | 2 | $398,310 | $68,211 | $66,278 – $69,983 |
| New York | 2 | $692,265 | $109,144 | $92,777 – $129,018 |
| North Carolina | 2 | $336,957 | $87,731 | $84,689 – $90,305 |
| Ohio | 1 | $290,704 | $53,017 | – |
| Oklahoma | 2 | $210,263 | $59,755 | $53,407 – $65,573 |
| South Carolina | 1 | $364,037 | $84,312 | – |
| Texas | 5 | $447,554 | $74,547 | $53,049 – $92,516 |
| Virginia | 1 | $259,164 | $62,638 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| UT Southwestern University HospitalDallas, TX | 30 | $348,172 | $90,973 |
| USC University HospitalLos Angeles, CA | 27 | $556,603 | $118,658 |
| Barnes Jewish HospitalSt Louis, MO | 27 | $344,158 | $88,713 |
| Shands Hospital at the University of FloridaGainesville, FL | 25 | $287,750 | $69,586 |
| Northwestern Memorial HospitalChicago, IL | 19 | $500,008 | $88,746 |
| MUSC Medical CenterCharleston, SC | 19 | $364,037 | $84,312 |
| UCSF Medical CenterSan Francisco, CA | 17 | $592,439 | $127,249 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 17 | $327,301 | $102,676 |
| New York-Presbyterian HospitalNew York, NY | 17 | $490,355 | $92,777 |
| Memorial Hermann Texas Medical CenterHouston, TX | 16 | $456,383 | $92,516 |
| Sentara Norfolk General HospitalNorfolk, VA | 16 | $259,164 | $62,638 |
| Banner - University Medical Center PhoenixPhoenix, AZ | 14 | $307,392 | $65,445 |
| NYU Hospitals CenterNew York, NY | 14 | $937,441 | $129,018 |
| Mem Hermann Southwest HospHouston, TX | 14 | $210,190 | $53,049 |
| University of Alabama HospitalBirmingham, AL | 13 | $329,885 | $97,791 |
Questions
How much does aortic and heart assist procedures except pulsation balloon with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon with major complications (DRG 268) at 36 hospitals in the U.S. was billed at $390,217 on average, while the average total payment was $85,314, of which Medicare paid $74,108. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for aortic and heart assist procedures except pulsation balloon with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Texas ($74,547), Florida ($69,206) and lowest in Florida ($69,206), Texas ($74,547).
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 4.6 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.