Aortic and heart assist procedures except pulsation balloon without major complications
What 343 hospitals in the U.S. charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.
Average charge
$190,851
Hospital list price billed
Average payment
$39,522
Medicare + patient + other payers
Medicare paid
$34,070
Average per stay
Volume
6,645
Medicare hospital stays
Hospitals in the U.S. billed an average of $190,851 for aortic and heart assist procedures except pulsation balloon without major complications, about 4.8 times the average total payment of $39,522.
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 $39,522Billed $190,851
About 21¢ 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
| Arkansas Heart Hospital-EncoreBryant, AR | $25,164 |
|---|---|
| Kansas Heart HospitalWichita, KS | $26,269 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $27,154 |
| Memorial Healthcare System, INCChattanooga, TN | $27,998 |
| Oklahoma Heart HospitalOklahoma City, OK | $28,539 |
| Trinity Mother Frances SystTyler, TX | $28,552 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $28,648 |
| North Mississippi Medical CenterTupelo, MS | $29,107 |
| Iowa Methodist Medical CenterDes Moines, IA | $29,147 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $29,266 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $144,980 |
|---|---|
| Peninsula Regional Medical CenterSalisbury, MD | $73,382 |
| The Johns Hopkins HospitalBaltimore, MD | $70,823 |
| USC University HospitalLos Angeles, CA | $63,991 |
| Stanford HospitalPalo Alto, CA | $62,729 |
| NYU Hospitals CenterNew York, NY | $60,038 |
| Clarian Health PartnersIndianapolis, IN | $54,899 |
| New York-Presbyterian HospitalNew York, NY | $54,785 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $53,271 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $53,178 |
Aortic and heart assist procedures except pulsation balloon without 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 | 5 | $186,174 | $32,984 | $27,777 – $39,239 |
| Alaska | 1 | $188,705 | $40,065 | – |
| Arizona | 9 | $240,656 | $36,315 | $32,111 – $43,996 |
| Arkansas | 9 | $115,308 | $28,617 | $25,164 – $37,630 |
| California | 19 | $301,800 | $54,766 | $39,215 – $83,725 |
| Colorado | 4 | $310,866 | $37,244 | $31,740 – $42,059 |
| Connecticut | 2 | $111,457 | $46,785 | $43,478 – $53,097 |
| Delaware | 3 | $135,713 | $36,999 | $31,774 – $40,416 |
| Florida | 28 | $216,402 | $34,336 | $28,866 – $45,489 |
| Georgia | 9 | $214,168 | $37,582 | $25,776 – $45,110 |
| Hawaii | 1 | $181,628 | $43,920 | – |
| Idaho | 1 | $118,566 | $31,407 | – |
| Illinois | 13 | $200,086 | $38,039 | $30,037 – $50,616 |
| Indiana | 8 | $203,781 | $39,450 | $30,454 – $54,899 |
| Iowa | 5 | $129,809 | $32,055 | $28,827 – $39,348 |
| Kansas | 4 | $121,083 | $31,356 | $26,269 – $34,418 |
| Kentucky | 7 | $268,310 | $37,620 | $29,562 – $46,908 |
| Louisiana | 2 | $121,497 | $27,877 | $27,154 – $28,842 |
| Maine | 2 | $163,761 | $35,941 | $30,685 – $41,948 |
| Maryland | 8 | $95,587 | $85,703 | $64,064 – $144,980 |
| Massachusetts | 8 | $133,307 | $45,390 | $35,968 – $50,774 |
| Michigan | 6 | $143,224 | $40,766 | $35,117 – $49,431 |
| Minnesota | 9 | $133,431 | $39,505 | $30,827 – $49,215 |
| Mississippi | 5 | $99,885 | $27,425 | $25,758 – $29,107 |
| Missouri | 11 | $159,011 | $35,213 | $27,045 – $43,666 |
| Montana | 2 | $96,739 | $34,665 | $33,254 – $35,762 |
| Nebraska | 3 | $145,147 | $32,247 | $29,635 – $35,372 |
| Nevada | 1 | $119,923 | $36,913 | – |
| New Hampshire | 2 | $140,359 | $42,256 | $31,480 – $45,115 |
| New Jersey | 9 | $193,311 | $42,878 | $36,249 – $53,178 |
| New Mexico | 1 | $168,406 | $28,536 | – |
| New York | 18 | $200,740 | $47,834 | $35,013 – $61,907 |
| North Carolina | 13 | $176,565 | $36,568 | $29,685 – $44,862 |
| North Dakota | 2 | $116,357 | $31,942 | $30,898 – $32,552 |
| Ohio | 13 | $166,769 | $35,421 | $31,464 – $42,123 |
| Oklahoma | 5 | $177,007 | $30,816 | $28,539 – $33,892 |
| Oregon | 4 | $143,594 | $43,738 | $41,228 – $49,985 |
| Pennsylvania | 17 | $224,135 | $37,551 | $28,354 – $46,178 |
| Rhode Island | 1 | $100,802 | $41,625 | – |
| South Carolina | 9 | $230,809 | $38,841 | $26,877 – $49,603 |
| South Dakota | 3 | $153,215 | $33,753 | $29,305 – $40,721 |
| Tennessee | 10 | $194,741 | $34,795 | $25,696 – $52,760 |
| Texas | 21 | $254,892 | $37,140 | $27,582 – $47,661 |
| Utah | 3 | $151,983 | $38,793 | $33,032 – $42,857 |
| Vermont | 1 | $137,260 | $36,065 | – |
| Virginia | 9 | $224,956 | $38,007 | $31,271 – $51,523 |
| Washington | 8 | $194,348 | $38,185 | $34,371 – $47,300 |
| West Virginia | 1 | $130,077 | $37,051 | – |
| Wisconsin | 7 | $147,263 | $38,286 | $31,004 – $48,764 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 58 | $145,313 | $49,215 |
| The Heart Hospital Baylor PlanoPlano, TX | 51 | $148,812 | $41,548 |
| NYU Hospitals CenterNew York, NY | 50 | $506,141 | $60,038 |
| Mary Hitchcock Mem HospitalLebanon, NH | 49 | $139,835 | $45,115 |
| Avera Heart Hospital of South Dakota LLCSioux Falls, SD | 49 | $159,860 | $29,305 |
| UT Southwestern University HospitalDallas, TX | 48 | $220,470 | $47,661 |
| Sarasota Memorial HospitalSarasota, FL | 46 | $228,544 | $30,806 |
| Banner Heart HospitalMesa, AZ | 42 | $196,168 | $33,029 |
| MUSC Medical CenterCharleston, SC | 41 | $248,756 | $45,070 |
| Clarian Health PartnersIndianapolis, IN | 40 | $377,440 | $54,899 |
| The Johns Hopkins HospitalBaltimore, MD | 40 | $80,821 | $70,823 |
| New York-Presbyterian HospitalNew York, NY | 40 | $223,352 | $54,785 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 40 | $232,924 | $40,402 |
| Beth Israel Deaconess Medical CenterBoston, MA | 39 | $77,555 | $49,301 |
| Stanford HospitalPalo Alto, CA | 38 | $459,747 | $62,729 |
Questions
How much does aortic and heart assist procedures except pulsation balloon without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 343 hospitals in the U.S. was billed at $190,851 on average, while the average total payment was $39,522, of which Medicare paid $34,070. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($85,703), California ($54,766), New York ($47,834) and lowest in Mississippi ($27,425), Arkansas ($28,617), Oklahoma ($30,816).
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 4.8 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.