Atherosclerosis without major complications
What 115 hospitals in the U.S. charged and were paid for a Medicare hospital stay for atherosclerosis without major complications (DRG 303), from 2024 Medicare claims.
Average charge
$37,895
Hospital list price billed
Average payment
$7,013
Medicare + patient + other payers
Medicare paid
$4,771
Average per stay
Volume
1,860
Medicare hospital stays
Hospitals in the U.S. billed an average of $37,895 for atherosclerosis without major complications, about 5.4 times the average total payment of $7,013.
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 $7,013Billed $37,895
About 19¢ 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
| Raleigh General HospitalBeckley, WV | $4,822 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $5,133 |
| Mercy Hospital Fort SmithFort Smith, AR | $5,513 |
| Methodist HospitalSan Antonio, TX | $5,892 |
| Baptist Medical CenterJacksonville, FL | $5,936 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $5,974 |
| Lakeland Regional Medical CenterLakeland, FL | $5,975 |
| Oak Hill HospitalBrooksville, FL | $6,096 |
| Lehigh Valley HospitalAllentown, PA | $6,103 |
| Beverly Hospital CorporationBeverly, MA | $6,184 |
Highest
| Montefiore Medical CenterBronx, NY | $11,260 |
|---|---|
| NYU Hospitals CenterNew York, NY | $10,384 |
| Brigham and Women's HosptialBoston, MA | $9,727 |
| New York-Presbyterian HospitalNew York, NY | $9,519 |
| Massachusetts General HospitalBoston, MA | $9,343 |
| University HospitalStony Brook, NY | $8,852 |
| ECU Health Medical CenterGreenville, NC | $7,775 |
| Orlando Regional HealthcareOrlando, FL | $7,210 |
| Adventhealth OrlandoOrlando, FL | $6,637 |
| Mercy St Vincent Medical CenterToledo, OH | $6,539 |
Atherosclerosis 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 | 4 | $21,510 | $6,453 | $4,406 – $9,099 |
| Arkansas | 2 | $21,533 | $5,258 | $4,771 – $5,513 |
| California | 6 | $72,446 | $8,832 | $6,987 – $11,571 |
| Connecticut | 1 | $50,221 | $12,160 | – |
| Delaware | 1 | $22,270 | $6,247 | – |
| Florida | 23 | $42,301 | $6,207 | $4,398 – $11,970 |
| Georgia | 1 | $28,736 | $8,654 | – |
| Illinois | 3 | $34,898 | $7,264 | $5,926 – $9,926 |
| Indiana | 3 | $21,229 | $5,054 | $4,610 – $5,324 |
| Kentucky | 3 | $24,797 | $5,133 | $4,974 – $5,272 |
| Maine | 1 | $34,331 | $7,940 | – |
| Maryland | 1 | $18,769 | $16,707 | – |
| Massachusetts | 11 | $25,831 | $7,946 | $5,663 – $10,847 |
| Michigan | 2 | $23,920 | $6,755 | $5,725 – $7,352 |
| Minnesota | 2 | $21,959 | $7,903 | $6,636 – $9,441 |
| Mississippi | 2 | $34,912 | $5,410 | $5,383 – $5,441 |
| Missouri | 1 | $29,085 | $8,966 | – |
| Nevada | 1 | $94,068 | $7,299 | – |
| New Jersey | 4 | $53,729 | $6,579 | $5,076 – $10,443 |
| New York | 8 | $59,288 | $9,457 | $5,758 – $13,180 |
| North Carolina | 4 | $25,409 | $8,191 | $5,723 – $11,998 |
| North Dakota | 1 | $18,412 | $5,662 | – |
| Ohio | 7 | $37,992 | $6,211 | $4,967 – $8,429 |
| Pennsylvania | 1 | $33,831 | $6,103 | – |
| South Carolina | 2 | $34,342 | $5,982 | $5,947 – $6,009 |
| Tennessee | 3 | $26,582 | $6,360 | $5,369 – $7,538 |
| Texas | 5 | $47,340 | $5,820 | $5,367 – $6,683 |
| Virginia | 6 | $27,862 | $5,995 | $4,734 – $7,777 |
| Washington | 1 | $30,232 | $6,558 | – |
| West Virginia | 3 | $23,874 | $6,035 | $4,822 – $7,935 |
| Wisconsin | 2 | $22,480 | $5,216 | $5,076 – $5,326 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 65 | $53,580 | $6,637 |
| University HospitalStony Brook, NY | 40 | $51,061 | $8,852 |
| New York-Presbyterian HospitalNew York, NY | 33 | $66,454 | $9,519 |
| Methodist HospitalSan Antonio, TX | 32 | $53,368 | $5,892 |
| Mercy St Vincent Medical CenterToledo, OH | 30 | $45,289 | $6,539 |
| Raleigh General HospitalBeckley, WV | 28 | $19,542 | $4,822 |
| Lakeland Regional Medical CenterLakeland, FL | 24 | $30,465 | $5,975 |
| Montefiore Medical CenterBronx, NY | 24 | $79,280 | $11,260 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | 23 | $21,048 | $5,974 |
| NYU Hospitals CenterNew York, NY | 23 | $73,061 | $10,384 |
| Lehigh Valley HospitalAllentown, PA | 23 | $33,831 | $6,103 |
| Massachusetts General HospitalBoston, MA | 22 | $55,210 | $9,343 |
| Brigham and Women's HosptialBoston, MA | 22 | $45,967 | $9,727 |
| ECU Health Medical CenterGreenville, NC | 22 | $25,587 | $7,775 |
| Mercy Hospital Fort SmithFort Smith, AR | 21 | $21,587 | $5,513 |
Questions
How much does atherosclerosis without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for atherosclerosis without major complications (DRG 303) at 115 hospitals in the U.S. was billed at $37,895 on average, while the average total payment was $7,013, of which Medicare paid $4,771. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for atherosclerosis without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($9,457), California ($8,832), North Carolina ($8,191) and lowest in Indiana ($5,054), Kentucky ($5,133), Texas ($5,820).
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 5.4 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.