Cardiac congenital and valvular disorders without major complications
What 13 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac congenital and valvular disorders without major complications (DRG 307), from 2024 Medicare claims.
Average charge
$84,383
Hospital list price billed
Average payment
$12,474
Medicare + patient + other payers
Medicare paid
$9,249
Average per stay
Volume
214
Medicare hospital stays
Hospitals in the U.S. billed an average of $84,383 for cardiac congenital and valvular disorders without major complications, about 6.8 times the average total payment of $12,474.
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.
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
| Cedars-Sinai Medical CenterLos Angeles, CA | $11,870 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $12,499 |
| Beth Israel Deaconess Medical CenterBoston, MA | $13,015 |
| Mount Sinai HospitalNew York, NY | $16,289 |
Highest
| Mount Sinai HospitalNew York, NY | $16,289 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $13,015 |
| New York-Presbyterian HospitalNew York, NY | $12,499 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $11,870 |
Cardiac congenital and valvular disorders 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 |
|---|---|---|---|---|
| California | 2 | $134,542 | $12,839 | $11,870 – $15,218 |
| Florida | 2 | $46,793 | $8,132 | $8,086 – $8,187 |
| Georgia | 1 | $60,577 | $10,436 | – |
| Massachusetts | 1 | $27,013 | $13,015 | – |
| Missouri | 1 | $45,127 | $12,402 | – |
| New York | 5 | $94,466 | $13,963 | $12,499 – $16,289 |
| Texas | 1 | $81,553 | $9,590 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mount Sinai HospitalNew York, NY | 31 | $75,902 | $16,289 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 27 | $123,930 | $11,870 |
| New York-Presbyterian HospitalNew York, NY | 26 | $119,735 | $12,499 |
| Beth Israel Deaconess Medical CenterBoston, MA | 20 | $27,013 | $13,015 |
| North Shore University HospitalManhasset, NY | 14 | $84,567 | $12,784 |
| Adventhealth OrlandoOrlando, FL | 13 | $55,266 | $8,086 |
| Piedmont HospitalAtlanta, GA | 13 | $60,577 | $10,436 |
| NYU Hospitals CenterNew York, NY | 13 | $91,062 | $13,703 |
| Barnes Jewish HospitalSt Louis, MO | 12 | $45,127 | $12,402 |
| Methodist HospitalSan Antonio, TX | 12 | $81,553 | $9,590 |
| Stanford HospitalPalo Alto, CA | 11 | $160,592 | $15,218 |
| Lee Memorial HospitalFort Myers, FL | 11 | $36,781 | $8,187 |
| Lenox Hill HospitalNew York, NY | 11 | $103,678 | $12,677 |
Questions
How much does cardiac congenital and valvular disorders without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac congenital and valvular disorders without major complications (DRG 307) at 13 hospitals in the U.S. was billed at $84,383 on average, while the average total payment was $12,474, of which Medicare paid $9,249. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac congenital and valvular disorders without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($13,963) and lowest in New York ($13,963).
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 6.8 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.