Cardiac defibrillator implant with cardiac catheterization and mcc
What 46 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275), from 2024 Medicare claims.
Average charge
$398,277
Hospital list price billed
Average payment
$72,309
Medicare + patient + other payers
Medicare paid
$62,419
Average per stay
Volume
645
Medicare hospital stays
Hospitals in the U.S. billed an average of $398,277 for cardiac defibrillator implant with cardiac catheterization and mcc, about 5.5 times the average total payment of $72,309.
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 $72,309Billed $398,277
About 18¢ 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
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $65,686 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $83,889 |
| New York-Presbyterian HospitalNew York, NY | $117,617 |
Highest
| New York-Presbyterian HospitalNew York, NY | $117,617 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $83,889 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $65,686 |
Cardiac defibrillator implant with cardiac catheterization and mcc 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 |
|---|---|---|---|---|
| Arizona | 1 | $542,649 | $62,702 | – |
| California | 1 | $1,315,133 | $107,541 | – |
| Connecticut | 1 | $251,292 | $85,222 | – |
| Delaware | 1 | $270,817 | $77,997 | – |
| Florida | 3 | $419,070 | $53,179 | $47,612 – $56,378 |
| Georgia | 2 | $396,936 | $66,074 | $59,718 – $73,490 |
| Indiana | 1 | $190,266 | $50,023 | – |
| Kansas | 1 | $283,660 | $57,987 | – |
| Maine | 1 | $246,813 | $70,647 | – |
| Massachusetts | 5 | $231,130 | $80,171 | $72,660 – $89,027 |
| Michigan | 1 | $189,072 | $65,686 | – |
| Minnesota | 2 | $273,068 | $72,571 | $63,498 – $82,779 |
| Nebraska | 1 | $196,989 | $49,554 | – |
| New Jersey | 2 | $530,568 | $76,065 | $66,173 – $86,780 |
| New Mexico | 1 | $429,070 | $58,298 | – |
| New York | 3 | $581,802 | $104,601 | $83,889 – $128,655 |
| North Carolina | 2 | $256,464 | $55,305 | $52,766 – $58,691 |
| Ohio | 3 | $293,298 | $69,745 | $56,342 – $94,392 |
| Oregon | 1 | $296,235 | $90,528 | – |
| Pennsylvania | 2 | $528,870 | $70,368 | $51,146 – $86,633 |
| South Carolina | 4 | $511,324 | $58,310 | $52,030 – $64,086 |
| Texas | 2 | $706,071 | $53,605 | $49,183 – $58,706 |
| Virginia | 1 | $291,618 | $82,597 | – |
| Washington | 2 | $246,709 | $67,355 | $62,469 – $71,490 |
| Wisconsin | 1 | $305,973 | $74,102 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| St Francis Hospital, RoslynRoslyn, NY | 31 | $443,979 | $83,889 |
| New York-Presbyterian HospitalNew York, NY | 29 | $645,857 | $117,617 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | 20 | $189,072 | $65,686 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 18 | $302,755 | $63,498 |
| Trident Medical CenterCharleston, SC | 18 | $726,132 | $55,836 |
| Medstar Washington Hospital CenterWashington, DC | 17 | $332,821 | $81,844 |
| Christiana Care Health Services, INC.Newark, DE | 16 | $270,817 | $77,997 |
| Massachusetts General HospitalBoston, MA | 16 | $305,475 | $84,972 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 16 | $239,670 | $82,779 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 16 | $306,153 | $52,766 |
| University of Kansas HospitalKansas City, KS | 15 | $283,660 | $57,987 |
| Methodist HospitalSan Antonio, TX | 15 | $507,296 | $49,183 |
| Wellstar Kennestone HospitalMarietta, GA | 14 | $398,387 | $59,718 |
| Cape Cod HospitalHyannis, MA | 14 | $224,494 | $72,660 |
| Lahey Clinic HospitalBurlington, MA | 14 | $215,799 | $80,748 |
Questions
How much does cardiac defibrillator implant with cardiac catheterization and mcc cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275) at 46 hospitals in the U.S. was billed at $398,277 on average, while the average total payment was $72,309, of which Medicare paid $62,419. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac defibrillator implant with cardiac catheterization and mcc?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($104,601), Massachusetts ($80,171), Ohio ($69,745) and lowest in Florida ($53,179), South Carolina ($58,310), Ohio ($69,745).
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 5.5 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.