Cardiac defibrillator implant with major complications or carotid sinus neurostimulator
What 41 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with major complications or carotid sinus neurostimulator (DRG 276), from 2024 Medicare claims.
Average charge
$322,586
Hospital list price billed
Average payment
$65,922
Medicare + patient + other payers
Medicare paid
$57,775
Average per stay
Volume
628
Medicare hospital stays
Hospitals in the U.S. billed an average of $322,586 for cardiac defibrillator implant with major complications or carotid sinus neurostimulator, about 4.9 times the average total payment of $65,922.
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 $65,922Billed $322,586
About 20¢ 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
| St Johns HospitalSpringfield, IL | $47,940 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $47,940 |
| Adventhealth OrlandoOrlando, FL | $56,011 |
| St Francis Hospital, RoslynRoslyn, NY | $60,274 |
| Medstar Washington Hospital CenterWashington, DC | $69,562 |
| New York-Presbyterian HospitalNew York, NY | $86,419 |
| NYU Hospitals CenterNew York, NY | $89,981 |
| Cleveland Clinic - Main CampusCleveland, OH | $92,856 |
Highest
| Cleveland Clinic - Main CampusCleveland, OH | $92,856 |
|---|---|
| NYU Hospitals CenterNew York, NY | $89,981 |
| New York-Presbyterian HospitalNew York, NY | $86,419 |
| Medstar Washington Hospital CenterWashington, DC | $69,562 |
| St Francis Hospital, RoslynRoslyn, NY | $60,274 |
| Adventhealth OrlandoOrlando, FL | $56,011 |
| Sarasota Memorial HospitalSarasota, FL | $47,940 |
| St Johns HospitalSpringfield, IL | $47,940 |
Cardiac defibrillator implant with major complications or carotid sinus neurostimulator 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 |
|---|---|---|---|---|
| Connecticut | 1 | $157,428 | $79,678 | – |
| Florida | 7 | $397,169 | $48,447 | $42,663 – $56,011 |
| Georgia | 3 | $244,835 | $52,887 | $48,483 – $57,184 |
| Illinois | 1 | $218,456 | $47,940 | – |
| Maryland | 2 | $127,949 | $112,025 | $67,083 – $156,967 |
| Massachusetts | 2 | $246,838 | $83,380 | $75,313 – $93,751 |
| Michigan | 1 | $157,524 | $63,759 | – |
| Minnesota | 2 | $227,340 | $78,879 | $64,192 – $90,419 |
| New Jersey | 4 | $382,274 | $66,571 | $56,051 – $73,538 |
| New York | 5 | $421,752 | $74,450 | $60,274 – $89,981 |
| North Carolina | 1 | $134,052 | $46,848 | – |
| Ohio | 3 | $270,772 | $72,777 | $55,442 – $92,856 |
| Pennsylvania | 1 | $569,212 | $82,264 | – |
| Tennessee | 1 | $220,471 | $44,968 | – |
| Texas | 3 | $491,699 | $52,974 | $40,059 – $72,039 |
| Virginia | 3 | $216,773 | $67,320 | $58,769 – $73,060 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| St Francis Hospital, RoslynRoslyn, NY | 34 | $373,944 | $60,274 |
| New York-Presbyterian HospitalNew York, NY | 26 | $460,361 | $86,419 |
| Adventhealth OrlandoOrlando, FL | 23 | $511,592 | $56,011 |
| Medstar Washington Hospital CenterWashington, DC | 22 | $285,682 | $69,562 |
| St Johns HospitalSpringfield, IL | 22 | $218,456 | $47,940 |
| NYU Hospitals CenterNew York, NY | 22 | $658,464 | $89,981 |
| Sarasota Memorial HospitalSarasota, FL | 21 | $348,576 | $47,940 |
| Cleveland Clinic - Main CampusCleveland, OH | 20 | $364,425 | $92,856 |
| Brigham and Women's HosptialBoston, MA | 18 | $299,740 | $75,313 |
| Ohio State University HospitalsColumbus, OH | 18 | $234,457 | $55,442 |
| Jersey Shore University Medical CenterNeptune City, NJ | 17 | $308,533 | $56,051 |
| Buffalo General HospitalBuffalo, NY | 17 | $160,583 | $64,029 |
| Sentara Norfolk General HospitalNorfolk, VA | 17 | $224,378 | $58,769 |
| Inova Fairfax HospitalFalls Church, VA | 16 | $204,091 | $72,460 |
| Yale-New Haven HospitalNew Haven, CT | 15 | $157,428 | $79,678 |
Questions
How much does cardiac defibrillator implant with major complications or carotid sinus neurostimulator cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with major complications or carotid sinus neurostimulator (DRG 276) at 41 hospitals in the U.S. was billed at $322,586 on average, while the average total payment was $65,922, of which Medicare paid $57,775. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac defibrillator implant with major complications or carotid sinus neurostimulator?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($74,450), Ohio ($72,777), Virginia ($67,320) and lowest in Florida ($48,447), Georgia ($52,887), Texas ($52,974).
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 4.9 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.