Cardiac defibrillator implant without major complications
What 49 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac defibrillator implant without major complications (DRG 277), from 2024 Medicare claims.
Average charge
$250,200
Hospital list price billed
Average payment
$48,982
Medicare + patient + other payers
Medicare paid
$39,914
Average per stay
Volume
826
Medicare hospital stays
Hospitals in the U.S. billed an average of $250,200 for cardiac defibrillator implant without major complications, about 5.1 times the average total payment of $48,982.
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 $48,982Billed $250,200
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
| Sarasota Memorial HospitalSarasota, FL | $34,595 |
|---|---|
| St Johns HospitalSpringfield, IL | $37,775 |
| Morristown Memorial HospitalMorristown, NJ | $45,378 |
| St Francis Hospital, RoslynRoslyn, NY | $47,369 |
| New York-Presbyterian HospitalNew York, NY | $55,564 |
| North Shore University HospitalManhasset, NY | $60,883 |
| NYU Hospitals CenterNew York, NY | $63,336 |
| Hospital of the Univ of PaPhiladelphia, PA | $64,744 |
| Univ of Michigan HospitalsAnn Arbor, MI | $64,942 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $64,942 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $64,744 |
| NYU Hospitals CenterNew York, NY | $63,336 |
| North Shore University HospitalManhasset, NY | $60,883 |
| New York-Presbyterian HospitalNew York, NY | $55,564 |
| St Francis Hospital, RoslynRoslyn, NY | $47,369 |
| Morristown Memorial HospitalMorristown, NJ | $45,378 |
| St Johns HospitalSpringfield, IL | $37,775 |
| Sarasota Memorial HospitalSarasota, FL | $34,595 |
Cardiac defibrillator implant 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 |
|---|---|---|---|---|
| Alaska | 1 | $201,260 | $59,583 | – |
| Arizona | 1 | $215,059 | $41,154 | – |
| California | 1 | $252,464 | $41,938 | – |
| Connecticut | 1 | $152,306 | $54,592 | – |
| Delaware | 1 | $199,154 | $53,996 | – |
| Florida | 4 | $290,670 | $42,543 | $34,595 – $50,628 |
| Georgia | 2 | $203,232 | $37,843 | $36,260 – $40,578 |
| Illinois | 1 | $207,465 | $37,775 | – |
| Indiana | 1 | $117,657 | $51,410 | – |
| Kansas | 1 | $132,449 | $30,984 | – |
| Maine | 1 | $159,973 | $58,679 | – |
| Massachusetts | 3 | $143,598 | $57,259 | $54,512 – $58,365 |
| Michigan | 1 | $247,333 | $64,942 | – |
| Minnesota | 2 | $171,338 | $54,983 | $44,888 – $60,827 |
| Nebraska | 1 | $252,458 | $47,214 | – |
| New Jersey | 3 | $284,069 | $45,137 | $40,815 – $48,425 |
| New Mexico | 1 | $286,843 | $32,460 | – |
| New York | 7 | $290,382 | $55,351 | $47,369 – $66,934 |
| North Carolina | 4 | $206,448 | $41,052 | $33,635 – $53,492 |
| Ohio | 2 | $183,831 | $51,757 | $41,573 – $61,941 |
| Pennsylvania | 2 | $453,037 | $57,985 | $46,454 – $64,744 |
| South Carolina | 1 | $200,739 | $40,915 | – |
| Tennessee | 2 | $181,960 | $45,434 | $40,582 – $51,167 |
| Texas | 3 | $392,160 | $37,919 | $35,761 – $41,014 |
| Virginia | 1 | $149,627 | $44,546 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| St Francis Hospital, RoslynRoslyn, NY | 61 | $274,619 | $47,369 |
| Hospital of the Univ of PaPhiladelphia, PA | 29 | $511,647 | $64,744 |
| St Johns HospitalSpringfield, IL | 22 | $207,465 | $37,775 |
| Sarasota Memorial HospitalSarasota, FL | 21 | $265,945 | $34,595 |
| NYU Hospitals CenterNew York, NY | 21 | $527,716 | $63,336 |
| Univ of Michigan HospitalsAnn Arbor, MI | 20 | $247,333 | $64,942 |
| Morristown Memorial HospitalMorristown, NJ | 20 | $233,098 | $45,378 |
| New York-Presbyterian HospitalNew York, NY | 20 | $205,953 | $55,564 |
| North Shore University HospitalManhasset, NY | 20 | $282,951 | $60,883 |
| Christiana Care Health Services, INC.Newark, DE | 19 | $199,154 | $53,996 |
| Atrium Health Navicent the Medical CenterMacon, GA | 19 | $174,086 | $36,260 |
| Beth Israel Deaconess Medical CenterBoston, MA | 19 | $84,000 | $58,005 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 19 | $155,470 | $60,827 |
| Ohio State University HospitalsColumbus, OH | 19 | $186,096 | $41,573 |
| Cleveland Clinic - Main CampusCleveland, OH | 19 | $181,566 | $61,941 |
Questions
How much does cardiac defibrillator implant without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac defibrillator implant without major complications (DRG 277) at 49 hospitals in the U.S. was billed at $250,200 on average, while the average total payment was $48,982, of which Medicare paid $39,914. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac defibrillator implant without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Massachusetts ($57,259), New York ($55,351), New Jersey ($45,137) and lowest in Texas ($37,919), North Carolina ($41,052), Florida ($42,543).
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 5.1 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.