Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
What 124 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216), from 2024 Medicare claims.
Average charge
$501,084
Hospital list price billed
Average payment
$107,634
Medicare + patient + other payers
Medicare paid
$90,313
Average per stay
Volume
2,577
Medicare hospital stays
Hospitals in the U.S. billed an average of $501,084 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 4.7 times the average total payment of $107,634.
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 $107,634Billed $501,084
About 21¢ 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
| Parkwest Medical CenterKnoxville, TN | $57,488 |
|---|---|
| St Vincent Heart Center of Indiana LLCIndianapolis, IN | $71,970 |
| Norton Healthcare PavilionLouisville, KY | $74,799 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $78,397 |
| Arrowhead HospitalGlendale, AZ | $79,855 |
| St Thomas HospitalNashville, TN | $80,966 |
| Sentara Norfolk General HospitalNorfolk, VA | $81,516 |
| The Heart Hospital Baylor PlanoPlano, TX | $85,434 |
| Wyoming Medical CenterCasper, WY | $89,122 |
| St Francis Hospital, RoslynRoslyn, NY | $91,487 |
Highest
| Stanford HospitalPalo Alto, CA | $241,297 |
|---|---|
| USC University HospitalLos Angeles, CA | $195,877 |
| New York-Presbyterian HospitalNew York, NY | $143,803 |
| Hospital of the Univ of PaPhiladelphia, PA | $141,317 |
| Mount Sinai HospitalNew York, NY | $138,418 |
| Inova Fairfax HospitalFalls Church, VA | $134,002 |
| Massachusetts General HospitalBoston, MA | $131,681 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $127,215 |
| NYU Hospitals CenterNew York, NY | $126,546 |
| Medstar Washington Hospital CenterWashington, DC | $117,707 |
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit 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 | 2 | $396,713 | $85,746 | $70,427 – $92,767 |
| Arizona | 5 | $547,929 | $92,752 | $67,537 – $128,279 |
| Arkansas | 3 | $317,271 | $65,565 | $56,530 – $73,905 |
| California | 9 | $905,821 | $167,844 | $96,020 – $241,297 |
| Connecticut | 2 | $336,254 | $114,098 | $106,165 – $123,252 |
| Florida | 7 | $609,706 | $85,600 | $60,321 – $115,477 |
| Georgia | 3 | $524,739 | $87,443 | $72,901 – $103,513 |
| Illinois | 4 | $438,597 | $110,602 | $94,271 – $118,719 |
| Indiana | 1 | $401,856 | $71,970 | – |
| Iowa | 1 | $327,895 | $69,398 | – |
| Kansas | 2 | $672,477 | $80,690 | $72,351 – $88,334 |
| Kentucky | 2 | $419,281 | $75,329 | $74,799 – $76,487 |
| Maine | 2 | $324,232 | $93,535 | $87,258 – $98,138 |
| Maryland | 4 | $175,595 | $151,868 | $132,311 – $187,979 |
| Massachusetts | 4 | $319,932 | $116,022 | $107,846 – $131,681 |
| Michigan | 4 | $387,076 | $114,621 | $97,664 – $145,621 |
| Minnesota | 3 | $337,751 | $111,449 | $81,868 – $127,215 |
| Missouri | 3 | $394,945 | $105,955 | $90,177 – $128,079 |
| Nebraska | 1 | $354,778 | $91,870 | – |
| Nevada | 2 | $1,273,700 | $96,356 | $87,995 – $102,488 |
| New Hampshire | 1 | $270,122 | $127,155 | – |
| New Jersey | 5 | $521,267 | $110,717 | $89,444 – $127,134 |
| New Mexico | 3 | $414,198 | $76,707 | $67,385 – $86,934 |
| New York | 8 | $530,307 | $127,183 | $80,076 – $143,803 |
| North Carolina | 4 | $379,006 | $89,055 | $78,397 – $103,005 |
| Ohio | 4 | $366,349 | $99,920 | $77,882 – $101,634 |
| Oklahoma | 1 | $310,491 | $63,737 | – |
| Oregon | 2 | $332,885 | $104,564 | $101,856 – $109,241 |
| Pennsylvania | 5 | $824,515 | $113,213 | $92,839 – $141,317 |
| South Carolina | 2 | $452,625 | $92,927 | $86,875 – $100,491 |
| Tennessee | 4 | $510,922 | $83,273 | $57,488 – $105,087 |
| Texas | 10 | $665,739 | $91,193 | $58,931 – $134,014 |
| Vermont | 1 | $355,748 | $79,632 | – |
| Virginia | 3 | $479,901 | $98,282 | $81,516 – $134,002 |
| Washington | 2 | $477,406 | $91,189 | $81,894 – $95,634 |
| West Virginia | 1 | $333,625 | $88,552 | – |
| Wisconsin | 2 | $403,730 | $116,476 | $115,852 – $118,175 |
| Wyoming | 1 | $398,142 | $89,122 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 180 | $372,233 | $101,634 |
| New York-Presbyterian HospitalNew York, NY | 154 | $600,446 | $143,803 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 60 | $292,436 | $127,215 |
| Mount Sinai HospitalNew York, NY | 58 | $458,104 | $138,418 |
| Morristown Memorial HospitalMorristown, NJ | 53 | $554,573 | $116,196 |
| Medstar Washington Hospital CenterWashington, DC | 50 | $385,275 | $117,707 |
| Beth Israel Deaconess Medical CenterBoston, MA | 46 | $142,973 | $107,846 |
| Sentara Norfolk General HospitalNorfolk, VA | 43 | $366,091 | $81,516 |
| USC University HospitalLos Angeles, CA | 42 | $827,375 | $195,877 |
| St Francis Hospital, RoslynRoslyn, NY | 40 | $475,238 | $91,487 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 33 | $413,810 | $92,644 |
| Lenox Hill HospitalNew York, NY | 31 | $494,875 | $107,074 |
| Aurora St Lukes Medical CenterMilwaukee, WI | 30 | $386,693 | $115,852 |
| The Heart Hospital Baylor PlanoPlano, TX | 30 | $318,194 | $85,434 |
| Adventhealth OrlandoOrlando, FL | 29 | $612,827 | $95,714 |
Questions
How much does cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216) at 124 hospitals in the U.S. was billed at $501,084 on average, while the average total payment was $107,634, of which Medicare paid $90,313. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit?
Among states with at least three hospitals reporting, the average total payment was highest in California ($167,844), Maryland ($151,868), New York ($127,183) and lowest in Arkansas ($65,565), New Mexico ($76,707), Tennessee ($83,273).
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 4.7 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.