facebook tracking Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in Kansas: 2 hospitals compared (DRG 216)

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in Kansas

What 2 hospitals in Kansas 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.

DRG 216 Inpatient 2024 Medicare data
Average charge $672,477 Hospital list price billed
Average payment $80,690 Medicare + patient + other payers
Medicare paid $77,502 Average per stay
Volume 23 Medicare hospital stays

Hospitals in Kansas billed an average of $672,477 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 8.3 times the average total payment of $80,690. That payment is 25% below the U.S. average 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 $80,690Billed $672,477

About 12¢ was paid for every $1 hospitals in Kansas billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Kansas:

Kansas hospitals: cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit

Every Kansas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Via Christi Hospitals Wichita INCWichita 12 $372,809 $88,334 $85,171
Wesley Medical CenterWichita 11 $999,387 $72,351 $69,135
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Questions

How much does cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in Kansas?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216) at 2 hospitals in Kansas was billed at $672,477 on average, while the average total payment was $80,690, of which Medicare paid $77,502. Your own cost depends on your insurance, deductible and the hospital.

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 Kansas, average charges were 8.3 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.