Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
What 15 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 217), from 2024 Medicare claims.
Average charge
$266,359
Hospital list price billed
Average payment
$69,001
Medicare + patient + other payers
Medicare paid
$53,829
Average per stay
Volume
344
Medicare hospital stays
Hospitals in the U.S. billed an average of $266,359 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 3.9 times the average total payment of $69,001.
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 $69,001Billed $266,359
About 26¢ 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
| Cleveland Clinic - Main CampusCleveland, OH | $60,676 |
|---|---|
| Medstar Washington Hospital CenterWashington, DC | $69,236 |
| Morristown Memorial HospitalMorristown, NJ | $73,690 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $85,454 |
| Mount Sinai HospitalNew York, NY | $93,462 |
Highest
| Mount Sinai HospitalNew York, NY | $93,462 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $85,454 |
| Morristown Memorial HospitalMorristown, NJ | $73,690 |
| Medstar Washington Hospital CenterWashington, DC | $69,236 |
| Cleveland Clinic - Main CampusCleveland, OH | $60,676 |
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 | 1 | $274,163 | $54,699 | – |
| Florida | 1 | $493,239 | $85,772 | – |
| Maryland | 1 | $103,591 | $92,476 | – |
| Massachusetts | 1 | $116,437 | $80,690 | – |
| Minnesota | 1 | $198,779 | $85,454 | – |
| New Jersey | 2 | $352,300 | $77,266 | $73,690 – $90,595 |
| New Mexico | 2 | $441,277 | $44,233 | $43,266 – $45,051 |
| New York | 1 | $265,122 | $93,462 | – |
| North Carolina | 2 | $258,444 | $62,867 | $54,611 – $69,058 |
| Ohio | 1 | $232,408 | $60,676 | – |
| Texas | 1 | $245,052 | $46,460 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 97 | $232,408 | $60,676 |
| Morristown Memorial HospitalMorristown, NJ | 41 | $370,932 | $73,690 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 32 | $198,779 | $85,454 |
| Medstar Washington Hospital CenterWashington, DC | 23 | $223,937 | $69,236 |
| Mount Sinai HospitalNew York, NY | 21 | $265,122 | $93,462 |
| The Heart Hospital Baylor PlanoPlano, TX | 17 | $245,052 | $46,460 |
| Duke University Medical CenterDurham, NC | 16 | $212,964 | $69,058 |
| Beth Israel Deaconess Medical CenterBoston, MA | 14 | $116,437 | $80,690 |
| Union Memorial HospitalBaltimore, MD | 13 | $103,591 | $92,476 |
| Memorial Medical Center INCLas Cruces, NM | 13 | $513,715 | $45,051 |
| University of Alabama HospitalBirmingham, AL | 12 | $274,163 | $54,699 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 12 | $319,083 | $54,611 |
| Adventhealth OrlandoOrlando, FL | 11 | $493,239 | $85,772 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | 11 | $282,856 | $90,595 |
| Lovelace Medical CenterAlbuquerque, NM | 11 | $355,669 | $43,266 |
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 217) at 15 hospitals in the U.S. was billed at $266,359 on average, while the average total payment was $69,001, of which Medicare paid $53,829. 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 the U.S., average charges were 3.9 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.