Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Massachusetts
What 10 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$279,272
Hospital list price billed
Average payment
$92,925
Medicare + patient + other payers
Medicare paid
$79,488
Average per stay
State rank
#34 of 37
1 = lowest average payment
Hospitals in Massachusetts billed an average of $279,272 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 3.0 times the average total payment of $92,925. That payment is 11% above the U.S. average of $83,705.
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 $92,925Billed $279,272
About 33¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 263 | $337,937 | $95,850 | $80,983 |
| Brigham and Women's HosptialBoston | 158 | $327,057 | $93,788 | $78,856 |
| Lahey Clinic HospitalBurlington | 63 | $109,056 | $76,411 | $66,179 |
| Beth Israel Deaconess Medical CenterBoston | 43 | $183,337 | $101,927 | $96,476 |
| Baystate Medical CenterSpringfield | 35 | $211,832 | $90,955 | $78,258 |
| Tufts Medical CenterBoston | 32 | $253,782 | $107,202 | $86,240 |
| Boston Medical Center-BrightonBrighton | 23 | $159,956 | $89,983 | $76,286 |
| Southcoast Hospital Group, INCFall River | 17 | $268,782 | $67,711 | $66,131 |
| Cape Cod HospitalHyannis | 14 | $143,768 | $79,107 | $77,799 |
| Umass Memorial Medical Center INCWorcester | 14 | $269,650 | $96,470 | $77,064 |
Lowest and highest payments in Massachusetts
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Southcoast Hospital Group, INCFall River, MA | $67,711 |
|---|---|
| Lahey Clinic HospitalBurlington, MA | $76,411 |
| Cape Cod HospitalHyannis, MA | $79,107 |
| Boston Medical Center-BrightonBrighton, MA | $89,983 |
| Baystate Medical CenterSpringfield, MA | $90,955 |
Highest
| Tufts Medical CenterBoston, MA | $107,202 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $101,927 |
| Umass Memorial Medical Center INCWorcester, MA | $96,470 |
| Massachusetts General HospitalBoston, MA | $95,850 |
| Brigham and Women's HosptialBoston, MA | $93,788 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Massachusetts?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 10 hospitals in Massachusetts was billed at $279,272 on average, while the average total payment was $92,925, of which Medicare paid $79,488. 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 Massachusetts, average charges were 3.0 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.