facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Nevada: 5 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Nevada

What 5 hospitals in Nevada 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.

DRG 219 Inpatient 2024 Medicare data
Average charge $657,234 Hospital list price billed
Average payment $72,105 Medicare + patient + other payers
Medicare paid $66,224 Average per stay
State rank #14 of 37 1 = lowest average payment

Hospitals in Nevada billed an average of $657,234 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 9.1 times the average total payment of $72,105. That payment is 14% below 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 $72,105Billed $657,234

About 11¢ was paid for every $1 hospitals in Nevada billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Nevada:

Nevada hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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

Hospital Stays Avg charge Avg payment Medicare paid
Renown Regional Medical CenterReno 18 $332,776 $68,466 $66,574
Mountainview HospitalLas Vegas 16 $1,001,592 $86,392 $65,308
Carson Tahoe HospitalCarson City 14 $178,797 $71,699 $70,533
Sunrise Hospital and Medical CenterLas Vegas 11 $1,405,388 $65,325 $64,333
Saint Rose Dominican Hospital - San Martin CampusLas Vegas 11 $548,049 $64,577 $63,390
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Lowest and highest payments in Nevada

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

Highest

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 Nevada?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 5 hospitals in Nevada was billed at $657,234 on average, while the average total payment was $72,105, of which Medicare paid $66,224. 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 Nevada, average charges were 9.1 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.