facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Oklahoma: 4 hospitals compared (DRG 219)

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

What 4 hospitals in Oklahoma 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 $325,929 Hospital list price billed
Average payment $59,290 Medicare + patient + other payers
Medicare paid $49,703 Average per stay
State rank #2 of 37 1 = lowest average payment

Hospitals in Oklahoma billed an average of $325,929 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.5 times the average total payment of $59,290. That payment is 29% 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 $59,290Billed $325,929

About 18¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

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

DRG 219 $59,290 DRG 219 · this page DRG 220 $55,508 DRG 220 · U.S. average DRG 221 $42,892 DRG 221 · U.S. average

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Saint Francis Hospital, INCTulsa 33 $221,553 $56,499 $42,944
Oklahoma Heart HospitalOklahoma City 33 $227,508 $49,528 $47,946
Hillcrest Medical CenterTulsa 24 $618,804 $76,091 $59,913
St John Medical Center, INCTulsa 14 $301,884 $60,078 $52,276
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization: all states All Oklahoma hospitals Oklahoma hospital finances
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Lowest and highest payments in Oklahoma

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

Oklahoma Heart HospitalOklahoma City, OK$49,528
Saint Francis Hospital, INCTulsa, OK$56,499
St John Medical Center, INCTulsa, OK$60,078
Hillcrest Medical CenterTulsa, OK$76,091

Highest

Hillcrest Medical CenterTulsa, OK$76,091
St John Medical Center, INCTulsa, OK$60,078
Saint Francis Hospital, INCTulsa, OK$56,499
Oklahoma Heart HospitalOklahoma City, OK$49,528

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

Arkansas · $58,815 Indiana · $60,785 Iowa · $64,460 Kansas · $65,336 Louisiana · $62,171 Mississippi · $61,300 Montana · $63,563 South Dakota · $54,288

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Oklahoma?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 4 hospitals in Oklahoma was billed at $325,929 on average, while the average total payment was $59,290, of which Medicare paid $49,703. 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 Oklahoma, average charges were 5.5 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.