Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
What 291 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$270,500
Hospital list price billed
Average payment
$55,508
Medicare + patient + other payers
Medicare paid
$43,816
Average per stay
Volume
8,116
Medicare hospital stays
Hospitals in the U.S. billed an average of $270,500 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.9 times the average total payment of $55,508.
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 $55,508Billed $270,500
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Arkansas Heart HospitalLittle Rock, AR | $33,001 |
|---|---|
| Boone Hospital CenterColumbia, MO | $33,324 |
| Trinity Mother Frances SystTyler, TX | $36,242 |
| North Mississippi Medical CenterTupelo, MS | $36,290 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $36,708 |
| Avera Heart Hospital of South Dakota LLCSioux Falls, SD | $37,098 |
| Lexington Medical CenterWest Columbia, SC | $37,118 |
| Roper HospitalCharleston, SC | $37,365 |
| Adventhealth Daytona BeachDaytona Beach, FL | $37,401 |
| St Vincent Heart Center of Indiana LLCIndianapolis, IN | $37,478 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $157,255 |
|---|---|
| Union Memorial HospitalBaltimore, MD | $107,544 |
| Stanford HospitalPalo Alto, CA | $103,649 |
| USC University HospitalLos Angeles, CA | $83,798 |
| John Muir Medical Center - Concord CampusConcord, CA | $83,005 |
| University of Virginia Medical CenterCharlottesville, VA | $81,861 |
| Swedish Medical Center/Cherry HillSeattle, WA | $81,579 |
| New York-Presbyterian HospitalNew York, NY | $79,003 |
| University HospitalStony Brook, NY | $78,196 |
| Mount Sinai HospitalNew York, NY | $78,177 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization 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 | 4 | $290,457 | $50,219 | $38,558 – $55,392 |
| Alaska | 1 | $324,622 | $51,734 | – |
| Arizona | 9 | $315,278 | $50,269 | $37,626 – $69,250 |
| Arkansas | 4 | $186,774 | $38,921 | $33,001 – $51,287 |
| California | 23 | $541,291 | $80,791 | $50,685 – $229,463 |
| Colorado | 3 | $356,716 | $49,942 | $43,374 – $51,975 |
| Connecticut | 3 | $162,466 | $67,763 | $55,491 – $70,334 |
| Delaware | 1 | $175,934 | $49,501 | – |
| Florida | 18 | $317,299 | $44,435 | $37,401 – $64,254 |
| Georgia | 7 | $303,428 | $51,809 | $42,393 – $68,194 |
| Hawaii | 1 | $211,266 | $56,725 | – |
| Idaho | 2 | $191,591 | $46,686 | $45,493 – $49,593 |
| Illinois | 10 | $285,767 | $57,456 | $41,965 – $73,590 |
| Indiana | 6 | $255,561 | $46,335 | $37,478 – $63,960 |
| Iowa | 2 | $157,148 | $36,196 | $35,094 – $36,708 |
| Kansas | 2 | $516,446 | $39,132 | $33,159 – $41,760 |
| Kentucky | 6 | $297,095 | $47,356 | $41,797 – $62,057 |
| Louisiana | 8 | $246,830 | $42,499 | $33,174 – $59,588 |
| Maine | 2 | $200,465 | $68,670 | $58,037 – $72,405 |
| Maryland | 7 | $105,848 | $96,342 | $60,365 – $157,255 |
| Massachusetts | 7 | $168,995 | $62,437 | $43,670 – $69,309 |
| Michigan | 6 | $199,991 | $56,122 | $47,201 – $60,198 |
| Minnesota | 8 | $181,755 | $58,045 | $39,757 – $73,674 |
| Mississippi | 4 | $154,711 | $37,016 | $32,406 – $44,353 |
| Missouri | 8 | $197,141 | $47,653 | $33,324 – $62,551 |
| Montana | 3 | $132,189 | $41,375 | $38,823 – $42,699 |
| Nebraska | 3 | $178,548 | $45,649 | $35,725 – $53,729 |
| Nevada | 1 | $209,474 | $52,000 | – |
| New Hampshire | 2 | $180,805 | $52,587 | $41,558 – $63,191 |
| New Jersey | 9 | $289,402 | $55,974 | $41,557 – $66,367 |
| New York | 12 | $275,520 | $67,171 | $44,785 – $79,003 |
| North Carolina | 13 | $243,586 | $51,475 | $38,930 – $66,027 |
| North Dakota | 2 | $138,350 | $43,657 | $43,083 – $44,614 |
| Ohio | 9 | $222,351 | $53,844 | $38,290 – $63,142 |
| Oklahoma | 2 | $248,049 | $42,212 | $38,667 – $49,745 |
| Oregon | 6 | $195,226 | $56,459 | $44,447 – $64,364 |
| Pennsylvania | 14 | $310,809 | $54,245 | $37,518 – $62,968 |
| Rhode Island | 1 | $140,543 | $69,059 | – |
| South Carolina | 6 | $319,515 | $44,643 | $37,118 – $59,508 |
| South Dakota | 2 | $199,279 | $40,249 | $37,098 – $43,700 |
| Tennessee | 8 | $270,853 | $46,480 | $38,150 – $53,944 |
| Texas | 13 | $301,796 | $45,846 | $36,242 – $70,144 |
| Utah | 5 | $231,138 | $49,991 | $39,178 – $61,632 |
| Vermont | 1 | $165,934 | $47,630 | – |
| Virginia | 8 | $235,219 | $55,439 | $42,919 – $81,861 |
| Washington | 10 | $318,907 | $61,129 | $41,590 – $81,579 |
| West Virginia | 2 | $244,666 | $49,651 | $46,961 – $50,913 |
| Wisconsin | 6 | $182,604 | $46,473 | $36,271 – $66,295 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 245 | $196,750 | $56,000 |
| The Heart Hospital Baylor PlanoPlano, TX | 165 | $172,441 | $43,395 |
| Univ of Michigan HospitalsAnn Arbor, MI | 148 | $213,002 | $60,198 |
| Hospital of the Univ of PaPhiladelphia, PA | 128 | $437,408 | $62,480 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 113 | $179,912 | $73,674 |
| The Johns Hopkins HospitalBaltimore, MD | 101 | $77,818 | $70,618 |
| University of Alabama HospitalBirmingham, AL | 99 | $243,581 | $55,392 |
| Stanford HospitalPalo Alto, CA | 99 | $897,454 | $103,649 |
| Inova Fairfax HospitalFalls Church, VA | 83 | $205,565 | $60,938 |
| University of Maryland Medical CenterBaltimore, MD | 77 | $170,387 | $157,255 |
| Barnes Jewish HospitalSt Louis, MO | 68 | $246,845 | $62,551 |
| Sarasota Memorial HospitalSarasota, FL | 67 | $325,045 | $38,877 |
| Vanderbilt University HospitalNashville, TN | 65 | $263,367 | $53,944 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 62 | $687,298 | $63,764 |
| Duke University Medical CenterDurham, NC | 62 | $246,148 | $66,027 |
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 291 hospitals in the U.S. was billed at $270,500 on average, while the average total payment was $55,508, of which Medicare paid $43,816. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac valve and other major cardiothoracic procedures without cardiac catheterization?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($96,342), California ($80,791), Connecticut ($67,763) and lowest in Mississippi ($37,016), Arkansas ($38,921), Montana ($41,375).
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 4.9 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.