Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Kansas
What 2 hospitals in Kansas 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
$516,446
Hospital list price billed
Average payment
$39,132
Medicare + patient + other payers
Medicare paid
$34,631
Average per stay
Volume
36
Medicare hospital stays
Hospitals in Kansas billed an average of $516,446 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 13.2 times the average total payment of $39,132. That payment is 30% below the U.S. average 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 $39,132Billed $516,446
About 8¢ was paid for every $1 hospitals in Kansas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Kansas:
Kansas hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every Kansas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Wesley Medical CenterWichita | 25 | $708,575 | $41,760 | $35,931 |
| Kansas Heart HospitalWichita | 11 | $79,788 | $33,159 | $31,676 |
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 Kansas?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 2 hospitals in Kansas was billed at $516,446 on average, while the average total payment was $39,132, of which Medicare paid $34,631. 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 Kansas, average charges were 13.2 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.