facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Nevada: 1 hospitals compared (DRG 220)

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

What 1 hospital in Nevada 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.

DRG 220 Inpatient 2024 Medicare data
Average charge $209,474 Hospital list price billed
Average payment $52,000 Medicare + patient + other payers
Medicare paid $38,763 Average per stay
Volume 22 Medicare hospital stays

Hospitals in Nevada billed an average of $209,474 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.0 times the average total payment of $52,000. That payment is 6% 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 $52,000Billed $209,474

About 25¢ 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 22 $209,474 $52,000 $38,763
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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 220) at 1 hospital in Nevada was billed at $209,474 on average, while the average total payment was $52,000, of which Medicare paid $38,763. 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 4.0 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.