Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
What 12 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 221), from 2024 Medicare claims.
Average charge
$216,204
Hospital list price billed
Average payment
$42,892
Medicare + patient + other payers
Medicare paid
$34,971
Average per stay
Volume
175
Medicare hospital stays
Hospitals in the U.S. billed an average of $216,204 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.0 times the average total payment of $42,892.
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.
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 |
|---|---|---|---|---|
| Arizona | 1 | $345,968 | $50,263 | – |
| Arkansas | 1 | $96,213 | $28,662 | – |
| Florida | 1 | $296,670 | $40,542 | – |
| Iowa | 1 | $163,142 | $32,570 | – |
| Kentucky | 2 | $319,176 | $35,916 | $34,758 – $36,978 |
| Maryland | 1 | $56,695 | $49,927 | – |
| New Hampshire | 1 | $109,365 | $49,645 | – |
| North Carolina | 1 | $179,555 | $46,345 | – |
| North Dakota | 1 | $102,443 | $41,071 | – |
| Pennsylvania | 2 | $277,709 | $47,938 | $36,936 – $54,905 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | 30 | $358,563 | $54,905 |
| UPMC Pinnacle HospitalsHarrisburg, PA | 19 | $150,046 | $36,936 |
| The Johns Hopkins HospitalBaltimore, MD | 16 | $56,695 | $49,927 |
| Arkansas Heart HospitalLittle Rock, AR | 15 | $96,213 | $28,662 |
| Sarasota Memorial HospitalSarasota, FL | 13 | $296,670 | $40,542 |
| Mercy Medical Center-Des MoinesDes Moines, IA | 13 | $163,142 | $32,570 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | 12 | $345,968 | $50,263 |
| Western Baptist HospitalPaducah, KY | 12 | $355,703 | $36,978 |
| Sanford Medical Center FargoFargo, ND | 12 | $102,443 | $41,071 |
| Baptist Hospital EastLouisville, KY | 11 | $279,329 | $34,758 |
| Mary Hitchcock Mem HospitalLebanon, NH | 11 | $109,365 | $49,645 |
| ECU Health Medical CenterGreenville, NC | 11 | $179,555 | $46,345 |
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 221) at 12 hospitals in the U.S. was billed at $216,204 on average, while the average total payment was $42,892, of which Medicare paid $34,971. 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 the U.S., average charges were 5.0 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.