Carotid artery stent procedures with complications
What 165 hospitals in the U.S. charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.
Average charge
$108,096
Hospital list price billed
Average payment
$19,727
Medicare + patient + other payers
Medicare paid
$17,302
Average per stay
Volume
2,811
Medicare hospital stays
Hospitals in the U.S. billed an average of $108,096 for carotid artery stent procedures with complications, about 5.5 times the average total payment of $19,727.
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 $19,727Billed $108,096
About 18¢ 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 Hospital-EncoreBryant, AR | $14,315 |
|---|---|
| Oklahoma Heart Hospital SouthOklahoma City, OK | $14,795 |
| McLeod Loris HospitalLoris, SC | $15,029 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $15,390 |
| Fawcett Memorial HospitalPort Charlotte, FL | $15,443 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $15,640 |
| Baptist Memorial HospitalMemphis, TN | $15,915 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $15,974 |
| Western Baptist HospitalPaducah, KY | $16,139 |
| Adventhealth Daytona BeachDaytona Beach, FL | $16,281 |
Highest
| NYU Hospitals CenterNew York, NY | $35,866 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $28,647 |
| Eisenhower Memorial HospitalRancho Mirage, CA | $25,140 |
| Cooper University HospitalCamden, NJ | $25,034 |
| Rhode Island HospitalProvidence, RI | $24,583 |
| Rapid City Regional HospitalRapid City, SD | $24,415 |
| York HospitalYork, PA | $23,459 |
| St Charles Medical Center - BendBend, OR | $23,190 |
| Riverside Regional Medical CenterNewport News, VA | $22,488 |
| St Francis Hospital, RoslynRoslyn, NY | $22,398 |
Carotid artery stent procedures with complications 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 | 1 | $184,303 | $15,753 | – |
| Alaska | 1 | $155,886 | $21,326 | – |
| Arizona | 2 | $169,617 | $18,197 | $18,035 – $18,358 |
| Arkansas | 3 | $59,475 | $16,248 | $14,315 – $18,980 |
| California | 9 | $139,628 | $25,222 | $21,833 – $32,861 |
| Colorado | 2 | $101,200 | $17,448 | $17,348 – $17,533 |
| Delaware | 2 | $73,108 | $19,565 | $19,323 – $19,895 |
| Florida | 23 | $147,806 | $17,995 | $15,405 – $29,220 |
| Georgia | 1 | $188,224 | $20,106 | – |
| Illinois | 4 | $105,531 | $23,084 | $17,726 – $30,355 |
| Indiana | 4 | $64,634 | $17,767 | $16,548 – $21,088 |
| Iowa | 3 | $68,931 | $17,268 | $15,639 – $21,609 |
| Kentucky | 4 | $130,577 | $17,149 | $15,573 – $18,465 |
| Louisiana | 1 | $95,131 | $15,216 | – |
| Maine | 1 | $81,245 | $23,825 | – |
| Maryland | 2 | $33,479 | $30,515 | $28,800 – $31,507 |
| Massachusetts | 2 | $52,643 | $21,607 | $19,285 – $23,656 |
| Michigan | 5 | $57,667 | $18,567 | $15,922 – $21,097 |
| Minnesota | 3 | $80,338 | $19,746 | $17,252 – $21,941 |
| Mississippi | 2 | $70,452 | $16,001 | $15,809 – $16,280 |
| Missouri | 3 | $53,889 | $15,719 | $14,313 – $16,840 |
| Montana | 1 | $52,046 | $18,198 | – |
| Nebraska | 1 | $54,734 | $16,379 | – |
| Nevada | 1 | $88,402 | $26,572 | – |
| New Jersey | 4 | $124,171 | $22,444 | $20,313 – $25,034 |
| New York | 8 | $131,108 | $27,636 | $20,988 – $35,866 |
| North Carolina | 3 | $92,802 | $18,907 | $18,740 – $19,238 |
| North Dakota | 1 | $68,228 | $20,729 | – |
| Ohio | 4 | $88,354 | $19,193 | $16,501 – $22,917 |
| Oklahoma | 3 | $82,313 | $16,374 | $14,795 – $17,547 |
| Oregon | 2 | $73,222 | $21,982 | $19,265 – $23,190 |
| Pennsylvania | 7 | $117,834 | $20,958 | $18,463 – $25,061 |
| Rhode Island | 1 | $68,297 | $24,583 | – |
| South Carolina | 3 | $88,224 | $17,740 | $15,029 – $21,105 |
| South Dakota | 4 | $98,155 | $19,604 | $15,943 – $24,415 |
| Tennessee | 7 | $67,903 | $16,060 | $14,661 – $19,805 |
| Texas | 16 | $128,964 | $18,063 | $16,451 – $21,042 |
| Virginia | 10 | $103,346 | $20,044 | $15,928 – $27,496 |
| Washington | 5 | $108,328 | $19,969 | $17,792 – $21,673 |
| West Virginia | 2 | $112,874 | $20,861 | $18,250 – $23,165 |
| Wisconsin | 3 | $92,137 | $21,324 | $18,961 – $24,232 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Western Baptist HospitalPaducah, KY | 56 | $147,677 | $16,139 |
| East Texas Medical CenterTyler, TX | 53 | $121,441 | $17,796 |
| The Medical Center at Bowling GreenBowling Green, KY | 40 | $89,143 | $18,465 |
| Deaconess Hospital INCEvansville, IN | 38 | $49,351 | $17,246 |
| Norton Healthcare PavilionLouisville, KY | 33 | $155,485 | $17,840 |
| Sanford Usd Medical CenterSioux Falls, SD | 33 | $93,661 | $18,266 |
| Hillcrest Medical CenterTulsa, OK | 30 | $113,443 | $17,547 |
| Community HospitalMunster, IN | 29 | $81,471 | $16,548 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | 29 | $61,263 | $15,640 |
| Eisenhower Memorial HospitalRancho Mirage, CA | 28 | $85,144 | $25,140 |
| Adventhealth OrlandoOrlando, FL | 28 | $157,841 | $17,669 |
| Advocate Lutheran General HospitalPark Ridge, IL | 28 | $69,131 | $22,356 |
| St Cloud HospitalSt Cloud, MN | 28 | $83,273 | $21,941 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | 28 | $133,604 | $19,323 |
| St Charles Medical Center - BendBend, OR | 27 | $61,126 | $23,190 |
Questions
How much does carotid artery stent procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 165 hospitals in the U.S. was billed at $108,096 on average, while the average total payment was $19,727, of which Medicare paid $17,302. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for carotid artery stent procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($27,636), California ($25,222), Illinois ($23,084) and lowest in Missouri ($15,719), Tennessee ($16,060), Arkansas ($16,248).
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 5.5 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.