Carotid artery stent procedures with major complications
What 13 hospitals in the U.S. charged and were paid for a Medicare hospital stay for carotid artery stent procedures with major complications (DRG 034), from 2024 Medicare claims.
Average charge
$177,096
Hospital list price billed
Average payment
$29,863
Medicare + patient + other payers
Medicare paid
$28,300
Average per stay
Volume
202
Medicare hospital stays
Hospitals in the U.S. billed an average of $177,096 for carotid artery stent procedures with major complications, about 5.9 times the average total payment of $29,863.
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 $29,863Billed $177,096
About 17¢ 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:
Carotid artery stent procedures with major 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 |
|---|---|---|---|---|
| Florida | 4 | $185,176 | $28,213 | $26,924 – $29,099 |
| Indiana | 1 | $96,010 | $28,331 | – |
| Kentucky | 1 | $197,668 | $26,806 | – |
| Missouri | 1 | $42,032 | $27,124 | – |
| New Jersey | 1 | $253,791 | $38,260 | – |
| Pennsylvania | 1 | $162,844 | $33,453 | – |
| South Dakota | 1 | $211,754 | $32,850 | – |
| Texas | 3 | $234,282 | $29,937 | $27,841 – $31,704 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| York HospitalYork, PA | 24 | $162,844 | $33,453 |
| Deaconess Hospital INCEvansville, IN | 23 | $96,010 | $28,331 |
| Adventhealth OrlandoOrlando, FL | 17 | $252,516 | $28,654 |
| Adventhealth Daytona BeachDaytona Beach, FL | 17 | $145,205 | $27,901 |
| St Lukes HospitalChesterfield, MO | 16 | $42,032 | $27,124 |
| Baptist Medical CenterJacksonville, FL | 15 | $142,264 | $29,099 |
| Norton Healthcare PavilionLouisville, KY | 15 | $197,668 | $26,806 |
| East Texas Medical CenterTyler, TX | 15 | $202,810 | $29,943 |
| Mem Hermann Southwest HospHouston, TX | 13 | $156,057 | $31,704 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 12 | $200,047 | $26,924 |
| Jersey Shore University Medical CenterNeptune City, NJ | 12 | $253,791 | $38,260 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | 12 | $211,754 | $32,850 |
| Baptist Medical CenterSan Antonio, TX | 11 | $369,647 | $27,841 |
Questions
How much does carotid artery stent procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for carotid artery stent procedures with major complications (DRG 034) at 13 hospitals in the U.S. was billed at $177,096 on average, while the average total payment was $29,863, of which Medicare paid $28,300. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for carotid artery stent procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Texas ($29,937), Florida ($28,213) and lowest in Florida ($28,213), Texas ($29,937).
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 5.9 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.