Circulatory disorders except AMI, with cardiac catheterization with major complications
What 1,085 hospitals in the U.S. charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.
Average charge
$113,650
Hospital list price billed
Average payment
$21,968
Medicare + patient + other payers
Medicare paid
$17,633
Average per stay
Volume
34,223
Medicare hospital stays
Hospitals in the U.S. billed an average of $113,650 for circulatory disorders except ami, with cardiac catheterization with major complications, about 5.2 times the average total payment of $21,968.
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 $21,968Billed $113,650
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 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 HospitalLittle Rock, AR | $13,484 |
|---|---|
| St Joseph's Hospital - SavannahSavannah, GA | $13,773 |
| Oklahoma Heart Hospital SouthOklahoma City, OK | $13,836 |
| St Bernards Medical CenterJonesboro, AR | $13,894 |
| Roper HospitalCharleston, SC | $13,968 |
| St Dominic-Jackson Memorial HospitalJackson, MS | $14,039 |
| Boone Hospital CenterColumbia, MO | $14,107 |
| Sentara Careplex HospitalHampton, VA | $14,124 |
| University Hospitals - Elyria Medical CenterElyria, OH | $14,137 |
| Presbyterian Hospital-MatthewsMatthews, NC | $14,200 |
Highest
| Stanford HospitalPalo Alto, CA | $131,553 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $108,866 |
| USC University HospitalLos Angeles, CA | $61,458 |
| The Johns Hopkins HospitalBaltimore, MD | $60,346 |
| Parkland Health and Hospital SystemDallas, TX | $56,991 |
| University of Maryland Medical CenterBaltimore, MD | $46,610 |
| UCSF Medical CenterSan Francisco, CA | $46,143 |
| The University of Chicago Medical CenterChicago, IL | $42,898 |
| University of Illinois Hospital and ClinicsChicago, IL | $42,688 |
| Sinai Hospital of BaltimoreBaltimore, MD | $42,439 |
Circulatory disorders except AMI, with cardiac catheterization 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 |
|---|---|---|---|---|
| Alabama | 21 | $90,006 | $18,349 | $13,164 – $27,917 |
| Alaska | 1 | $163,406 | $22,465 | – |
| Arizona | 27 | $115,594 | $20,803 | $14,982 – $34,460 |
| Arkansas | 17 | $62,491 | $16,080 | $13,484 – $27,550 |
| California | 84 | $216,375 | $32,590 | $17,836 – $131,553 |
| Colorado | 14 | $165,601 | $20,260 | $15,874 – $28,792 |
| Connecticut | 8 | $108,477 | $26,654 | $19,990 – $31,854 |
| Delaware | 4 | $83,208 | $23,136 | $17,498 – $24,931 |
| Florida | 89 | $130,912 | $18,592 | $14,181 – $29,022 |
| Georgia | 37 | $99,962 | $20,573 | $13,580 – $35,962 |
| Hawaii | 4 | $72,884 | $25,059 | $22,828 – $27,730 |
| Idaho | 5 | $100,616 | $19,932 | $16,467 – $33,391 |
| Illinois | 52 | $100,221 | $22,194 | $14,831 – $70,095 |
| Indiana | 28 | $88,441 | $17,903 | $14,594 – $27,090 |
| Iowa | 13 | $74,282 | $17,256 | $14,636 – $22,968 |
| Kansas | 13 | $103,268 | $16,944 | $13,250 – $20,748 |
| Kentucky | 15 | $81,987 | $17,150 | $13,826 – $26,013 |
| Louisiana | 16 | $89,286 | $16,242 | $13,299 – $22,547 |
| Maine | 4 | $78,468 | $20,707 | $14,789 – $23,102 |
| Maryland | 23 | $32,004 | $28,638 | $16,354 – $60,346 |
| Massachusetts | 19 | $93,697 | $28,578 | $16,560 – $39,075 |
| Michigan | 33 | $64,660 | $20,822 | $14,750 – $31,811 |
| Minnesota | 18 | $80,609 | $21,269 | $15,389 – $32,811 |
| Mississippi | 10 | $83,363 | $17,075 | $13,745 – $24,679 |
| Missouri | 28 | $96,262 | $19,629 | $14,107 – $33,731 |
| Montana | 4 | $53,980 | $17,273 | $15,701 – $19,816 |
| Nebraska | 8 | $81,138 | $19,944 | $13,601 – $25,580 |
| Nevada | 10 | $221,457 | $21,229 | $17,370 – $23,484 |
| New Hampshire | 8 | $83,595 | $20,615 | $16,173 – $29,420 |
| New Jersey | 36 | $165,215 | $22,172 | $16,256 – $31,250 |
| New Mexico | 5 | $88,933 | $19,151 | $15,605 – $30,619 |
| New York | 51 | $162,266 | $28,546 | $17,897 – $41,514 |
| North Carolina | 32 | $76,970 | $20,863 | $13,599 – $34,104 |
| North Dakota | 5 | $57,046 | $17,247 | $15,954 – $18,561 |
| Ohio | 49 | $88,596 | $19,947 | $11,824 – $30,651 |
| Oklahoma | 13 | $98,012 | $17,742 | $13,836 – $30,266 |
| Oregon | 10 | $78,045 | $24,185 | $17,963 – $30,958 |
| Pennsylvania | 62 | $137,159 | $21,683 | $14,252 – $40,427 |
| Rhode Island | 3 | $78,073 | $22,855 | $20,080 – $26,741 |
| South Carolina | 17 | $89,249 | $19,073 | $13,968 – $30,026 |
| South Dakota | 3 | $77,268 | $18,539 | $14,412 – $20,780 |
| Tennessee | 24 | $97,902 | $18,618 | $12,585 – $31,599 |
| Texas | 75 | $137,491 | $20,406 | $12,894 – $56,991 |
| Utah | 6 | $89,066 | $21,477 | $16,522 – $29,225 |
| Vermont | 1 | $67,574 | $18,602 | – |
| Virginia | 31 | $93,810 | $21,708 | $14,124 – $42,438 |
| Washington | 21 | $109,858 | $22,441 | $17,429 – $31,532 |
| West Virginia | 8 | $67,762 | $17,678 | $13,778 – $21,046 |
| Wisconsin | 15 | $89,864 | $20,599 | $15,302 – $28,728 |
| Wyoming | 2 | $76,748 | $23,921 | $23,874 – $23,964 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 218 | $294,007 | $41,514 |
| Massachusetts General HospitalBoston, MA | 200 | $152,627 | $32,104 |
| Cleveland Clinic - Main CampusCleveland, OH | 175 | $131,574 | $30,651 |
| Christiana Care Health Services, INC.Newark, DE | 170 | $92,621 | $24,931 |
| St Francis Hospital, RoslynRoslyn, NY | 170 | $116,843 | $20,251 |
| Adventhealth OrlandoOrlando, FL | 166 | $169,306 | $22,095 |
| St Davids HospitalAustin, TX | 160 | $154,825 | $16,882 |
| Methodist HospitalSan Antonio, TX | 155 | $202,411 | $17,659 |
| Methodist Hospital,TheHouston, TX | 149 | $186,157 | $25,111 |
| Aurora St Lukes Medical CenterMilwaukee, WI | 145 | $112,729 | $21,585 |
| Hospital of the Univ of PaPhiladelphia, PA | 142 | $363,380 | $40,427 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | 140 | $109,846 | $25,186 |
| Northwestern Memorial HospitalChicago, IL | 139 | $132,480 | $27,402 |
| Munson Medical CenterTraverse City, MI | 136 | $60,709 | $19,218 |
| NYU Hospitals CenterNew York, NY | 135 | $264,411 | $38,615 |
Questions
How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 1,085 hospitals in the U.S. was billed at $113,650 on average, while the average total payment was $21,968, of which Medicare paid $17,633. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for circulatory disorders except ami, with cardiac catheterization with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($32,590), Maryland ($28,638), Massachusetts ($28,578) and lowest in Arkansas ($16,080), Louisiana ($16,242), Kansas ($16,944).
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 5.2 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.