facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost: hospital prices by state (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications

What 1,031 hospitals in the U.S. charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $63,759 Hospital list price billed
Average payment $10,394 Medicare + patient + other payers
Medicare paid $7,566 Average per stay
Volume 28,522 Medicare hospital stays

Hospitals in the U.S. billed an average of $63,759 for circulatory disorders except ami, with cardiac catheterization without major complications, about 6.1 times the average total payment of $10,394.

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 $10,394Billed $63,759

About 16¢ 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:

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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$6,706
Oklahoma Heart Hospital SouthOklahoma City, OK$6,844
Kansas Heart HospitalWichita, KS$6,865
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$6,903
Boone Hospital CenterColumbia, MO$6,928
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$6,930
Baxter Regional Medical CenterMountain Home, AR$6,959
Baptist Hospital EastLouisville, KY$7,063
Weirton Medical CenterWeirton, WV$7,070
Parkwest Medical CenterKnoxville, TN$7,113

Highest

University of Maryland Medical CenterBaltimore, MD$26,521
UCSF Medical CenterSan Francisco, CA$22,991
The Johns Hopkins HospitalBaltimore, MD$22,612
UCLA Medical CenterLos Angeles, CA$22,355
Montefiore Medical CenterBronx, NY$22,268
Stanford HospitalPalo Alto, CA$21,404
Hospital of the Univ of PaPhiladelphia, PA$19,809
University of California San Diego Medical CenterSan Diego, CA$19,316
University of Alabama HospitalBirmingham, AL$19,114
Henry Ford HospitalDetroit, MI$18,104

Circulatory disorders except AMI, with cardiac catheterization without 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 $55,098 $9,517 $6,592 – $19,114
Alaska 1 $71,004 $10,898 –
Arizona 27 $74,852 $9,945 $7,839 – $15,179
Arkansas 16 $35,373 $7,907 $6,706 – $11,713
California 76 $106,023 $13,785 $10,258 – $30,635
Colorado 7 $107,694 $9,776 $8,583 – $12,765
Connecticut 9 $45,521 $13,183 $10,244 – $15,106
Delaware 2 $46,559 $10,664 $9,000 – $11,796
Florida 93 $83,927 $9,481 $6,687 – $18,849
Georgia 40 $60,511 $10,722 $7,522 – $17,628
Hawaii 2 $50,038 $15,219 $13,577 – $16,075
Idaho 4 $55,487 $9,261 $8,558 – $9,836
Illinois 43 $58,193 $10,989 $7,706 – $17,457
Indiana 29 $57,180 $8,920 $7,364 – $12,576
Iowa 13 $40,972 $8,327 $7,260 – $11,516
Kansas 10 $65,892 $8,584 $6,743 – $10,505
Kentucky 18 $53,562 $8,432 $7,063 – $12,209
Louisiana 15 $56,000 $8,453 $6,842 – $11,575
Maine 4 $42,815 $10,811 $8,322 – $11,544
Maryland 21 $15,210 $13,805 $8,508 – $26,521
Massachusetts 21 $46,889 $12,537 $8,853 – $17,634
Michigan 32 $40,534 $10,259 $7,502 – $18,104
Minnesota 15 $42,208 $10,226 $8,290 – $17,458
Mississippi 12 $56,125 $8,547 $7,391 – $12,302
Missouri 28 $51,203 $8,996 $6,928 – $14,267
Montana 6 $31,949 $9,117 $8,249 – $10,283
Nebraska 6 $48,354 $9,429 $6,917 – $12,385
Nevada 7 $135,119 $10,984 $9,784 – $12,429
New Hampshire 8 $56,593 $10,026 $8,022 – $14,432
New Jersey 36 $79,089 $11,424 $8,379 – $15,510
New Mexico 3 $65,130 $8,146 $7,940 – $8,607
New York 48 $72,782 $13,045 $9,071 – $22,268
North Carolina 31 $46,497 $10,202 $7,769 – $15,799
North Dakota 5 $40,199 $8,828 $8,495 – $9,303
Ohio 45 $50,649 $9,448 $7,219 – $15,290
Oklahoma 14 $51,902 $8,671 $6,844 – $12,799
Oregon 7 $37,942 $11,539 $9,470 – $13,044
Pennsylvania 55 $66,854 $10,193 $7,506 – $19,809
Rhode Island 3 $34,073 $12,305 $11,301 – $13,394
South Carolina 20 $55,595 $9,805 $7,475 – $14,805
South Dakota 4 $45,987 $9,328 $7,530 – $10,469
Tennessee 25 $58,054 $9,379 $6,995 – $14,306
Texas 64 $82,228 $9,659 $6,852 – $14,996
Utah 5 $48,200 $11,132 $8,355 – $14,560
Vermont 1 $37,108 $8,914 –
Virginia 33 $55,880 $9,712 $7,591 – $17,303
Washington 17 $57,772 $11,139 $8,649 – $15,166
West Virginia 11 $41,585 $8,506 $7,070 – $14,199
Wisconsin 14 $49,076 $9,852 $7,351 – $14,756
Wyoming 2 $55,260 $11,049 $10,086 – $11,812

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
St Francis Hospital, RoslynRoslyn, NY183$67,813$9,940
Adventhealth OrlandoOrlando, FL167$93,764$11,333
Methodist HospitalSan Antonio, TX147$114,428$9,326
Orlando Regional HealthcareOrlando, FL128$88,231$10,975
Baptist Medical CenterJacksonville, FL120$63,534$8,866
Massachusetts General HospitalBoston, MA119$83,545$16,405
Sarasota Memorial HospitalSarasota, FL113$61,119$8,504
North Shore University HospitalManhasset, NY113$90,858$14,844
Deaconess Hospital INCEvansville, IN109$33,350$8,310
New York-Presbyterian HospitalNew York, NY102$118,198$17,808
Rex HospitalRaleigh, NC95$35,546$7,951
Norton Healthcare PavilionLouisville, KY94$64,326$8,035
Hendrick Health SystemAbilene, TX94$83,712$8,484
Northwestern Memorial HospitalChicago, IL90$75,721$15,211
University HospitalStony Brook, NY90$75,668$14,856

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 1,031 hospitals in the U.S. was billed at $63,759 on average, while the average total payment was $10,394, of which Medicare paid $7,566. 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 without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($13,805), California ($13,785), Connecticut ($13,183) and lowest in Arkansas ($7,907), New Mexico ($8,146), Iowa ($8,327).

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 6.1 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.