Concomitant aortic and mitral valve procedures
What 13 hospitals in the U.S. charged and were paid for a Medicare hospital stay for concomitant aortic and mitral valve procedures (DRG 212), from 2024 Medicare claims.
Average charge
$552,513
Hospital list price billed
Average payment
$126,075
Medicare + patient + other payers
Medicare paid
$100,363
Average per stay
Volume
245
Medicare hospital stays
Hospitals in the U.S. billed an average of $552,513 for concomitant aortic and mitral valve procedures, about 4.4 times the average total payment of $126,075.
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.
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
| The Heart Hospital Baylor PlanoPlano, TX | $92,490 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $132,035 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $150,552 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $150,552 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $132,035 |
| The Heart Hospital Baylor PlanoPlano, TX | $92,490 |
Concomitant aortic and mitral valve procedures 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 | $489,985 | $156,134 | – |
| Florida | 1 | $862,443 | $118,559 | – |
| Illinois | 1 | $590,545 | $141,794 | – |
| Indiana | 1 | $389,045 | $75,966 | – |
| Minnesota | 2 | $374,711 | $127,867 | $90,059 – $150,552 |
| New Jersey | 1 | $638,805 | $123,011 | – |
| New York | 2 | $832,391 | $138,219 | $122,114 – $153,174 |
| Ohio | 1 | $469,154 | $132,035 | – |
| Pennsylvania | 1 | $1,165,042 | $177,710 | – |
| Tennessee | 1 | $507,825 | $87,048 | – |
| Texas | 1 | $312,882 | $92,490 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 72 | $469,154 | $132,035 |
| The Heart Hospital Baylor PlanoPlano, TX | 28 | $312,882 | $92,490 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 20 | $377,764 | $150,552 |
| New York-Presbyterian HospitalNew York, NY | 14 | $933,166 | $153,174 |
| Hospital of the Univ of PaPhiladelphia, PA | 14 | $1,165,042 | $177,710 |
| Adventhealth OrlandoOrlando, FL | 13 | $862,443 | $118,559 |
| Northwestern Memorial HospitalChicago, IL | 13 | $590,545 | $141,794 |
| North Shore University HospitalManhasset, NY | 13 | $723,863 | $122,114 |
| Mayo Clinic HospitalPhoenix, AZ | 12 | $489,985 | $156,134 |
| St Vincent Heart Center of Indiana LLCIndianapolis, IN | 12 | $389,045 | $75,966 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 12 | $369,622 | $90,059 |
| Morristown Memorial HospitalMorristown, NJ | 11 | $638,805 | $123,011 |
| St Thomas HospitalNashville, TN | 11 | $507,825 | $87,048 |
Questions
How much does concomitant aortic and mitral valve procedures cost in the U.S.?
In 2024 Medicare data, a hospital stay for concomitant aortic and mitral valve procedures (DRG 212) at 13 hospitals in the U.S. was billed at $552,513 on average, while the average total payment was $126,075, of which Medicare paid $100,363. 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 4.4 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.