Coronary bypass with cardiac catheterization or open ablation with major complications
What 341 hospitals in the U.S. charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.
Average charge
$380,582
Hospital list price billed
Average payment
$69,514
Medicare + patient + other payers
Medicare paid
$57,506
Average per stay
Volume
6,594
Medicare hospital stays
Hospitals in the U.S. billed an average of $380,582 for coronary bypass with cardiac catheterization or open ablation with major complications, about 5.5 times the average total payment of $69,514.
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
| Martin Memorial Health SystemsStuart, FL | $40,768 |
|---|---|
| Kansas Heart HospitalWichita, KS | $41,075 |
| Delray Medical CenterDelray Beach, FL | $42,429 |
| St Bernards Medical CenterJonesboro, AR | $44,882 |
| Baptist Medical CenterSan Antonio, TX | $45,850 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens, FL | $46,815 |
| North Mississippi Medical CenterTupelo, MS | $47,335 |
| Trinity Mother Frances SystTyler, TX | $47,434 |
| St Vincent Infirmary Medical CenterLittle Rock, AR | $47,793 |
| The Heart Hospital Baylor DentonDenton, TX | $48,882 |
Highest
| Mercy General HospitalSacramento, CA | $120,495 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $119,706 |
| Brigham and Women's HosptialBoston, MA | $107,270 |
| St Josephs Med Center of StocktonStockton, CA | $106,290 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $105,318 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $101,647 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $100,345 |
| John Muir Medical Center - Concord CampusConcord, CA | $95,930 |
| Riverside Methodist HospitalColumbus, OH | $95,163 |
| Northwestern Memorial HospitalChicago, IL | $94,662 |
Coronary bypass with cardiac catheterization or open ablation 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 | 8 | $329,064 | $59,105 | $49,328 – $70,194 |
| Alaska | 1 | $493,060 | $86,851 | – |
| Arizona | 7 | $484,391 | $64,193 | $52,061 – $77,220 |
| Arkansas | 5 | $185,891 | $47,874 | $44,882 – $50,789 |
| California | 25 | $673,156 | $96,684 | $70,041 – $169,766 |
| Colorado | 3 | $503,166 | $62,234 | $61,105 – $62,980 |
| Connecticut | 3 | $239,581 | $87,513 | $85,865 – $93,455 |
| Delaware | 1 | $243,015 | $79,419 | – |
| Florida | 32 | $526,331 | $59,025 | $40,768 – $83,266 |
| Georgia | 5 | $369,396 | $72,972 | $64,788 – $85,116 |
| Idaho | 1 | $278,840 | $69,777 | – |
| Illinois | 15 | $343,766 | $76,273 | $53,919 – $130,732 |
| Indiana | 6 | $323,924 | $59,807 | $53,634 – $67,365 |
| Iowa | 4 | $245,793 | $55,806 | $51,477 – $72,031 |
| Kansas | 5 | $396,179 | $55,988 | $41,075 – $71,277 |
| Kentucky | 6 | $276,698 | $65,794 | $51,903 – $130,469 |
| Louisiana | 4 | $340,624 | $49,294 | $45,241 – $54,525 |
| Maine | 2 | $254,523 | $72,104 | $71,218 – $72,843 |
| Maryland | 4 | $100,226 | $92,682 | $67,528 – $138,974 |
| Massachusetts | 9 | $243,185 | $90,005 | $62,453 – $107,270 |
| Michigan | 9 | $220,466 | $64,880 | $51,896 – $78,064 |
| Minnesota | 7 | $247,386 | $77,255 | $62,884 – $100,345 |
| Mississippi | 5 | $194,614 | $50,402 | $47,068 – $63,156 |
| Missouri | 4 | $261,654 | $61,247 | $44,533 – $98,514 |
| Montana | 4 | $180,117 | $61,889 | $55,209 – $68,289 |
| Nebraska | 5 | $224,390 | $61,599 | $55,291 – $82,737 |
| Nevada | 5 | $837,475 | $77,910 | $66,996 – $85,580 |
| New Hampshire | 2 | $351,573 | $55,906 | $51,254 – $61,075 |
| New Jersey | 7 | $432,091 | $85,398 | $75,292 – $105,318 |
| New Mexico | 1 | $199,984 | $64,811 | – |
| New York | 16 | $372,989 | $88,301 | $61,660 – $119,706 |
| North Carolina | 13 | $261,416 | $65,578 | $52,673 – $98,652 |
| North Dakota | 2 | $210,219 | $67,997 | $62,483 – $73,511 |
| Ohio | 10 | $315,436 | $68,788 | $54,137 – $95,163 |
| Oklahoma | 4 | $272,118 | $53,558 | $49,774 – $60,125 |
| Oregon | 4 | $268,990 | $79,479 | $69,018 – $85,734 |
| Pennsylvania | 12 | $440,491 | $70,429 | $54,160 – $132,659 |
| South Carolina | 8 | $416,937 | $59,644 | $52,763 – $70,214 |
| South Dakota | 3 | $281,513 | $66,241 | $53,267 – $79,563 |
| Tennessee | 11 | $307,314 | $55,321 | $43,146 – $70,714 |
| Texas | 36 | $461,888 | $60,263 | $40,634 – $108,540 |
| Utah | 2 | $235,914 | $64,289 | $60,824 – $66,830 |
| Vermont | 1 | $209,103 | $64,059 | – |
| Virginia | 8 | $490,304 | $65,390 | $52,236 – $99,082 |
| Washington | 5 | $350,040 | $81,410 | $69,952 – $106,069 |
| West Virginia | 4 | $283,947 | $64,448 | $57,751 – $73,363 |
| Wisconsin | 6 | $270,702 | $70,786 | $54,349 – $88,211 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 75 | $462,408 | $75,853 |
| Cjw Medical CenterRichmond, VA | 62 | $792,297 | $52,236 |
| New York-Presbyterian HospitalNew York, NY | 60 | $607,284 | $119,706 |
| St Thomas HospitalNashville, TN | 57 | $259,361 | $57,361 |
| St Francis Hospital, RoslynRoslyn, NY | 56 | $297,607 | $68,025 |
| Massachusetts General HospitalBoston, MA | 55 | $336,032 | $92,348 |
| Mercy Medical Center-Des MoinesDes Moines, IA | 53 | $274,388 | $54,558 |
| Bethesda North HospitalCincinnati, OH | 53 | $152,865 | $54,137 |
| Bryan Medical CenterLincoln, NE | 49 | $213,696 | $55,291 |
| Oklahoma Heart HospitalOklahoma City, OK | 47 | $209,582 | $49,774 |
| Christiana Care Health Services, INC.Newark, DE | 43 | $243,015 | $79,419 |
| Brigham and Women's HosptialBoston, MA | 40 | $350,100 | $107,270 |
| NYU Hospitals CenterNew York, NY | 39 | $455,441 | $89,627 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 39 | $330,973 | $57,267 |
| Methodist HospitalSan Antonio, TX | 39 | $554,324 | $68,599 |
Questions
How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 341 hospitals in the U.S. was billed at $380,582 on average, while the average total payment was $69,514, of which Medicare paid $57,506. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for coronary bypass with cardiac catheterization or open ablation with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($96,684), Maryland ($92,682), Massachusetts ($90,005) and lowest in Arkansas ($47,874), Louisiana ($49,294), Mississippi ($50,402).
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.