Coronary bypass with cardiac catheterization or open ablation without major complications
What 282 hospitals in the U.S. charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.
Average charge
$240,843
Hospital list price billed
Average payment
$45,866
Medicare + patient + other payers
Medicare paid
$36,475
Average per stay
Volume
5,526
Medicare hospital stays
Hospitals in the U.S. billed an average of $240,843 for coronary bypass with cardiac catheterization or open ablation without major complications, about 5.3 times the average total payment of $45,866.
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 $45,866Billed $240,843
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
| Kansas Heart HospitalWichita, KS | $30,687 |
|---|---|
| Arkansas Heart HospitalLittle Rock, AR | $32,060 |
| Jupiter Medical CenterJupiter, FL | $32,905 |
| Mercy Hospital Northwest ArkansasRogers, AR | $33,286 |
| St Francis-DowntownGreenville, SC | $33,426 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $33,779 |
| North Mississippi Medical CenterTupelo, MS | $33,951 |
| Naples Community HospitalNaples, FL | $34,641 |
| Sarasota Memorial HospitalSarasota, FL | $34,674 |
| Forrest General HospitalHattiesburg, MS | $34,698 |
Highest
| Union Memorial HospitalBaltimore, MD | $89,127 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $85,717 |
| North Shore University HospitalManhasset, NY | $67,937 |
| University HospitalStony Brook, NY | $66,939 |
| Sutter General HospitalSacramento, CA | $65,044 |
| Umass Memorial Medical Center INCWorcester, MA | $64,467 |
| Washington Adventist HospitalTakoma Park, MD | $62,937 |
| Maine Medical CenterPortland, ME | $61,755 |
| Cleveland Clinic - Main CampusCleveland, OH | $61,723 |
| Baystate Medical CenterSpringfield, MA | $61,605 |
Coronary bypass with cardiac catheterization or open ablation 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 | 7 | $223,320 | $38,378 | $28,320 – $42,136 |
| Alaska | 1 | $360,430 | $54,712 | – |
| Arizona | 7 | $234,958 | $46,035 | $34,274 – $74,271 |
| Arkansas | 5 | $144,246 | $34,460 | $32,060 – $38,557 |
| California | 13 | $390,964 | $60,070 | $48,754 – $138,451 |
| Connecticut | 2 | $177,560 | $61,720 | $56,169 – $65,964 |
| Delaware | 1 | $170,581 | $51,034 | – |
| Florida | 22 | $316,758 | $40,051 | $31,356 – $63,556 |
| Georgia | 10 | $271,826 | $50,935 | $40,719 – $60,419 |
| Idaho | 3 | $283,218 | $40,865 | $40,044 – $41,905 |
| Illinois | 10 | $243,965 | $49,666 | $39,562 – $60,953 |
| Indiana | 7 | $244,775 | $40,222 | $34,674 – $46,781 |
| Iowa | 4 | $228,887 | $40,292 | $35,758 – $44,337 |
| Kansas | 3 | $101,352 | $33,860 | $30,687 – $45,973 |
| Kentucky | 8 | $238,514 | $41,196 | $37,630 – $52,936 |
| Louisiana | 6 | $228,454 | $38,409 | $33,014 – $42,360 |
| Maine | 3 | $173,408 | $58,379 | $49,164 – $61,755 |
| Maryland | 7 | $71,045 | $63,410 | $51,958 – $89,127 |
| Massachusetts | 5 | $141,611 | $59,169 | $42,277 – $64,560 |
| Michigan | 5 | $151,326 | $45,816 | $34,316 – $51,553 |
| Minnesota | 4 | $178,570 | $56,056 | $38,859 – $85,717 |
| Mississippi | 4 | $143,751 | $33,825 | $29,571 – $35,328 |
| Missouri | 9 | $186,668 | $39,517 | $32,606 – $47,157 |
| Montana | 2 | $134,448 | $43,492 | $37,545 – $48,982 |
| Nebraska | 3 | $171,297 | $45,508 | $34,099 – $58,308 |
| Nevada | 1 | $506,751 | $43,625 | – |
| New Hampshire | 3 | $223,595 | $48,565 | $39,861 – $59,866 |
| New Jersey | 7 | $285,325 | $54,276 | $41,643 – $63,614 |
| New Mexico | 1 | $381,206 | $34,918 | – |
| New York | 11 | $229,966 | $52,442 | $44,519 – $67,937 |
| North Carolina | 16 | $200,096 | $43,380 | $34,697 – $63,271 |
| North Dakota | 2 | $133,202 | $43,083 | $37,549 – $46,452 |
| Ohio | 11 | $258,250 | $48,858 | $38,253 – $74,937 |
| Oklahoma | 2 | $187,195 | $36,871 | $35,488 – $40,078 |
| Oregon | 3 | $193,283 | $53,580 | $52,739 – $55,482 |
| Pennsylvania | 12 | $224,366 | $42,480 | $31,117 – $59,730 |
| South Carolina | 9 | $279,109 | $41,920 | $33,426 – $58,724 |
| South Dakota | 3 | $204,106 | $41,986 | $35,410 – $54,391 |
| Tennessee | 10 | $243,019 | $41,210 | $35,373 – $55,202 |
| Texas | 14 | $388,665 | $41,223 | $35,176 – $52,729 |
| Utah | 2 | $182,400 | $38,979 | $37,241 – $42,138 |
| Vermont | 1 | $171,466 | $54,253 | – |
| Virginia | 8 | $183,994 | $49,144 | $37,453 – $59,744 |
| Washington | 4 | $342,806 | $51,419 | $48,555 – $58,684 |
| West Virginia | 4 | $252,282 | $47,358 | $35,741 – $52,771 |
| Wisconsin | 7 | $175,183 | $44,784 | $38,284 – $61,449 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| St Francis Hospital, RoslynRoslyn, NY | 80 | $248,362 | $44,519 |
| Trinity Mother Frances SystTyler, TX | 61 | $355,132 | $35,176 |
| Baptist Medical CenterJacksonville, FL | 58 | $305,370 | $40,470 |
| Sarasota Memorial HospitalSarasota, FL | 56 | $277,911 | $34,674 |
| Oklahoma Heart HospitalOklahoma City, OK | 51 | $157,772 | $35,488 |
| Naples Community HospitalNaples, FL | 49 | $223,841 | $34,641 |
| Christiana Care Health Services, INC.Newark, DE | 47 | $170,581 | $51,034 |
| University of MD St Joseph Medical CenterTowson, MD | 46 | $63,235 | $56,372 |
| St Thomas HospitalNashville, TN | 46 | $233,380 | $39,488 |
| Maine Medical CenterPortland, ME | 43 | $169,206 | $61,755 |
| Huntsville HospitalHuntsville, AL | 42 | $222,894 | $42,136 |
| Carolina East Medical CenterNew Bern, NC | 42 | $147,966 | $43,928 |
| Aultman HospitalCanton, OH | 41 | $128,768 | $44,485 |
| Northeast Georgia Medical Center, INCGainesville, GA | 40 | $350,546 | $53,061 |
| Kansas Heart HospitalWichita, KS | 40 | $67,187 | $30,687 |
Questions
How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 282 hospitals in the U.S. was billed at $240,843 on average, while the average total payment was $45,866, of which Medicare paid $36,475. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($63,410), California ($60,070), Massachusetts ($59,169) and lowest in Mississippi ($33,825), Kansas ($33,860), Arkansas ($34,460).
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 5.3 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.