Coronary bypass without cardiac catheterization with major complications
What 330 hospitals in the U.S. charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.
Average charge
$287,146
Hospital list price billed
Average payment
$56,401
Medicare + patient + other payers
Medicare paid
$45,290
Average per stay
Volume
8,759
Medicare hospital stays
Hospitals in the U.S. billed an average of $287,146 for coronary bypass without cardiac catheterization with major complications, about 5.1 times the average total payment of $56,401.
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 $56,401Billed $287,146
About 20¢ 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 | $34,149 |
|---|---|
| Forrest General HospitalHattiesburg, MS | $36,331 |
| Baptist Medical CenterSan Antonio, TX | $36,953 |
| Christ HospitalCincinnati, OH | $37,514 |
| Parkwest Medical CenterKnoxville, TN | $37,669 |
| Oklahoma Heart HospitalOklahoma City, OK | $37,725 |
| Adventhealth Daytona BeachDaytona Beach, FL | $38,388 |
| Saint Francis Hospital, INCTulsa, OK | $38,795 |
| Nebraska Heart Hospital, LLCLincoln, NE | $39,250 |
| Thomas HospitalFairhope, AL | $39,353 |
Highest
| Stanford HospitalPalo Alto, CA | $124,238 |
|---|---|
| University of Maryland Medical CenterBaltimore, MD | $113,738 |
| University of Virginia Medical CenterCharlottesville, VA | $103,081 |
| The Johns Hopkins HospitalBaltimore, MD | $97,578 |
| UCLA Medical CenterLos Angeles, CA | $97,334 |
| USC University HospitalLos Angeles, CA | $94,764 |
| Mercy General HospitalSacramento, CA | $92,944 |
| University of California San Diego Medical CenterSan Diego, CA | $89,460 |
| New York-Presbyterian HospitalNew York, NY | $88,227 |
| Rush University Medical CenterChicago, IL | $85,048 |
Coronary bypass without 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 | 4 | $267,015 | $47,901 | $36,654 – $56,306 |
| Alaska | 1 | $402,243 | $62,460 | – |
| Arizona | 9 | $459,146 | $51,522 | $39,257 – $68,162 |
| Arkansas | 4 | $177,161 | $40,134 | $34,149 – $44,292 |
| California | 20 | $587,665 | $80,655 | $57,621 – $124,238 |
| Colorado | 3 | $414,888 | $54,147 | $48,143 – $62,685 |
| Connecticut | 4 | $188,424 | $69,701 | $60,314 – $82,974 |
| Delaware | 1 | $183,641 | $58,345 | – |
| Florida | 30 | $382,212 | $47,227 | $29,353 – $72,262 |
| Georgia | 9 | $294,393 | $52,714 | $41,302 – $65,071 |
| Hawaii | 2 | $204,200 | $65,992 | $63,889 – $68,096 |
| Idaho | 1 | $219,382 | $55,586 | – |
| Illinois | 15 | $251,051 | $59,282 | $39,100 – $85,048 |
| Indiana | 4 | $235,066 | $43,315 | $40,989 – $48,460 |
| Iowa | 4 | $188,075 | $45,322 | $38,376 – $54,545 |
| Kansas | 3 | $293,371 | $49,735 | $45,460 – $54,508 |
| Kentucky | 6 | $227,498 | $48,805 | $39,700 – $59,679 |
| Louisiana | 3 | $162,610 | $44,446 | $43,513 – $45,220 |
| Maine | 1 | $214,032 | $73,162 | – |
| Maryland | 5 | $98,389 | $89,687 | $64,714 – $113,738 |
| Massachusetts | 8 | $193,657 | $66,484 | $48,633 – $77,569 |
| Michigan | 8 | $196,246 | $53,933 | $43,634 – $81,709 |
| Minnesota | 7 | $213,925 | $66,394 | $47,709 – $75,387 |
| Mississippi | 2 | $141,251 | $42,588 | $36,331 – $47,235 |
| Missouri | 8 | $230,169 | $51,478 | $36,679 – $63,799 |
| Montana | 1 | $129,839 | $48,453 | – |
| Nebraska | 5 | $176,696 | $47,260 | $39,250 – $58,553 |
| Nevada | 4 | $576,790 | $59,661 | $42,682 – $80,012 |
| New Hampshire | 2 | $268,908 | $45,823 | $45,485 – $46,210 |
| New Jersey | 8 | $334,023 | $67,139 | $52,952 – $81,346 |
| New Mexico | 3 | $246,420 | $43,257 | $38,425 – $45,052 |
| New York | 16 | $306,409 | $71,499 | $48,303 – $95,061 |
| North Carolina | 11 | $196,366 | $54,521 | $37,895 – $73,197 |
| North Dakota | 1 | $132,318 | $52,809 | – |
| Ohio | 10 | $219,710 | $53,232 | $37,514 – $66,450 |
| Oklahoma | 5 | $227,177 | $40,514 | $37,725 – $46,887 |
| Oregon | 4 | $238,842 | $66,150 | $60,848 – $71,343 |
| Pennsylvania | 13 | $341,981 | $54,592 | $40,311 – $72,836 |
| Rhode Island | 1 | $181,299 | $67,798 | – |
| South Carolina | 6 | $349,063 | $56,411 | $40,708 – $68,738 |
| South Dakota | 1 | $230,410 | $41,378 | – |
| Tennessee | 13 | $263,591 | $46,277 | $36,675 – $67,519 |
| Texas | 31 | $298,672 | $49,666 | $36,380 – $67,388 |
| Utah | 3 | $197,875 | $45,737 | $41,438 – $48,276 |
| Vermont | 1 | $133,767 | $57,806 | – |
| Virginia | 12 | $299,530 | $56,478 | $40,509 – $107,995 |
| Washington | 7 | $314,474 | $63,365 | $55,081 – $81,730 |
| West Virginia | 3 | $234,067 | $53,288 | $47,535 – $61,258 |
| Wisconsin | 5 | $201,860 | $49,814 | $44,481 – $59,039 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Medstar Washington Hospital CenterWashington, DC | 142 | $195,968 | $68,034 |
| St Thomas HospitalNashville, TN | 124 | $222,057 | $45,446 |
| Sentara Norfolk General HospitalNorfolk, VA | 117 | $216,726 | $56,568 |
| Methodist Hospital,TheHouston, TX | 103 | $379,640 | $54,951 |
| New York-Presbyterian HospitalNew York, NY | 100 | $383,217 | $88,227 |
| Brigham and Women's HosptialBoston, MA | 98 | $265,531 | $65,162 |
| The Heart Hospital Baylor DentonDenton, TX | 96 | $132,116 | $42,492 |
| Massachusetts General HospitalBoston, MA | 89 | $265,221 | $71,369 |
| University of Alabama HospitalBirmingham, AL | 79 | $265,145 | $56,306 |
| Cleveland Clinic - Main CampusCleveland, OH | 78 | $253,426 | $66,450 |
| Bryan Medical CenterLincoln, NE | 77 | $174,333 | $46,532 |
| Baylor University Medical CenterDallas, TX | 77 | $150,381 | $56,837 |
| St Vincent Infirmary Medical CenterLittle Rock, AR | 76 | $203,202 | $42,042 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 72 | $189,545 | $75,387 |
| Inova Fairfax HospitalFalls Church, VA | 72 | $177,305 | $55,868 |
Questions
How much does coronary bypass without cardiac catheterization with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 330 hospitals in the U.S. was billed at $287,146 on average, while the average total payment was $56,401, of which Medicare paid $45,290. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for coronary bypass without cardiac catheterization with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($89,687), California ($80,655), New York ($71,499) and lowest in Arkansas ($40,134), Oklahoma ($40,514), New Mexico ($43,257).
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 5.1 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.