facebook tracking Coronary bypass without cardiac catheterization without major complications cost: hospital prices by state (DRG 236)

Coronary bypass without cardiac catheterization without major complications

What 453 hospitals in the U.S. charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $200,763 Hospital list price billed
Average payment $37,830 Medicare + patient + other payers
Medicare paid $29,654 Average per stay
Volume 12,346 Medicare hospital stays

Hospitals in the U.S. billed an average of $200,763 for coronary bypass without cardiac catheterization without major complications, about 5.3 times the average total payment of $37,830.

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 $37,830Billed $200,763

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:

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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

Lafayette General Medical CenterLafayette, LA$24,954
Arkansas Heart HospitalLittle Rock, AR$24,973
Kansas Medical Center LLCAndover, KS$25,034
Kansas Heart HospitalWichita, KS$25,065
Olathe Medical CenterOlathe, KS$25,190
Boone Hospital CenterColumbia, MO$25,244
St Tammany Parish HospitalCovington, LA$25,682
Franciscan St Anthony Health - Crown PointCrown Point, IN$26,162
Nebraska Heart Hospital, LLCLincoln, NE$26,163
Mississippi Baptist Medical CenterJackson, MS$26,241

Highest

University of Maryland Medical CenterBaltimore, MD$96,059
Stanford HospitalPalo Alto, CA$77,883
Union Memorial HospitalBaltimore, MD$68,105
The Johns Hopkins HospitalBaltimore, MD$65,033
The University of Chicago Medical CenterChicago, IL$60,782
University of Virginia Medical CenterCharlottesville, VA$60,701
Mount Sinai HospitalNew York, NY$59,885
Loyola University Medical CenterMaywood, IL$59,760
University HospitalStony Brook, NY$59,130
John Muir Medical Center - Concord CampusConcord, CA$58,788

Coronary bypass without 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 8 $183,614 $33,284 $23,594 – $40,389
Alaska 1 $268,338 $48,370 –
Arizona 13 $234,937 $35,347 $30,631 – $63,910
Arkansas 7 $112,597 $26,693 $24,973 – $35,257
California 21 $389,198 $54,097 $36,873 – $140,950
Colorado 4 $350,626 $35,606 $30,480 – $40,636
Connecticut 2 $117,109 $46,135 $42,676 – $48,211
Delaware 3 $118,766 $33,738 $29,213 – $35,932
Florida 31 $286,382 $32,159 $25,906 – $52,748
Georgia 14 $220,869 $39,012 $25,776 – $51,094
Hawaii 1 $197,036 $47,674 –
Idaho 3 $215,473 $39,258 $33,464 – $47,954
Illinois 20 $188,062 $39,526 $28,614 – $60,782
Indiana 13 $177,026 $33,085 $25,993 – $49,409
Iowa 6 $151,656 $29,645 $27,213 – $35,838
Kansas 6 $230,938 $29,038 $25,034 – $37,831
Kentucky 10 $190,662 $31,168 $27,632 – $39,473
Louisiana 12 $176,819 $29,980 $24,954 – $49,801
Maine 2 $145,369 $42,304 $35,330 – $46,632
Maryland 11 $64,700 $58,792 $42,604 – $96,059
Massachusetts 9 $111,766 $47,216 $32,766 – $52,732
Michigan 8 $142,011 $42,040 $33,422 – $51,410
Minnesota 8 $136,502 $40,746 $29,914 – $57,780
Mississippi 6 $116,326 $27,501 $26,241 – $28,479
Missouri 13 $162,495 $34,101 $25,244 – $47,533
Montana 4 $117,013 $36,279 $29,744 – $41,119
Nebraska 4 $125,082 $34,487 $26,163 – $45,556
Nevada 3 $278,837 $41,267 $33,928 – $45,327
New Hampshire 3 $164,764 $37,485 $32,121 – $52,889
New Jersey 11 $227,471 $44,526 $34,084 – $51,238
New Mexico 1 $324,831 $28,983 –
New York 18 $203,453 $45,341 $36,386 – $63,445
North Carolina 14 $150,404 $35,650 $29,088 – $47,298
North Dakota 3 $94,478 $33,372 $30,550 – $33,942
Ohio 18 $212,410 $38,761 $26,734 – $46,534
Oklahoma 4 $159,122 $28,173 $27,427 – $32,928
Oregon 5 $165,730 $40,942 $39,524 – $42,139
Pennsylvania 23 $213,146 $38,040 $25,774 – $55,856
Rhode Island 1 $125,831 $45,301 –
South Carolina 13 $246,992 $34,142 $25,211 – $48,292
South Dakota 3 $162,098 $32,061 $28,378 – $46,018
Tennessee 16 $199,642 $32,060 $26,369 – $43,020
Texas 31 $246,369 $33,627 $27,832 – $56,168
Utah 6 $177,750 $39,103 $30,031 – $46,275
Vermont 1 $99,756 $42,264 –
Virginia 12 $169,655 $39,643 $29,946 – $60,701
Washington 12 $258,825 $45,089 $33,213 – $70,642
West Virginia 3 $211,318 $44,540 $40,869 – $45,074
Wisconsin 10 $134,324 $34,547 $28,191 – $46,033

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Oklahoma Heart HospitalOklahoma City, OK197$148,888$27,427
Arkansas Heart HospitalLittle Rock, AR144$78,970$24,973
Morristown Memorial HospitalMorristown, NJ124$221,411$44,072
Sarasota Memorial HospitalSarasota, FL106$238,430$28,939
The Heart Hospital Baylor PlanoPlano, TX103$136,348$33,427
St Thomas HospitalNashville, TN98$173,569$30,620
University of MD St Joseph Medical CenterTowson, MD97$47,832$42,604
Jersey Shore University Medical CenterNeptune City, NJ95$172,659$43,272
Sentara Norfolk General HospitalNorfolk, VA91$163,736$39,795
University of Alabama HospitalBirmingham, AL86$196,680$40,389
Cleveland Clinic - Main CampusCleveland, OH86$183,508$46,534
Gwinnett Medical CenterLawrenceville, GA84$180,476$35,839
Duke University Medical CenterDurham, NC82$124,474$42,976
Avera Heart Hospital of South Dakota LLCSioux Falls, SD80$165,769$28,378
Centennial Medical CenterNashville, TN79$409,884$35,811

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 453 hospitals in the U.S. was billed at $200,763 on average, while the average total payment was $37,830, of which Medicare paid $29,654. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for coronary bypass without cardiac catheterization without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($58,792), California ($54,097), Massachusetts ($47,216) and lowest in Arkansas ($26,693), Mississippi ($27,501), Oklahoma ($28,173).

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.