Coronary intravascular lithotripsy with intraluminal device with major complications
What 76 hospitals in the U.S. charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323), from 2024 Medicare claims.
Average charge
$239,367
Hospital list price billed
Average payment
$40,408
Medicare + patient + other payers
Medicare paid
$34,827
Average per stay
Volume
1,218
Medicare hospital stays
Hospitals in the U.S. billed an average of $239,367 for coronary intravascular lithotripsy with intraluminal device with major complications, about 5.9 times the average total payment of $40,408.
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
| Methodist HospitalSan Antonio, TX | $29,512 |
|---|---|
| The Heart Hospital Baylor PlanoPlano, TX | $30,641 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $33,478 |
| Adventhealth OrlandoOrlando, FL | $33,809 |
| Southcoast Hospital Group, INCFall River, MA | $34,839 |
| Lee Memorial HospitalFort Myers, FL | $35,132 |
| Renown Regional Medical CenterReno, NV | $37,605 |
| ECU Health Medical CenterGreenville, NC | $37,695 |
| Sentara Norfolk General HospitalNorfolk, VA | $38,247 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $39,795 |
Highest
| Massachusetts General HospitalBoston, MA | $58,216 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $51,775 |
| York HospitalYork, PA | $47,616 |
| St Michael Medical CenterBremerton, WA | $45,812 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $39,795 |
| Sentara Norfolk General HospitalNorfolk, VA | $38,247 |
| ECU Health Medical CenterGreenville, NC | $37,695 |
| Renown Regional Medical CenterReno, NV | $37,605 |
| Lee Memorial HospitalFort Myers, FL | $35,132 |
| Southcoast Hospital Group, INCFall River, MA | $34,839 |
Coronary intravascular lithotripsy with intraluminal device 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 |
|---|---|---|---|---|
| Arizona | 1 | $342,485 | $31,301 | – |
| California | 6 | $331,308 | $53,358 | $39,795 – $80,549 |
| Connecticut | 2 | $167,328 | $51,415 | $44,389 – $59,613 |
| Florida | 8 | $281,119 | $36,079 | $26,700 – $61,782 |
| Georgia | 2 | $297,861 | $45,833 | $41,121 – $49,056 |
| Illinois | 3 | $206,062 | $42,505 | $34,872 – $53,244 |
| Indiana | 2 | $147,691 | $31,939 | $29,343 – $33,842 |
| Iowa | 1 | $130,224 | $29,562 | – |
| Kansas | 1 | $203,734 | $36,921 | – |
| Louisiana | 1 | $322,380 | $27,567 | – |
| Maine | 1 | $217,787 | $59,148 | – |
| Massachusetts | 4 | $157,461 | $48,149 | $34,839 – $58,216 |
| Michigan | 1 | $181,511 | $40,712 | – |
| Minnesota | 1 | $128,524 | $52,644 | – |
| Missouri | 1 | $205,619 | $40,682 | – |
| Nevada | 1 | $214,715 | $37,605 | – |
| New Jersey | 3 | $232,708 | $41,917 | $36,806 – $49,331 |
| New Mexico | 1 | $236,456 | $28,780 | – |
| New York | 4 | $267,808 | $54,492 | $45,012 – $62,195 |
| North Carolina | 3 | $137,836 | $35,721 | $28,404 – $38,925 |
| Ohio | 3 | $174,541 | $38,930 | $29,916 – $55,316 |
| Oklahoma | 2 | $129,084 | $28,291 | $27,167 – $29,723 |
| Pennsylvania | 4 | $289,538 | $42,676 | $35,152 – $47,616 |
| South Carolina | 1 | $169,140 | $30,805 | – |
| South Dakota | 2 | $156,737 | $34,616 | $28,748 – $39,832 |
| Tennessee | 3 | $299,116 | $39,217 | $30,455 – $50,940 |
| Texas | 5 | $340,907 | $31,230 | $29,512 – $33,478 |
| Vermont | 1 | $174,142 | $34,722 | – |
| Virginia | 1 | $177,581 | $38,247 | – |
| Washington | 5 | $239,362 | $39,954 | $33,039 – $45,812 |
| West Virginia | 1 | $199,188 | $28,455 | – |
| Wyoming | 1 | $195,035 | $40,283 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Methodist HospitalSan Antonio, TX | 34 | $385,438 | $29,512 |
| York HospitalYork, PA | 33 | $247,390 | $47,616 |
| Massachusetts General HospitalBoston, MA | 30 | $245,273 | $58,216 |
| Sentara Norfolk General HospitalNorfolk, VA | 27 | $177,581 | $38,247 |
| Adventhealth OrlandoOrlando, FL | 26 | $273,108 | $33,809 |
| Beth Israel Deaconess Medical CenterBoston, MA | 25 | $101,735 | $51,775 |
| ECU Health Medical CenterGreenville, NC | 25 | $116,653 | $37,695 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | 25 | $240,537 | $33,478 |
| St Michael Medical CenterBremerton, WA | 25 | $256,353 | $45,812 |
| Lee Memorial HospitalFort Myers, FL | 24 | $250,860 | $35,132 |
| Southcoast Hospital Group, INCFall River, MA | 24 | $138,948 | $34,839 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | 21 | $267,087 | $39,795 |
| Renown Regional Medical CenterReno, NV | 20 | $214,715 | $37,605 |
| The Heart Hospital Baylor PlanoPlano, TX | 20 | $206,947 | $30,641 |
| Mount Sinai Medical CenterMiami Beach, FL | 19 | $225,120 | $61,782 |
Questions
How much does coronary intravascular lithotripsy with intraluminal device with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323) at 76 hospitals in the U.S. was billed at $239,367 on average, while the average total payment was $40,408, of which Medicare paid $34,827. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for coronary intravascular lithotripsy with intraluminal device with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($54,492), California ($53,358), Massachusetts ($48,149) and lowest in Texas ($31,230), North Carolina ($35,721), Florida ($36,079).
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 5.9 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.