Endovascular cardiac valve replacement and supplement procedures with major complications
What 533 hospitals in the U.S. charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.
Average charge
$285,418
Hospital list price billed
Average payment
$57,249
Medicare + patient + other payers
Medicare paid
$52,995
Average per stay
Volume
23,630
Medicare hospital stays
Hospitals in the U.S. billed an average of $285,418 for endovascular cardiac valve replacement and supplement procedures with major complications, about 5.0 times the average total payment of $57,249.
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 $57,249Billed $285,418
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 | $37,541 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $37,847 |
| Springhill Medical CenterMobile, AL | $39,007 |
| Boone Hospital CenterColumbia, MO | $39,265 |
| St Joseph's Hospital - SavannahSavannah, GA | $39,382 |
| Parkwest Medical CenterKnoxville, TN | $39,513 |
| Forrest General HospitalHattiesburg, MS | $39,708 |
| Terrebonne General Medical CenterHouma, LA | $39,744 |
| Oklahoma Heart HospitalOklahoma City, OK | $39,832 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $39,889 |
Highest
| UCSF Medical CenterSan Francisco, CA | $138,738 |
|---|---|
| USC University HospitalLos Angeles, CA | $118,999 |
| University of Maryland Medical CenterBaltimore, MD | $114,421 |
| The University of Chicago Medical CenterChicago, IL | $111,781 |
| Stanford HospitalPalo Alto, CA | $109,863 |
| UCLA Medical CenterLos Angeles, CA | $104,651 |
| University of MD St Joseph Medical CenterTowson, MD | $101,875 |
| Western Maryland Regional Medical CenterCumberland, MD | $100,799 |
| Boston Medical Center-BrightonBrighton, MA | $98,329 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $96,671 |
Endovascular cardiac valve replacement and supplement procedures 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 | 10 | $261,959 | $42,339 | $33,599 – $48,385 |
| Alaska | 1 | $268,966 | $56,887 | – |
| Arizona | 15 | $333,221 | $54,638 | $44,213 – $72,514 |
| Arkansas | 5 | $141,373 | $41,835 | $37,541 – $43,519 |
| California | 52 | $416,072 | $75,059 | $57,894 – $138,738 |
| Colorado | 10 | $320,443 | $51,051 | $44,681 – $59,282 |
| Connecticut | 6 | $184,248 | $67,905 | $60,359 – $74,011 |
| Delaware | 2 | $285,333 | $68,154 | $53,068 – $71,926 |
| Florida | 51 | $314,965 | $48,283 | $37,847 – $61,579 |
| Georgia | 14 | $274,100 | $51,134 | $39,382 – $69,031 |
| Hawaii | 2 | $206,158 | $67,011 | $65,996 – $69,589 |
| Idaho | 2 | $146,577 | $49,284 | $46,728 – $51,680 |
| Illinois | 19 | $286,316 | $56,839 | $41,450 – $111,781 |
| Indiana | 13 | $219,546 | $46,112 | $41,951 – $57,844 |
| Iowa | 6 | $197,286 | $47,189 | $41,320 – $57,763 |
| Kansas | 4 | $289,432 | $49,191 | $45,371 – $53,960 |
| Kentucky | 6 | $348,638 | $52,136 | $42,142 – $62,882 |
| Louisiana | 9 | $185,947 | $42,945 | $39,744 – $52,330 |
| Maine | 2 | $270,859 | $59,757 | $54,948 – $61,336 |
| Maryland | 8 | $107,762 | $96,977 | $54,282 – $114,421 |
| Massachusetts | 10 | $205,212 | $73,146 | $50,836 – $98,329 |
| Michigan | 13 | $212,362 | $57,871 | $42,474 – $76,124 |
| Minnesota | 10 | $196,033 | $60,855 | $46,213 – $76,482 |
| Mississippi | 6 | $159,496 | $41,011 | $39,708 – $46,041 |
| Missouri | 13 | $232,880 | $48,981 | $39,265 – $61,588 |
| Montana | 4 | $125,800 | $47,444 | $45,231 – $48,798 |
| Nebraska | 4 | $157,901 | $49,040 | $42,541 – $54,418 |
| Nevada | 8 | $402,933 | $56,348 | $47,800 – $64,767 |
| New Hampshire | 3 | $239,110 | $59,530 | $48,002 – $73,579 |
| New Jersey | 13 | $367,048 | $61,595 | $52,544 – $71,487 |
| New Mexico | 3 | $270,731 | $46,022 | $42,557 – $51,395 |
| New York | 23 | $336,462 | $73,125 | $52,894 – $93,742 |
| North Carolina | 13 | $233,951 | $53,560 | $40,279 – $74,494 |
| North Dakota | 3 | $183,380 | $49,908 | $45,820 – $51,710 |
| Ohio | 13 | $204,706 | $53,576 | $46,556 – $66,689 |
| Oklahoma | 5 | $233,745 | $43,851 | $39,832 – $47,720 |
| Oregon | 7 | $187,250 | $60,916 | $50,751 – $70,434 |
| Pennsylvania | 30 | $309,078 | $56,173 | $41,202 – $84,860 |
| Rhode Island | 1 | $158,629 | $64,097 | – |
| South Carolina | 12 | $257,502 | $49,125 | $40,037 – $64,525 |
| South Dakota | 3 | $243,698 | $51,191 | $44,285 – $63,473 |
| Tennessee | 12 | $275,431 | $46,819 | $39,463 – $63,483 |
| Texas | 38 | $371,149 | $49,759 | $41,456 – $73,666 |
| Utah | 6 | $189,105 | $50,750 | $41,202 – $77,521 |
| Vermont | 1 | $220,832 | $47,466 | – |
| Virginia | 13 | $221,502 | $55,262 | $43,979 – $94,064 |
| Washington | 13 | $234,921 | $59,956 | $50,154 – $71,021 |
| West Virginia | 3 | $266,278 | $52,079 | $50,339 – $52,450 |
| Wisconsin | 11 | $197,925 | $52,280 | $42,422 – $67,139 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles, CA | 434 | $661,468 | $74,777 |
| Cleveland Clinic - Main CampusCleveland, OH | 286 | $178,036 | $55,275 |
| NYU Hospitals CenterNew York, NY | 274 | $465,907 | $79,272 |
| Swedish Medical Center/Cherry HillSeattle, WA | 273 | $273,417 | $64,113 |
| New York-Presbyterian HospitalNew York, NY | 244 | $398,966 | $84,864 |
| Jersey Shore University Medical CenterNeptune City, NJ | 215 | $196,087 | $53,827 |
| Piedmont HospitalAtlanta, GA | 211 | $317,527 | $53,124 |
| Baptist Medical CenterJacksonville, FL | 206 | $193,121 | $45,939 |
| Massachusetts General HospitalBoston, MA | 196 | $245,368 | $74,300 |
| Sentara Norfolk General HospitalNorfolk, VA | 191 | $159,796 | $52,066 |
| Aspirus Wausau HospitalWausau, WI | 161 | $122,508 | $43,565 |
| Northwestern Memorial HospitalChicago, IL | 155 | $322,607 | $59,686 |
| Adventhealth OrlandoOrlando, FL | 148 | $491,059 | $55,230 |
| Methodist HospitalSan Antonio, TX | 148 | $650,003 | $47,104 |
| Exempla Saint Joseph HospitalDenver, CO | 147 | $399,873 | $55,487 |
Questions
How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 533 hospitals in the U.S. was billed at $285,418 on average, while the average total payment was $57,249, of which Medicare paid $52,995. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for endovascular cardiac valve replacement and supplement procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($96,977), California ($75,059), Massachusetts ($73,146) and lowest in Mississippi ($41,011), Arkansas ($41,835), Alabama ($42,339).
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 5.0 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.