Endovascular cardiac valve replacement and supplement procedures with major complications in Rhode Island
What 1 hospital in Rhode Island 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
$158,629
Hospital list price billed
Average payment
$64,097
Medicare + patient + other payers
Medicare paid
$59,940
Average per stay
Volume
56
Medicare hospital stays
Hospitals in Rhode Island billed an average of $158,629 for endovascular cardiac valve replacement and supplement procedures with major complications, about 2.5 times the average total payment of $64,097. That payment is 12% above the U.S. average 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 $64,097Billed $158,629
About 40¢ was paid for every $1 hospitals in Rhode Island billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Rhode Island:
Rhode Island hospitals: endovascular cardiac valve replacement and supplement procedures with major complications
Every Rhode Island hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Rhode Island HospitalProvidence | 56 | $158,629 | $64,097 | $59,940 |
Endovascular cardiac valve replacement and supplement procedures with major complications in other states
Questions
How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Rhode Island?
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 1 hospital in Rhode Island was billed at $158,629 on average, while the average total payment was $64,097, of which Medicare paid $59,940. Your own cost depends on your insurance, deductible and the hospital.
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 Rhode Island, average charges were 2.5 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.