Endovascular cardiac valve replacement and supplement procedures without major complications
What 690 hospitals in the U.S. charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267), from 2024 Medicare claims.
Average charge
$220,616
Hospital list price billed
Average payment
$44,077
Medicare + patient + other payers
Medicare paid
$40,567
Average per stay
Volume
39,606
Medicare hospital stays
Hospitals in the U.S. billed an average of $220,616 for endovascular cardiac valve replacement and supplement procedures without major complications, about 5.0 times the average total payment of $44,077.
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 $44,077Billed $220,616
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 | $29,929 |
|---|---|
| Mississippi Baptist Medical CenterJackson, MS | $30,048 |
| Boone Hospital CenterColumbia, MO | $30,121 |
| Roper HospitalCharleston, SC | $30,597 |
| Brookwood Medical CenterBirmingham, AL | $30,672 |
| St Bernards Medical CenterJonesboro, AR | $30,772 |
| Kearney Regional Medical CenterKearney, NE | $30,825 |
| Forrest General HospitalHattiesburg, MS | $31,117 |
| Oklahoma Heart Hospital SouthOklahoma City, OK | $31,208 |
| Nebraska Heart Hospital, LLCLincoln, NE | $31,271 |
Highest
| Western Maryland Regional Medical CenterCumberland, MD | $98,378 |
|---|---|
| University of MD St Joseph Medical CenterTowson, MD | $84,168 |
| University of Maryland Medical CenterBaltimore, MD | $81,760 |
| UCLA Medical CenterLos Angeles, CA | $78,307 |
| Boston Medical Center-BrightonBrighton, MA | $77,136 |
| UCSF Medical CenterSan Francisco, CA | $74,649 |
| Yale-New Haven HospitalNew Haven, CT | $73,525 |
| Stanford HospitalPalo Alto, CA | $72,669 |
| UCI Health-OrangeOrange, CA | $68,956 |
| Washington Adventist HospitalTakoma Park, MD | $68,762 |
Endovascular cardiac valve replacement and supplement procedures 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 | 9 | $200,882 | $34,219 | $30,570 – $36,540 |
| Alaska | 1 | $153,116 | $45,760 | – |
| Arizona | 17 | $268,694 | $40,638 | $34,926 – $62,843 |
| Arkansas | 9 | $116,607 | $32,051 | $29,929 – $42,573 |
| California | 73 | $302,436 | $56,059 | $45,066 – $103,642 |
| Colorado | 9 | $336,532 | $40,036 | $34,717 – $47,590 |
| Connecticut | 6 | $133,585 | $52,859 | $47,605 – $73,525 |
| Delaware | 3 | $213,697 | $44,232 | $36,724 – $45,795 |
| Florida | 57 | $278,029 | $38,365 | $27,758 – $52,547 |
| Georgia | 15 | $237,823 | $39,520 | $29,881 – $46,122 |
| Hawaii | 2 | $156,357 | $51,321 | $49,731 – $53,369 |
| Idaho | 5 | $171,446 | $39,392 | $35,676 – $47,408 |
| Illinois | 30 | $206,982 | $42,162 | $34,594 – $58,889 |
| Indiana | 19 | $210,974 | $35,944 | $33,462 – $44,390 |
| Iowa | 10 | $157,927 | $34,928 | $32,633 – $43,179 |
| Kansas | 9 | $189,322 | $37,083 | $31,861 – $42,644 |
| Kentucky | 11 | $286,060 | $40,139 | $31,944 – $47,143 |
| Louisiana | 15 | $187,579 | $33,990 | $31,846 – $40,652 |
| Maine | 2 | $206,710 | $45,271 | $39,282 – $49,233 |
| Maryland | 10 | $73,721 | $66,533 | $48,240 – $98,378 |
| Massachusetts | 12 | $139,699 | $53,842 | $41,235 – $77,136 |
| Michigan | 26 | $165,675 | $42,426 | $32,291 – $53,381 |
| Minnesota | 13 | $156,456 | $45,069 | $35,800 – $54,904 |
| Mississippi | 8 | $137,190 | $32,776 | $30,048 – $42,992 |
| Missouri | 18 | $182,147 | $38,192 | $30,121 – $48,437 |
| Montana | 5 | $97,222 | $38,149 | $35,307 – $40,141 |
| Nebraska | 6 | $137,789 | $34,771 | $30,825 – $42,516 |
| Nevada | 6 | $388,978 | $45,605 | $39,776 – $51,644 |
| New Hampshire | 4 | $223,328 | $44,010 | $36,384 – $51,583 |
| New Jersey | 14 | $263,575 | $47,972 | $40,030 – $53,896 |
| New Mexico | 2 | $221,539 | $34,369 | $33,755 – $37,439 |
| New York | 29 | $225,864 | $53,982 | $40,987 – $65,750 |
| North Carolina | 17 | $193,766 | $40,643 | $33,964 – $48,140 |
| North Dakota | 4 | $146,167 | $38,422 | $34,604 – $39,421 |
| Ohio | 25 | $175,582 | $39,208 | $14,746 – $48,510 |
| Oklahoma | 9 | $209,895 | $35,715 | $31,208 – $43,205 |
| Oregon | 8 | $157,057 | $48,438 | $39,537 – $53,246 |
| Pennsylvania | 38 | $276,253 | $43,101 | $31,765 – $57,140 |
| Rhode Island | 1 | $112,692 | $50,364 | – |
| South Carolina | 13 | $224,286 | $39,177 | $30,436 – $48,972 |
| South Dakota | 3 | $182,813 | $37,133 | $33,874 – $45,891 |
| Tennessee | 11 | $217,590 | $36,783 | $32,633 – $43,429 |
| Texas | 49 | $279,207 | $39,499 | $32,976 – $57,998 |
| Utah | 6 | $159,528 | $40,029 | $35,168 – $45,578 |
| Vermont | 1 | $150,268 | $32,936 | – |
| Virginia | 15 | $210,111 | $39,718 | $32,688 – $52,543 |
| Washington | 14 | $191,979 | $45,203 | $39,288 – $49,372 |
| West Virginia | 4 | $193,359 | $42,499 | $33,390 – $65,565 |
| Wisconsin | 14 | $156,372 | $39,204 | $33,346 – $45,491 |
| Wyoming | 1 | $202,079 | $44,650 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Morristown Memorial HospitalMorristown, NJ | 382 | $297,830 | $49,225 |
| St Francis Hospital, RoslynRoslyn, NY | 367 | $313,509 | $43,979 |
| New York-Presbyterian HospitalNew York, NY | 361 | $195,658 | $60,943 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 347 | $143,986 | $54,904 |
| Mount Sinai HospitalNew York, NY | 326 | $184,294 | $65,750 |
| The Heart Hospital Baylor PlanoPlano, TX | 326 | $174,510 | $37,689 |
| NYU Hospitals CenterNew York, NY | 289 | $441,341 | $63,221 |
| Inova Fairfax HospitalFalls Church, VA | 271 | $160,027 | $41,891 |
| Medstar Washington Hospital CenterWashington, DC | 270 | $209,725 | $52,262 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 265 | $551,063 | $58,280 |
| Beth Israel Deaconess Medical CenterBoston, MA | 245 | $126,615 | $58,364 |
| University of Washington Medical CtrSeattle, WA | 242 | $184,828 | $48,357 |
| Baystate Medical CenterSpringfield, MA | 216 | $116,214 | $50,110 |
| Sanford Medical Center FargoFargo, ND | 215 | $141,403 | $39,397 |
| Lehigh Valley HospitalAllentown, PA | 213 | $463,148 | $41,992 |
Questions
How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 690 hospitals in the U.S. was billed at $220,616 on average, while the average total payment was $44,077, of which Medicare paid $40,567. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($66,533), California ($56,059), New York ($53,982) and lowest in Arkansas ($32,051), Mississippi ($32,776), Louisiana ($33,990).
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.