Heart transplant or implant of heart assist system with major complications
What 87 hospitals in the U.S. charged and were paid for a Medicare hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001), from 2024 Medicare claims.
Average charge
$1,604,490
Hospital list price billed
Average payment
$349,592
Medicare + patient + other payers
Medicare paid
$295,327
Average per stay
Volume
1,814
Medicare hospital stays
Hospitals in the U.S. billed an average of $1,604,490 for heart transplant or implant of heart assist system with major complications, about 4.6 times the average total payment of $349,592.
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 $349,592Billed $1,604,490
About 22¢ was paid for every $1 hospitals in the U.S. billed for this stay.
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
| University of Kansas HospitalKansas City, KS | $229,828 |
|---|---|
| Cleveland Clinic HospitalWeston, FL | $235,039 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $241,824 |
| The Nebraska Medical CenterOmaha, NE | $257,421 |
| Vanderbilt University HospitalNashville, TN | $271,453 |
| UT Southwestern University HospitalDallas, TX | $283,409 |
| Hackensack University Medical CenterHackensack, NJ | $295,971 |
| Duke University Medical CenterDurham, NC | $307,565 |
| Cleveland Clinic - Main CampusCleveland, OH | $308,174 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $308,964 |
Highest
| UCLA Medical CenterLos Angeles, CA | $611,930 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $561,230 |
| New York-Presbyterian HospitalNew York, NY | $508,079 |
| UCSF Medical CenterSan Francisco, CA | $503,719 |
| NYU Hospitals CenterNew York, NY | $460,102 |
| Sutter General HospitalSacramento, CA | $443,700 |
| University of California San Diego Medical CenterSan Diego, CA | $433,480 |
| Mayo ClinicJacksonville, FL | $414,018 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $413,310 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $402,925 |
Heart transplant or implant of heart assist system 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 | 1 | $1,346,295 | $340,532 | – |
| Arizona | 1 | $962,620 | $333,027 | – |
| Arkansas | 2 | $1,188,996 | $273,490 | $188,224 – $317,829 |
| California | 10 | $2,530,008 | $477,756 | $294,298 – $611,930 |
| Colorado | 1 | $1,980,369 | $325,486 | – |
| Connecticut | 1 | $1,361,975 | $318,212 | – |
| Florida | 7 | $1,517,055 | $299,884 | $218,419 – $414,018 |
| Georgia | 2 | $1,428,409 | $346,990 | $345,942 – $348,301 |
| Illinois | 3 | $1,546,275 | $364,306 | $339,781 – $395,081 |
| Indiana | 2 | $1,214,132 | $251,880 | $241,824 – $266,247 |
| Kansas | 1 | $1,282,560 | $229,828 | – |
| Kentucky | 2 | $1,320,293 | $296,547 | $263,678 – $326,887 |
| Louisiana | 1 | $391,145 | $192,941 | – |
| Maryland | 1 | $634,784 | $561,230 | – |
| Massachusetts | 3 | $1,346,607 | $375,804 | $343,244 – $405,136 |
| Michigan | 2 | $905,873 | $290,050 | $254,968 – $344,269 |
| Minnesota | 3 | $1,264,525 | $366,835 | $308,964 – $402,925 |
| Missouri | 2 | $1,173,616 | $300,621 | $248,320 – $321,764 |
| Nebraska | 1 | $1,201,623 | $257,421 | – |
| New Jersey | 3 | $1,303,529 | $305,025 | $294,965 – $335,937 |
| New York | 5 | $2,602,755 | $472,926 | $375,586 – $528,284 |
| North Carolina | 6 | $1,066,110 | $297,753 | $230,679 – $366,952 |
| Ohio | 3 | $1,264,433 | $301,294 | $244,617 – $334,353 |
| Oklahoma | 1 | $2,247,162 | $328,899 | – |
| Oregon | 1 | $614,286 | $281,887 | – |
| Pennsylvania | 4 | $1,975,401 | $352,327 | $258,609 – $422,190 |
| South Carolina | 1 | $1,158,127 | $311,036 | – |
| Tennessee | 4 | $1,668,169 | $258,906 | $227,958 – $286,772 |
| Texas | 7 | $1,730,461 | $321,405 | $195,921 – $391,909 |
| Utah | 1 | $1,010,176 | $348,312 | – |
| Virginia | 3 | $1,443,313 | $379,887 | $285,861 – $432,382 |
| Washington | 1 | $1,311,461 | $376,028 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Medstar Washington Hospital CenterWashington, DC | 51 | $1,389,796 | $345,001 |
| New York-Presbyterian HospitalNew York, NY | 51 | $2,905,979 | $508,079 |
| Barnes Jewish HospitalSt Louis, MO | 47 | $1,176,730 | $321,764 |
| Cleveland Clinic - Main CampusCleveland, OH | 46 | $1,301,911 | $308,174 |
| The University of Chicago Medical CenterChicago, IL | 44 | $1,550,132 | $339,781 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 39 | $3,718,436 | $413,310 |
| Duke University Medical CenterDurham, NC | 35 | $1,034,932 | $307,565 |
| Vanderbilt University HospitalNashville, TN | 35 | $1,635,954 | $271,453 |
| Northwestern Memorial HospitalChicago, IL | 31 | $1,647,696 | $395,081 |
| Emory University HospitalAtlanta, GA | 30 | $1,197,078 | $345,942 |
| Massachusetts General HospitalBoston, MA | 30 | $1,365,024 | $343,244 |
| University of California San Diego Medical CenterSan Diego, CA | 29 | $1,414,593 | $433,480 |
| UCSF Medical CenterSan Francisco, CA | 29 | $2,460,577 | $503,719 |
| Adventhealth OrlandoOrlando, FL | 29 | $2,455,406 | $325,575 |
| Hospital of the Univ of PaPhiladelphia, PA | 29 | $2,152,921 | $369,339 |
Questions
How much does heart transplant or implant of heart assist system with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001) at 87 hospitals in the U.S. was billed at $1,604,490 on average, while the average total payment was $349,592, of which Medicare paid $295,327. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for heart transplant or implant of heart assist system with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($477,756), New York ($472,926), Virginia ($379,887) and lowest in Tennessee ($258,906), North Carolina ($297,753), Florida ($299,884).
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 4.6 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.