Major chest procedures with complications
What 433 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$123,756
Hospital list price billed
Average payment
$25,501
Medicare + patient + other payers
Medicare paid
$20,436
Average per stay
Volume
11,919
Medicare hospital stays
Hospitals in the U.S. billed an average of $123,756 for major chest procedures with complications, about 4.9 times the average total payment of $25,501.
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 $25,501Billed $123,756
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Martin Memorial Health SystemsStuart, FL | $14,938 |
|---|---|
| Fletcher Allen Hospital of VermontBurlington, VT | $16,177 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $16,340 |
| Jupiter Medical CenterJupiter, FL | $16,410 |
| Oklahoma Heart HospitalOklahoma City, OK | $16,472 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | $16,736 |
| Palos Community HospitalPalos Heights, IL | $16,850 |
| Lafayette General Medical CenterLafayette, LA | $16,889 |
| Roper HospitalCharleston, SC | $17,061 |
| Mobile InfirmaryMobile, AL | $17,118 |
Highest
| UCLA Medical CenterLos Angeles, CA | $45,763 |
|---|---|
| Peninsula Regional Medical CenterSalisbury, MD | $45,452 |
| University of Maryland Medical CenterBaltimore, MD | $44,109 |
| Stanford HospitalPalo Alto, CA | $41,761 |
| Frederick Memorial HospitalFrederick, MD | $41,627 |
| UCSF Medical CenterSan Francisco, CA | $40,721 |
| Saint Francis Medical CenterPeoria, IL | $37,906 |
| Mount Sinai HospitalNew York, NY | $37,665 |
| University of California Davis Medical CenterSacramento, CA | $37,460 |
| University of California San Diego Medical CenterSan Diego, CA | $36,683 |
Major chest procedures with 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 | 4 | $92,182 | $20,039 | $17,118 – $25,275 |
| Alaska | 1 | $215,032 | $23,857 | – |
| Arizona | 11 | $136,089 | $25,119 | $16,736 – $30,602 |
| Arkansas | 4 | $83,050 | $20,055 | $16,877 – $23,842 |
| California | 33 | $210,916 | $33,391 | $23,195 – $45,763 |
| Colorado | 6 | $133,041 | $23,557 | $19,460 – $27,663 |
| Connecticut | 5 | $83,234 | $30,744 | $25,458 – $32,427 |
| Delaware | 3 | $70,404 | $24,038 | $21,524 – $24,693 |
| Florida | 30 | $156,691 | $21,116 | $14,461 – $28,271 |
| Georgia | 15 | $131,741 | $24,356 | $17,289 – $33,447 |
| Hawaii | 1 | $116,923 | $32,526 | – |
| Idaho | 3 | $136,194 | $25,352 | $21,608 – $29,556 |
| Illinois | 16 | $124,672 | $26,488 | $16,850 – $37,906 |
| Indiana | 11 | $132,327 | $22,093 | $17,379 – $26,601 |
| Iowa | 4 | $84,126 | $20,735 | $17,341 – $24,236 |
| Kansas | 5 | $121,438 | $20,666 | $17,599 – $22,278 |
| Kentucky | 8 | $128,212 | $21,254 | $17,783 – $24,721 |
| Louisiana | 4 | $110,621 | $20,083 | $16,889 – $24,027 |
| Maine | 2 | $81,083 | $25,061 | $23,243 – $29,020 |
| Maryland | 11 | $38,549 | $34,994 | $20,823 – $49,321 |
| Massachusetts | 16 | $85,056 | $28,418 | $20,584 – $32,085 |
| Michigan | 12 | $83,115 | $25,774 | $21,093 – $34,591 |
| Minnesota | 11 | $80,136 | $26,050 | $18,800 – $31,312 |
| Mississippi | 4 | $80,555 | $19,316 | $15,920 – $23,943 |
| Missouri | 11 | $95,011 | $22,768 | $17,250 – $27,302 |
| Montana | 3 | $64,432 | $20,868 | $19,989 – $22,197 |
| Nebraska | 4 | $98,885 | $22,112 | $19,757 – $24,723 |
| Nevada | 2 | $198,631 | $25,445 | $23,423 – $27,623 |
| New Hampshire | 3 | $108,453 | $29,605 | $20,270 – $40,549 |
| New Jersey | 13 | $111,686 | $26,056 | $18,666 – $33,290 |
| New Mexico | 1 | $226,642 | $19,794 | – |
| New York | 24 | $147,924 | $30,842 | $20,619 – $37,665 |
| North Carolina | 17 | $97,962 | $23,730 | $17,296 – $31,168 |
| North Dakota | 2 | $76,397 | $22,774 | $19,271 – $25,839 |
| Ohio | 12 | $103,331 | $24,618 | $19,130 – $37,115 |
| Oklahoma | 4 | $131,987 | $20,836 | $16,472 – $25,381 |
| Oregon | 6 | $87,061 | $26,462 | $22,889 – $30,864 |
| Pennsylvania | 22 | $154,529 | $24,748 | $18,476 – $30,746 |
| Rhode Island | 1 | $45,683 | $27,300 | – |
| South Carolina | 9 | $141,074 | $22,861 | $17,061 – $29,568 |
| South Dakota | 3 | $97,958 | $20,219 | $17,651 – $29,714 |
| Tennessee | 11 | $98,606 | $20,440 | $16,340 – $27,397 |
| Texas | 24 | $161,854 | $20,919 | $17,519 – $26,227 |
| Utah | 3 | $85,158 | $24,836 | $19,153 – $27,084 |
| Vermont | 1 | $66,817 | $16,177 | – |
| Virginia | 13 | $109,557 | $23,661 | $16,946 – $33,525 |
| Washington | 10 | $112,345 | $25,932 | $21,902 – $31,783 |
| West Virginia | 3 | $97,801 | $23,234 | $19,565 – $27,161 |
| Wisconsin | 7 | $92,238 | $23,680 | $20,046 – $27,144 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Brigham and Women's HosptialBoston, MA | 178 | $114,103 | $29,260 |
| NYU Hospitals CenterNew York, NY | 169 | $215,377 | $32,454 |
| New York-Presbyterian HospitalNew York, NY | 163 | $139,041 | $33,707 |
| Morristown Memorial HospitalMorristown, NJ | 152 | $85,370 | $26,582 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 128 | $76,832 | $31,312 |
| Massachusetts General HospitalBoston, MA | 127 | $96,764 | $30,723 |
| Mayo Clinic HospitalPhoenix, AZ | 115 | $105,597 | $30,602 |
| Stanford HospitalPalo Alto, CA | 106 | $374,610 | $41,761 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | 97 | $147,025 | $26,143 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 91 | $143,861 | $31,870 |
| Mayo ClinicJacksonville, FL | 87 | $86,539 | $28,271 |
| Duke University Medical CenterDurham, NC | 83 | $79,012 | $28,143 |
| Cleveland Clinic - Main CampusCleveland, OH | 82 | $87,267 | $25,074 |
| Hospital of the Univ of PaPhiladelphia, PA | 81 | $162,785 | $29,615 |
| University Hospitals of ClevelandCleveland, OH | 80 | $85,667 | $25,284 |
Questions
How much does major chest procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 433 hospitals in the U.S. was billed at $123,756 on average, while the average total payment was $25,501, of which Medicare paid $20,436. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major chest procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($34,994), California ($33,391), New York ($30,842) and lowest in Mississippi ($19,316), Alabama ($20,039), Arkansas ($20,055).
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 4.9 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.