Major chest procedures with major complications
What 432 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.
Average charge
$214,895
Hospital list price billed
Average payment
$45,128
Medicare + patient + other payers
Medicare paid
$37,586
Average per stay
Volume
9,224
Medicare hospital stays
Hospitals in the U.S. billed an average of $214,895 for major chest procedures with major complications, about 4.8 times the average total payment of $45,128.
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 $45,128Billed $214,895
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
| Aspirus Wausau HospitalWausau, WI | $28,295 |
|---|---|
| Washington Regional Med CenterFayetteville, AR | $28,942 |
| Memorial Healthcare System, INCChattanooga, TN | $29,490 |
| Trinity Mother Frances SystTyler, TX | $30,541 |
| St Bernards Medical CenterJonesboro, AR | $30,703 |
| Huntsville HospitalHuntsville, AL | $30,742 |
| Lafayette General Medical CenterLafayette, LA | $30,745 |
| Anne Arundel Medical CenterAnnapolis, MD | $31,124 |
| Roper HospitalCharleston, SC | $31,232 |
| Baptist Memorial HospitalMemphis, TN | $31,399 |
Highest
| Stanford HospitalPalo Alto, CA | $106,382 |
|---|---|
| University of California San Diego Medical CenterSan Diego, CA | $93,200 |
| University of California Davis Medical CenterSacramento, CA | $83,476 |
| UCLA Medical CenterLos Angeles, CA | $81,959 |
| Montefiore Medical CenterBronx, NY | $80,944 |
| USC University HospitalLos Angeles, CA | $76,025 |
| Loma Linda University Medical CenterLoma Linda, CA | $74,491 |
| Emory University HospitalAtlanta, GA | $71,689 |
| The Johns Hopkins HospitalBaltimore, MD | $71,671 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $70,007 |
Major chest 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 | 6 | $166,485 | $32,757 | $27,555 – $43,456 |
| Alaska | 1 | $434,431 | $47,017 | – |
| Arizona | 15 | $216,686 | $43,862 | $32,015 – $64,461 |
| Arkansas | 9 | $120,992 | $33,820 | $28,942 – $42,477 |
| California | 34 | $407,112 | $64,033 | $41,347 – $106,382 |
| Colorado | 8 | $263,981 | $40,843 | $33,261 – $51,197 |
| Connecticut | 4 | $146,487 | $51,232 | $40,784 – $56,261 |
| Delaware | 2 | $151,320 | $42,352 | $41,311 – $43,393 |
| Florida | 32 | $253,314 | $36,820 | $27,018 – $52,146 |
| Georgia | 8 | $217,152 | $51,475 | $35,476 – $71,689 |
| Hawaii | 1 | $139,364 | $46,856 | – |
| Idaho | 4 | $201,465 | $47,053 | $33,234 – $63,516 |
| Illinois | 17 | $169,551 | $46,948 | $32,313 – $62,726 |
| Indiana | 9 | $167,088 | $38,738 | $32,555 – $48,049 |
| Iowa | 4 | $123,953 | $36,705 | $32,536 – $43,823 |
| Kansas | 4 | $211,889 | $36,468 | $30,553 – $45,861 |
| Kentucky | 8 | $184,968 | $38,794 | $30,383 – $60,346 |
| Louisiana | 2 | $135,979 | $33,668 | $30,745 – $36,210 |
| Maine | 1 | $222,265 | $65,367 | – |
| Maryland | 6 | $59,533 | $53,573 | $31,124 – $84,484 |
| Massachusetts | 10 | $147,061 | $53,215 | $37,808 – $59,910 |
| Michigan | 14 | $136,591 | $42,653 | $35,291 – $57,954 |
| Minnesota | 7 | $155,411 | $51,723 | $36,990 – $81,419 |
| Mississippi | 4 | $130,634 | $32,266 | $25,780 – $43,539 |
| Missouri | 13 | $174,993 | $40,764 | $30,461 – $54,504 |
| Montana | 2 | $82,182 | $35,765 | $35,418 – $36,257 |
| Nebraska | 5 | $153,833 | $42,174 | $30,044 – $52,295 |
| Nevada | 4 | $448,942 | $43,445 | $37,288 – $49,980 |
| New Hampshire | 2 | $172,968 | $48,396 | $34,397 – $55,978 |
| New Jersey | 11 | $215,386 | $45,891 | $37,245 – $57,087 |
| New Mexico | 2 | $141,280 | $52,209 | $50,375 – $53,309 |
| New York | 19 | $270,166 | $58,943 | $38,076 – $80,944 |
| North Carolina | 11 | $149,206 | $43,318 | $30,609 – $72,652 |
| North Dakota | 2 | $111,159 | $37,518 | $30,373 – $40,514 |
| Ohio | 16 | $163,895 | $41,601 | $31,374 – $53,486 |
| Oklahoma | 7 | $213,521 | $39,697 | $26,121 – $111,327 |
| Oregon | 4 | $139,371 | $49,787 | $42,619 – $60,916 |
| Pennsylvania | 19 | $266,484 | $45,084 | $34,950 – $62,463 |
| Rhode Island | 1 | $127,340 | $56,165 | – |
| South Carolina | 10 | $198,792 | $40,787 | $27,517 – $48,624 |
| South Dakota | 4 | $148,731 | $35,702 | $29,198 – $46,226 |
| Tennessee | 13 | $132,678 | $35,474 | $29,103 – $57,174 |
| Texas | 39 | $281,768 | $39,872 | $29,921 – $64,563 |
| Utah | 5 | $135,047 | $40,169 | $33,021 – $46,038 |
| Vermont | 1 | $134,386 | $35,424 | – |
| Virginia | 11 | $164,956 | $45,970 | $35,633 – $72,651 |
| Washington | 11 | $220,664 | $55,063 | $37,141 – $128,999 |
| West Virginia | 4 | $166,190 | $40,330 | $36,145 – $42,061 |
| Wisconsin | 4 | $131,895 | $43,688 | $28,295 – $49,384 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Brigham and Women's HosptialBoston, MA | 97 | $231,951 | $55,995 |
| New York-Presbyterian HospitalNew York, NY | 92 | $364,166 | $67,129 |
| NYU Hospitals CenterNew York, NY | 83 | $301,525 | $61,621 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | 72 | $120,553 | $44,986 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | 69 | $164,148 | $58,722 |
| Adventhealth OrlandoOrlando, FL | 63 | $317,608 | $37,682 |
| Baptist Memorial HospitalMemphis, TN | 54 | $131,904 | $31,399 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 52 | $755,038 | $70,007 |
| Beth Israel Deaconess Medical CenterBoston, MA | 50 | $96,891 | $59,910 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 50 | $174,031 | $35,438 |
| Methodist HospitalSan Antonio, TX | 50 | $281,083 | $34,423 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 49 | $265,033 | $57,291 |
| Sarasota Memorial HospitalSarasota, FL | 48 | $237,694 | $34,111 |
| Massachusetts General HospitalBoston, MA | 47 | $180,896 | $56,164 |
| Norton Healthcare PavilionLouisville, KY | 46 | $177,491 | $33,449 |
Questions
How much does major chest procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 432 hospitals in the U.S. was billed at $214,895 on average, while the average total payment was $45,128, of which Medicare paid $37,586. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major chest procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($64,033), New York ($58,943), Washington ($55,063) and lowest in Mississippi ($32,266), Alabama ($32,757), Arkansas ($33,820).
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 4.8 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.