Major chest procedures without complications
What 208 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.
Average charge
$99,262
Hospital list price billed
Average payment
$19,593
Medicare + patient + other payers
Medicare paid
$14,964
Average per stay
Volume
4,444
Medicare hospital stays
Hospitals in the U.S. billed an average of $99,262 for major chest procedures without complications, about 5.1 times the average total payment of $19,593.
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.
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
| Baptist Memorial HospitalMemphis, TN | $13,138 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $15,014 |
| Memorial Medical CenterSpringfield, IL | $15,100 |
| Roper HospitalCharleston, SC | $15,194 |
| Presbyterian HospitalCharlotte, NC | $15,269 |
| Via Christi Hospitals Wichita INCWichita, KS | $15,294 |
| Rex HospitalRaleigh, NC | $15,296 |
| Anne Arundel Medical CenterAnnapolis, MD | $15,423 |
| Sibley Memorial HospitalWashington, DC | $15,512 |
| New Hanover Regional Medical CenterWilmington, NC | $15,687 |
Highest
| Stanford HospitalPalo Alto, CA | $30,254 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $29,855 |
| The Queens Medical CenterHonolulu, HI | $29,708 |
| The Johns Hopkins HospitalBaltimore, MD | $26,878 |
| Franklin Square Hospital CenterRosedale, MD | $26,230 |
| Univ of Michigan HospitalsAnn Arbor, MI | $26,212 |
| University HospitalStony Brook, NY | $25,290 |
| NYU Hospitals CenterNew York, NY | $24,126 |
| Baptist Hospital of Miami INCMiami, FL | $23,870 |
| Massachusetts General HospitalBoston, MA | $23,341 |
Major chest procedures without 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 | $68,742 | $14,861 | $12,464 – $18,027 |
| Arizona | 5 | $111,065 | $18,079 | $14,568 – $21,575 |
| California | 11 | $187,672 | $24,586 | $17,779 – $33,114 |
| Colorado | 3 | $82,947 | $17,558 | $15,694 – $18,779 |
| Connecticut | 2 | $57,667 | $25,021 | $22,349 – $27,222 |
| Delaware | 2 | $44,545 | $18,781 | $18,464 – $19,004 |
| Florida | 9 | $147,547 | $17,569 | $12,133 – $23,870 |
| Georgia | 6 | $100,833 | $18,404 | $14,063 – $21,362 |
| Hawaii | 1 | $95,844 | $29,708 | – |
| Idaho | 1 | $149,568 | $16,676 | – |
| Illinois | 11 | $99,081 | $19,663 | $14,809 – $31,136 |
| Indiana | 4 | $132,599 | $17,546 | $16,543 – $19,683 |
| Iowa | 2 | $69,334 | $16,168 | $14,608 – $18,020 |
| Kansas | 2 | $89,466 | $15,616 | $15,294 – $16,394 |
| Kentucky | 4 | $92,785 | $14,479 | $12,083 – $17,669 |
| Louisiana | 3 | $91,276 | $16,472 | $12,501 – $20,323 |
| Maryland | 6 | $26,437 | $24,342 | $15,423 – $32,299 |
| Massachusetts | 11 | $69,313 | $21,242 | $15,349 – $24,531 |
| Michigan | 7 | $68,119 | $19,509 | $14,786 – $26,212 |
| Minnesota | 3 | $62,391 | $20,970 | $17,216 – $22,167 |
| Mississippi | 1 | $42,332 | $19,190 | – |
| Missouri | 2 | $78,296 | $20,224 | $19,772 – $20,902 |
| Montana | 2 | $52,455 | $15,584 | $14,032 – $16,723 |
| New Hampshire | 1 | $72,406 | $21,547 | – |
| New Jersey | 12 | $98,192 | $19,010 | $16,192 – $21,997 |
| New York | 13 | $111,541 | $22,575 | $16,849 – $27,113 |
| North Carolina | 8 | $77,280 | $18,247 | $15,269 – $22,598 |
| Ohio | 7 | $81,202 | $19,980 | $14,226 – $28,313 |
| Oklahoma | 3 | $148,409 | $16,030 | $12,024 – $20,700 |
| Oregon | 5 | $61,095 | $20,281 | $15,907 – $22,332 |
| Pennsylvania | 12 | $123,222 | $19,763 | $13,772 – $22,550 |
| Rhode Island | 1 | $33,290 | $22,841 | – |
| South Carolina | 6 | $123,127 | $18,511 | $15,194 – $21,747 |
| South Dakota | 1 | $68,262 | $12,956 | – |
| Tennessee | 6 | $87,923 | $15,600 | $12,821 – $19,763 |
| Texas | 6 | $102,152 | $17,395 | $14,072 – $19,429 |
| Utah | 2 | $75,588 | $19,131 | $18,941 – $19,344 |
| Vermont | 1 | $53,181 | $13,875 | – |
| Virginia | 7 | $69,665 | $18,035 | $13,936 – $22,907 |
| Washington | 8 | $103,124 | $19,101 | $15,903 – $22,605 |
| West Virginia | 2 | $91,296 | $18,751 | $18,036 – $19,773 |
| Wisconsin | 2 | $80,434 | $17,782 | $12,725 – $21,492 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 109 | $182,146 | $24,126 |
| Hospital of the Univ of PaPhiladelphia, PA | 104 | $127,737 | $22,432 |
| Brigham and Women's HosptialBoston, MA | 89 | $93,507 | $22,457 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 68 | $251,817 | $22,607 |
| Evanston HospitalEvanston, IL | 66 | $73,860 | $17,746 |
| Northwestern Memorial HospitalChicago, IL | 64 | $133,840 | $20,225 |
| Orlando Regional HealthcareOrlando, FL | 58 | $204,467 | $16,500 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 57 | $95,001 | $21,936 |
| New York-Presbyterian HospitalNew York, NY | 56 | $97,218 | $23,107 |
| Duke University Medical CenterDurham, NC | 53 | $60,770 | $20,083 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 52 | $53,112 | $22,167 |
| Inova Fairfax HospitalFalls Church, VA | 52 | $54,565 | $17,488 |
| Albany Medical Center HospitalAlbany, NY | 47 | $35,268 | $19,970 |
| Massachusetts General HospitalBoston, MA | 44 | $73,732 | $23,341 |
| Memorial Medical CenterSpringfield, IL | 42 | $75,366 | $15,100 |
Questions
How much does major chest procedures without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 208 hospitals in the U.S. was billed at $99,262 on average, while the average total payment was $19,593, of which Medicare paid $14,964. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major chest procedures without complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($24,586), Maryland ($24,342), New York ($22,575) and lowest in Kentucky ($14,479), Alabama ($14,861), Tennessee ($15,600).
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 5.1 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.