Other cardiothoracic procedures with major complications
What 134 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other cardiothoracic procedures with major complications (DRG 228), from 2024 Medicare claims.
Average charge
$265,880
Hospital list price billed
Average payment
$53,166
Medicare + patient + other payers
Medicare paid
$47,422
Average per stay
Volume
2,279
Medicare hospital stays
Hospitals in the U.S. billed an average of $265,880 for other cardiothoracic procedures with major complications, about 5.0 times the average total payment of $53,166.
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 $53,166Billed $265,880
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
| Sarasota Memorial HospitalSarasota, FL | $36,627 |
|---|---|
| Eastern Maine Medical CenterBangor, ME | $36,844 |
| Naples Community HospitalNaples, FL | $37,241 |
| Adventhealth OcalaOcala, FL | $37,251 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $37,427 |
| Baptist Memorial HospitalMemphis, TN | $39,273 |
| ECU Health Medical CenterGreenville, NC | $40,486 |
| Riverside Methodist HospitalColumbus, OH | $41,902 |
| Adventhealth OrlandoOrlando, FL | $50,135 |
| Mercy General HospitalSacramento, CA | $52,826 |
Highest
| New York-Presbyterian HospitalNew York, NY | $91,699 |
|---|---|
| Mount Sinai HospitalNew York, NY | $85,932 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $81,466 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $77,978 |
| Northwestern Memorial HospitalChicago, IL | $76,499 |
| MUSC Medical CenterCharleston, SC | $73,794 |
| NYU Hospitals CenterNew York, NY | $72,371 |
| North Shore University HospitalManhasset, NY | $69,653 |
| Medstar Washington Hospital CenterWashington, DC | $68,744 |
| Brigham and Women's HosptialBoston, MA | $68,695 |
Other cardiothoracic 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 | 1 | $89,470 | $37,416 | – |
| Arizona | 2 | $310,497 | $47,478 | $39,999 – $56,318 |
| Arkansas | 2 | $124,019 | $35,282 | $32,706 – $37,344 |
| California | 20 | $368,710 | $63,458 | $47,560 – $91,269 |
| Colorado | 2 | $143,191 | $35,819 | $34,297 – $37,594 |
| Connecticut | 2 | $177,460 | $57,570 | $54,616 – $60,032 |
| Florida | 15 | $250,029 | $39,748 | $34,305 – $50,135 |
| Georgia | 3 | $316,857 | $43,895 | $38,752 – $51,350 |
| Illinois | 6 | $223,877 | $53,840 | $39,374 – $76,499 |
| Iowa | 1 | $198,786 | $52,348 | – |
| Kansas | 2 | $256,731 | $38,694 | $38,551 – $38,884 |
| Kentucky | 4 | $219,014 | $38,891 | $36,902 – $44,596 |
| Louisiana | 1 | $116,656 | $34,762 | – |
| Maine | 1 | $153,557 | $36,844 | – |
| Maryland | 1 | $77,100 | $70,732 | – |
| Massachusetts | 6 | $191,624 | $67,991 | $59,313 – $83,532 |
| Michigan | 1 | $212,339 | $41,955 | – |
| Minnesota | 1 | $219,344 | $81,466 | – |
| Mississippi | 1 | $111,822 | $32,346 | – |
| Missouri | 3 | $205,159 | $37,806 | $36,001 – $41,636 |
| Nevada | 1 | $294,178 | $54,338 | – |
| New Hampshire | 1 | $160,409 | $61,304 | – |
| New Jersey | 6 | $307,828 | $51,471 | $44,769 – $58,043 |
| New Mexico | 1 | $138,411 | $36,496 | – |
| New York | 14 | $346,719 | $70,499 | $43,377 – $96,993 |
| North Carolina | 4 | $185,435 | $52,305 | $40,486 – $71,164 |
| Ohio | 3 | $197,223 | $50,568 | $41,902 – $61,115 |
| Oklahoma | 2 | $166,970 | $36,992 | $32,329 – $42,654 |
| Pennsylvania | 2 | $485,922 | $53,860 | $46,187 – $62,928 |
| South Carolina | 2 | $397,738 | $61,492 | $38,006 – $73,794 |
| Tennessee | 4 | $199,832 | $42,557 | $37,036 – $58,058 |
| Texas | 6 | $320,908 | $43,505 | $34,693 – $56,460 |
| Virginia | 4 | $166,211 | $42,533 | $37,856 – $48,990 |
| Washington | 3 | $241,265 | $52,332 | $46,506 – $58,929 |
| West Virginia | 1 | $144,588 | $43,365 | – |
| Wisconsin | 4 | $162,159 | $47,877 | $37,482 – $57,162 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 45 | $438,386 | $91,699 |
| Adventhealth OrlandoOrlando, FL | 44 | $391,538 | $50,135 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 43 | $807,875 | $77,978 |
| NYU Hospitals CenterNew York, NY | 41 | $501,965 | $72,371 |
| Brigham and Women's HosptialBoston, MA | 38 | $227,800 | $68,695 |
| Eisenhower Memorial HospitalRancho Mirage, CA | 36 | $195,168 | $55,416 |
| Naples Community HospitalNaples, FL | 36 | $163,331 | $37,241 |
| Methodist Hospital,TheHouston, TX | 34 | $391,144 | $56,460 |
| Sarasota Memorial HospitalSarasota, FL | 31 | $220,377 | $36,627 |
| Riverside Methodist HospitalColumbus, OH | 29 | $167,617 | $41,902 |
| Adventhealth OcalaOcala, FL | 28 | $312,368 | $37,251 |
| St Josephs Med Center of StocktonStockton, CA | 27 | $275,375 | $64,978 |
| Massachusetts General HospitalBoston, MA | 27 | $233,453 | $67,371 |
| Baptist Memorial HospitalMemphis, TN | 27 | $192,324 | $39,273 |
| North Shore University HospitalManhasset, NY | 26 | $399,824 | $69,653 |
Questions
How much does other cardiothoracic procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other cardiothoracic procedures with major complications (DRG 228) at 134 hospitals in the U.S. was billed at $265,880 on average, while the average total payment was $53,166, of which Medicare paid $47,422. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other cardiothoracic procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($70,499), Massachusetts ($67,991), California ($63,458) and lowest in Missouri ($37,806), Kentucky ($38,891), Florida ($39,748).
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.