Other cardiothoracic procedures without major complications
What 198 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other cardiothoracic procedures without major complications (DRG 229), from 2024 Medicare claims.
Average charge
$168,655
Hospital list price billed
Average payment
$29,975
Medicare + patient + other payers
Medicare paid
$26,681
Average per stay
Volume
3,889
Medicare hospital stays
Hospitals in the U.S. billed an average of $168,655 for other cardiothoracic procedures without major complications, about 5.6 times the average total payment of $29,975.
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 $29,975Billed $168,655
About 18¢ 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
| Oklahoma Heart HospitalOklahoma City, OK | $20,265 |
|---|---|
| Oklahoma Heart Hospital SouthOklahoma City, OK | $20,373 |
| The Heart Hospital Baylor DentonDenton, TX | $21,209 |
| Freeman Health System - Freeman WestJoplin, MO | $21,758 |
| Baptist Memorial HospitalMemphis, TN | $21,921 |
| The Nebraska Methodist HospitalOmaha, NE | $22,546 |
| Adventhealth OcalaOcala, FL | $22,576 |
| Arkansas Heart HospitalLittle Rock, AR | $22,654 |
| D C H Regional Medical CenterTuscaloosa, AL | $22,663 |
| The Heart Hospital Baylor PlanoPlano, TX | $23,123 |
Highest
| Stanford HospitalPalo Alto, CA | $54,495 |
|---|---|
| Peninsula Medical CenterBurlingame, CA | $50,126 |
| Mount Sinai HospitalNew York, NY | $46,097 |
| Loma Linda University Medical CenterLoma Linda, CA | $45,830 |
| NYU Hospitals CenterNew York, NY | $43,752 |
| New York-Presbyterian HospitalNew York, NY | $41,449 |
| Staten Island University HospitalStaten Island, NY | $40,419 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $40,199 |
| Alta Bates Summit Medical CenterOakland, CA | $39,434 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $38,907 |
Other cardiothoracic procedures without 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 | 2 | $121,832 | $21,749 | $19,997 – $22,663 |
| Arizona | 7 | $206,461 | $27,162 | $22,788 – $35,656 |
| Arkansas | 3 | $104,544 | $23,601 | $21,137 – $24,888 |
| California | 26 | $224,785 | $37,873 | $25,389 – $54,495 |
| Colorado | 2 | $108,251 | $24,860 | $22,829 – $26,408 |
| Connecticut | 1 | $83,552 | $33,251 | – |
| Delaware | 1 | $97,169 | $24,881 | – |
| Florida | 20 | $180,853 | $26,176 | $21,820 – $36,234 |
| Georgia | 7 | $161,329 | $26,393 | $20,435 – $29,116 |
| Idaho | 2 | $196,084 | $26,969 | $25,037 – $28,901 |
| Illinois | 9 | $140,155 | $27,916 | $22,280 – $36,488 |
| Indiana | 2 | $84,562 | $24,618 | $23,366 – $25,870 |
| Iowa | 1 | $113,981 | $21,881 | – |
| Kansas | 4 | $178,617 | $26,034 | $19,917 – $30,699 |
| Kentucky | 5 | $191,797 | $24,103 | $22,064 – $26,424 |
| Maine | 1 | $135,132 | $27,799 | – |
| Maryland | 1 | $35,518 | $32,319 | – |
| Massachusetts | 5 | $114,058 | $38,586 | $35,176 – $42,190 |
| Michigan | 6 | $129,686 | $32,115 | $27,895 – $38,013 |
| Minnesota | 2 | $130,307 | $32,556 | $26,859 – $36,038 |
| Mississippi | 4 | $123,753 | $21,318 | $20,026 – $22,815 |
| Missouri | 6 | $122,827 | $24,216 | $21,712 – $27,423 |
| Nebraska | 4 | $101,125 | $24,765 | $20,165 – $30,450 |
| New Hampshire | 3 | $140,265 | $29,101 | $25,192 – $35,726 |
| New Jersey | 4 | $177,590 | $31,433 | $29,828 – $32,981 |
| New Mexico | 2 | $146,441 | $30,981 | $29,496 – $31,556 |
| New York | 12 | $186,833 | $36,633 | $27,773 – $46,097 |
| North Carolina | 5 | $137,964 | $31,467 | $26,112 – $38,840 |
| North Dakota | 1 | $83,917 | $24,847 | – |
| Ohio | 3 | $139,358 | $28,823 | $24,160 – $31,870 |
| Oklahoma | 3 | $102,877 | $21,285 | $20,265 – $23,879 |
| Oregon | 1 | $138,152 | $30,033 | – |
| Pennsylvania | 4 | $245,257 | $33,975 | $29,135 – $44,430 |
| South Carolina | 2 | $165,730 | $36,387 | $28,244 – $43,366 |
| South Dakota | 2 | $134,171 | $26,134 | $21,876 – $30,064 |
| Tennessee | 5 | $121,546 | $25,291 | $21,921 – $31,109 |
| Texas | 10 | $185,188 | $26,757 | $21,209 – $32,356 |
| Vermont | 1 | $112,863 | $16,284 | – |
| Virginia | 5 | $201,171 | $25,945 | $21,533 – $32,119 |
| Washington | 7 | $150,245 | $30,946 | $28,149 – $32,947 |
| West Virginia | 3 | $168,779 | $32,167 | $27,094 – $40,973 |
| Wisconsin | 3 | $134,125 | $29,828 | $23,907 – $37,142 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Eisenhower Memorial HospitalRancho Mirage, CA | 96 | $133,147 | $35,002 |
| Sarasota Memorial HospitalSarasota, FL | 57 | $206,706 | $24,781 |
| Methodist Hospital,TheHouston, TX | 51 | $251,105 | $31,884 |
| St Bernards Medical CenterJonesboro, AR | 49 | $110,918 | $24,888 |
| Adventhealth OrlandoOrlando, FL | 46 | $240,555 | $27,585 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | 44 | $239,389 | $25,704 |
| St Francis Hospital, RoslynRoslyn, NY | 44 | $210,389 | $27,773 |
| The Heart Hospital Baylor PlanoPlano, TX | 44 | $127,350 | $23,123 |
| Norton Healthcare PavilionLouisville, KY | 41 | $167,745 | $23,664 |
| Staten Island University HospitalStaten Island, NY | 40 | $199,963 | $40,419 |
| St Helena HospitalDeer Park, CA | 39 | $284,105 | $33,755 |
| Mercy General HospitalSacramento, CA | 39 | $240,200 | $34,370 |
| Arkansas Heart HospitalLittle Rock, AR | 38 | $82,485 | $22,654 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 37 | $414,006 | $40,199 |
| Naples Community HospitalNaples, FL | 37 | $91,874 | $23,762 |
Questions
How much does other cardiothoracic procedures without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other cardiothoracic procedures without major complications (DRG 229) at 198 hospitals in the U.S. was billed at $168,655 on average, while the average total payment was $29,975, of which Medicare paid $26,681. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other cardiothoracic procedures without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Massachusetts ($38,586), California ($37,873), New York ($36,633) and lowest in Oklahoma ($21,285), Mississippi ($21,318), Arkansas ($23,601).
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 5.6 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.