Other circulatory system diagnoses with complications
What 452 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.
Average charge
$52,030
Hospital list price billed
Average payment
$10,367
Medicare + patient + other payers
Medicare paid
$7,710
Average per stay
Volume
8,781
Medicare hospital stays
Hospitals in the U.S. billed an average of $52,030 for other circulatory system diagnoses with complications, about 5.0 times the average total payment of $10,367.
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 $10,367Billed $52,030
About 20¢ 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
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $6,312 |
|---|---|
| Central Baptist HospitalLexington, KY | $6,594 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $6,626 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $6,743 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $6,829 |
| Naples Community HospitalNaples, FL | $6,831 |
| Mercy Hospital SouthSt Louis, MO | $6,886 |
| Norton Healthcare PavilionLouisville, KY | $6,888 |
| Fletcher Allen Hospital of VermontBurlington, VT | $6,931 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $7,029 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $24,392 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $20,877 |
| UCSF Medical CenterSan Francisco, CA | $20,680 |
| The Johns Hopkins HospitalBaltimore, MD | $18,947 |
| Mount Sinai HospitalNew York, NY | $18,017 |
| Stanford HospitalPalo Alto, CA | $17,644 |
| University of California San Diego Medical CenterSan Diego, CA | $16,771 |
| University of California Davis Medical CenterSacramento, CA | $15,991 |
| New York-Presbyterian HospitalNew York, NY | $15,933 |
| Montefiore Medical CenterBronx, NY | $15,833 |
Other circulatory system diagnoses 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 | $42,029 | $9,931 | $7,061 – $12,518 |
| Arizona | 10 | $41,432 | $10,045 | $6,821 – $14,479 |
| Arkansas | 4 | $27,510 | $6,705 | $6,563 – $6,902 |
| California | 39 | $88,064 | $13,060 | $9,130 – $23,671 |
| Colorado | 3 | $75,655 | $9,412 | $7,310 – $11,618 |
| Connecticut | 4 | $40,033 | $12,575 | $8,731 – $15,632 |
| Delaware | 2 | $30,662 | $8,550 | $7,413 – $8,879 |
| Florida | 48 | $54,175 | $8,784 | $5,907 – $22,825 |
| Georgia | 8 | $38,806 | $10,864 | $7,398 – $14,357 |
| Idaho | 1 | $23,972 | $7,397 | – |
| Illinois | 25 | $40,784 | $9,786 | $6,462 – $15,651 |
| Indiana | 10 | $36,122 | $8,205 | $6,626 – $12,817 |
| Iowa | 4 | $57,913 | $9,532 | $7,029 – $13,823 |
| Kansas | 3 | $64,521 | $9,570 | $7,062 – $11,172 |
| Kentucky | 7 | $40,800 | $7,859 | $6,166 – $11,735 |
| Louisiana | 5 | $39,351 | $7,882 | $6,370 – $10,353 |
| Maine | 2 | $31,395 | $8,715 | $7,781 – $9,268 |
| Maryland | 16 | $15,230 | $13,744 | $7,835 – $24,392 |
| Massachusetts | 19 | $34,432 | $11,039 | $7,488 – $14,823 |
| Michigan | 10 | $30,591 | $10,124 | $7,356 – $14,218 |
| Minnesota | 11 | $38,704 | $10,339 | $7,310 – $14,011 |
| Mississippi | 3 | $22,542 | $7,271 | $6,725 – $7,637 |
| Missouri | 10 | $46,442 | $9,545 | $6,673 – $14,124 |
| Nebraska | 3 | $35,331 | $10,165 | $8,023 – $11,621 |
| Nevada | 4 | $73,400 | $9,442 | $8,312 – $10,358 |
| New Hampshire | 3 | $39,097 | $9,926 | $7,309 – $13,598 |
| New Jersey | 19 | $73,359 | $9,525 | $7,429 – $12,416 |
| New Mexico | 1 | $22,269 | $7,505 | – |
| New York | 31 | $76,663 | $12,616 | $8,087 – $18,017 |
| North Carolina | 14 | $35,430 | $10,751 | $6,576 – $15,113 |
| North Dakota | 1 | $33,281 | $8,105 | – |
| Ohio | 13 | $43,193 | $9,818 | $6,740 – $12,829 |
| Oklahoma | 4 | $57,863 | $9,120 | $7,524 – $13,280 |
| Oregon | 4 | $37,175 | $10,400 | $8,536 – $13,645 |
| Pennsylvania | 25 | $69,343 | $10,079 | $6,690 – $15,419 |
| Rhode Island | 2 | $41,361 | $13,002 | $10,471 – $15,954 |
| South Carolina | 10 | $42,809 | $9,512 | $6,192 – $13,602 |
| South Dakota | 2 | $37,328 | $10,326 | $9,350 – $11,175 |
| Tennessee | 11 | $42,386 | $9,489 | $6,323 – $13,745 |
| Texas | 27 | $58,267 | $9,203 | $6,473 – $16,556 |
| Utah | 3 | $41,157 | $10,858 | $7,638 – $12,387 |
| Vermont | 1 | $33,088 | $6,931 | – |
| Virginia | 12 | $39,482 | $10,741 | $6,224 – $20,248 |
| Washington | 5 | $43,471 | $10,203 | $8,139 – $12,806 |
| West Virginia | 1 | $39,598 | $9,392 | – |
| Wisconsin | 6 | $38,025 | $10,131 | $7,379 – $13,348 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 95 | $55,456 | $8,906 |
| NYU Hospitals CenterNew York, NY | 91 | $88,487 | $14,076 |
| New York-Presbyterian HospitalNew York, NY | 79 | $119,185 | $15,933 |
| Cleveland Clinic - Main CampusCleveland, OH | 67 | $58,958 | $12,829 |
| Sarasota Memorial HospitalSarasota, FL | 59 | $49,460 | $7,356 |
| University HospitalStony Brook, NY | 58 | $81,802 | $13,140 |
| Stanford HospitalPalo Alto, CA | 57 | $165,880 | $17,644 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 53 | $43,623 | $13,175 |
| Massachusetts General HospitalBoston, MA | 49 | $57,747 | $14,246 |
| Vanderbilt University HospitalNashville, TN | 49 | $54,534 | $13,745 |
| Montefiore Medical CenterBronx, NY | 47 | $116,296 | $15,833 |
| Tampa General HospitalTampa, FL | 46 | $67,690 | $10,912 |
| Medstar Washington Hospital CenterWashington, DC | 45 | $58,052 | $12,367 |
| Beth Israel Deaconess Medical CenterBoston, MA | 45 | $28,789 | $13,264 |
| Baptist Memorial HospitalMemphis, TN | 45 | $46,945 | $7,868 |
Questions
How much does other circulatory system diagnoses with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 452 hospitals in the U.S. was billed at $52,030 on average, while the average total payment was $10,367, of which Medicare paid $7,710. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other circulatory system diagnoses with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($13,744), California ($13,060), New York ($12,616) and lowest in Arkansas ($6,705), Mississippi ($7,271), Kentucky ($7,859).
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.