Other circulatory system diagnoses with major complications
What 1,000 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.
Average charge
$99,413
Hospital list price billed
Average payment
$21,323
Medicare + patient + other payers
Medicare paid
$17,602
Average per stay
Volume
25,543
Medicare hospital stays
Hospitals in the U.S. billed an average of $99,413 for other circulatory system diagnoses with major complications, about 4.7 times the average total payment of $21,323.
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 $21,323Billed $99,413
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
| Medical Center of PlanoPlano, TX | $12,626 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $12,866 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens, FL | $13,194 |
| Cjw Medical CenterRichmond, VA | $13,311 |
| William Beaumont Hospital-TroyTroy, MI | $13,350 |
| Florida Hospital WatermanEustis, FL | $13,420 |
| Parkwest Medical CenterKnoxville, TN | $13,434 |
| Forrest General HospitalHattiesburg, MS | $13,474 |
| Mercy Hospital SouthSt Louis, MO | $13,615 |
| St Dominic-Jackson Memorial HospitalJackson, MS | $13,622 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $83,235 |
|---|---|
| Stanford HospitalPalo Alto, CA | $50,510 |
| UCSF Medical CenterSan Francisco, CA | $47,015 |
| Union Memorial HospitalBaltimore, MD | $46,946 |
| UCLA Medical CenterLos Angeles, CA | $46,076 |
| Jacobi Medical CenterBronx, NY | $43,446 |
| Los Angeles General Medical CenterLos Angeles, CA | $41,969 |
| University of MD St Joseph Medical CenterTowson, MD | $41,113 |
| University of California San Diego Medical CenterSan Diego, CA | $40,664 |
| UNC HospitalsChapel Hill, NC | $39,618 |
Other circulatory system diagnoses 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 | 14 | $85,243 | $16,957 | $13,812 – $26,555 |
| Alaska | 4 | $131,692 | $23,472 | $18,551 – $26,963 |
| Arizona | 18 | $92,029 | $20,257 | $14,530 – $29,049 |
| Arkansas | 13 | $49,908 | $15,086 | $12,615 – $19,387 |
| California | 119 | $163,378 | $26,833 | $17,444 – $50,510 |
| Colorado | 8 | $105,437 | $18,761 | $14,279 – $23,358 |
| Connecticut | 11 | $80,062 | $25,274 | $17,290 – $36,767 |
| Delaware | 4 | $64,809 | $19,769 | $15,652 – $22,498 |
| Florida | 74 | $103,284 | $17,460 | $12,781 – $32,225 |
| Georgia | 29 | $86,902 | $21,113 | $13,267 – $33,608 |
| Hawaii | 2 | $90,503 | $24,854 | $24,451 – $25,187 |
| Idaho | 4 | $72,605 | $17,409 | $14,764 – $26,192 |
| Illinois | 47 | $82,983 | $20,437 | $13,298 – $55,124 |
| Indiana | 21 | $78,145 | $17,671 | $14,131 – $34,258 |
| Iowa | 7 | $63,475 | $16,970 | $13,655 – $22,598 |
| Kansas | 7 | $117,119 | $18,498 | $14,423 – $21,076 |
| Kentucky | 13 | $72,572 | $16,205 | $13,270 – $28,505 |
| Louisiana | 14 | $67,958 | $15,438 | $12,455 – $19,990 |
| Maine | 3 | $70,857 | $22,244 | $17,038 – $23,640 |
| Maryland | 30 | $34,266 | $31,712 | $16,570 – $83,235 |
| Massachusetts | 25 | $65,102 | $24,068 | $14,798 – $33,559 |
| Michigan | 27 | $63,676 | $20,431 | $11,430 – $37,181 |
| Minnesota | 12 | $75,652 | $22,648 | $16,512 – $31,607 |
| Mississippi | 11 | $61,912 | $15,952 | $12,733 – $22,180 |
| Missouri | 22 | $77,700 | $18,858 | $13,615 – $28,998 |
| Montana | 5 | $45,145 | $16,641 | $15,502 – $17,346 |
| Nebraska | 5 | $67,283 | $19,413 | $13,908 – $23,883 |
| Nevada | 11 | $178,272 | $19,551 | $16,500 – $24,992 |
| New Hampshire | 6 | $58,382 | $19,733 | $13,343 – $29,362 |
| New Jersey | 37 | $147,074 | $21,304 | $14,864 – $35,505 |
| New Mexico | 5 | $58,279 | $18,676 | $14,415 – $24,367 |
| New York | 57 | $137,826 | $26,852 | $17,070 – $51,810 |
| North Carolina | 22 | $68,125 | $21,354 | $14,101 – $39,618 |
| North Dakota | 3 | $49,169 | $18,196 | $16,568 – $21,090 |
| Ohio | 35 | $77,151 | $18,661 | $12,549 – $26,341 |
| Oklahoma | 12 | $90,574 | $17,222 | $11,528 – $24,312 |
| Oregon | 8 | $59,385 | $21,793 | $17,709 – $27,468 |
| Pennsylvania | 48 | $121,226 | $21,032 | $12,073 – $36,048 |
| Rhode Island | 3 | $69,924 | $24,044 | $19,732 – $28,713 |
| South Carolina | 16 | $81,940 | $19,366 | $12,741 – $28,752 |
| South Dakota | 3 | $72,800 | $18,146 | $15,170 – $20,335 |
| Tennessee | 22 | $68,632 | $17,544 | $12,866 – $28,614 |
| Texas | 78 | $110,879 | $18,321 | $12,626 – $63,574 |
| Utah | 7 | $65,939 | $19,360 | $15,716 – $24,118 |
| Vermont | 2 | $76,573 | $19,109 | $8,738 – $22,769 |
| Virginia | 29 | $70,755 | $19,420 | $13,311 – $32,981 |
| Washington | 23 | $82,274 | $20,684 | $16,231 – $29,981 |
| West Virginia | 6 | $61,421 | $20,445 | $12,595 – $25,787 |
| Wisconsin | 12 | $82,702 | $22,171 | $14,484 – $32,984 |
| Wyoming | 2 | $50,396 | $20,561 | $19,393 – $23,188 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 228 | $130,899 | $20,273 |
| New York-Presbyterian HospitalNew York, NY | 204 | $213,424 | $33,313 |
| NYU Hospitals CenterNew York, NY | 159 | $194,009 | $30,615 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 131 | $350,477 | $31,695 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 117 | $75,294 | $31,607 |
| Cleveland Clinic - Main CampusCleveland, OH | 116 | $96,969 | $25,241 |
| North Shore University HospitalManhasset, NY | 112 | $191,879 | $26,528 |
| Methodist Hospital,TheHouston, TX | 104 | $158,926 | $22,608 |
| Stanford HospitalPalo Alto, CA | 101 | $401,880 | $50,510 |
| Massachusetts General HospitalBoston, MA | 99 | $103,129 | $28,131 |
| Northwestern Memorial HospitalChicago, IL | 98 | $105,353 | $25,335 |
| Methodist HospitalSan Antonio, TX | 98 | $146,352 | $15,953 |
| Montefiore Medical CenterBronx, NY | 92 | $192,585 | $31,210 |
| Brigham and Women's HosptialBoston, MA | 91 | $152,395 | $33,187 |
| Norton Healthcare PavilionLouisville, KY | 90 | $63,567 | $14,483 |
Questions
How much does other circulatory system diagnoses with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 1,000 hospitals in the U.S. was billed at $99,413 on average, while the average total payment was $21,323, of which Medicare paid $17,602. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other circulatory system diagnoses with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($31,712), New York ($26,852), California ($26,833) and lowest in Arkansas ($15,086), Louisiana ($15,438), Mississippi ($15,952).
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 4.7 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.