Other endovascular cardiac valve procedures with major complications
What 14 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other endovascular cardiac valve procedures with major complications (DRG 319), from 2024 Medicare claims.
Average charge
$216,242
Hospital list price billed
Average payment
$50,304
Medicare + patient + other payers
Medicare paid
$44,559
Average per stay
Volume
250
Medicare hospital stays
Hospitals in the U.S. billed an average of $216,242 for other endovascular cardiac valve procedures with major complications, about 4.3 times the average total payment of $50,304.
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 $50,304Billed $216,242
About 23¢ 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
| Sentara Norfolk General HospitalNorfolk, VA | $41,727 |
|---|---|
| Medstar Washington Hospital CenterWashington, DC | $50,031 |
| NYU Hospitals CenterNew York, NY | $62,723 |
| Mount Sinai HospitalNew York, NY | $63,970 |
Highest
| Mount Sinai HospitalNew York, NY | $63,970 |
|---|---|
| NYU Hospitals CenterNew York, NY | $62,723 |
| Medstar Washington Hospital CenterWashington, DC | $50,031 |
| Sentara Norfolk General HospitalNorfolk, VA | $41,727 |
Other endovascular cardiac valve 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 |
|---|---|---|---|---|
| Arkansas | 1 | $80,024 | $31,422 | – |
| Illinois | 1 | $121,366 | $36,762 | – |
| Michigan | 1 | $127,763 | $54,400 | – |
| New Jersey | 1 | $268,828 | $40,448 | – |
| New York | 4 | $340,730 | $68,226 | $62,723 – $84,351 |
| Ohio | 1 | $185,397 | $45,492 | – |
| Virginia | 2 | $136,160 | $38,511 | $27,401 – $41,727 |
| Washington | 1 | $139,969 | $37,363 | – |
| West Virginia | 1 | $201,596 | $41,675 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Sentara Norfolk General HospitalNorfolk, VA | 38 | $144,545 | $41,727 |
| Mount Sinai HospitalNew York, NY | 27 | $216,609 | $63,970 |
| NYU Hospitals CenterNew York, NY | 26 | $378,159 | $62,723 |
| Medstar Washington Hospital CenterWashington, DC | 23 | $220,157 | $50,031 |
| Henry Ford HospitalDetroit, MI | 19 | $127,763 | $54,400 |
| Cleveland Clinic - Main CampusCleveland, OH | 16 | $185,397 | $45,492 |
| New York-Presbyterian HospitalNew York, NY | 15 | $438,102 | $73,603 |
| Providence St Peter HospitalOlympia, WA | 15 | $139,969 | $37,363 |
| Evanston HospitalEvanston, IL | 14 | $121,366 | $36,762 |
| St Vincent Infirmary Medical CenterLittle Rock, AR | 13 | $80,024 | $31,422 |
| Jersey Shore University Medical CenterNeptune City, NJ | 11 | $268,828 | $40,448 |
| Lenox Hill HospitalNew York, NY | 11 | $424,139 | $84,351 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | 11 | $107,195 | $27,401 |
| West Virginia University HospitalsMorgantown, WV | 11 | $201,596 | $41,675 |
Questions
How much does other endovascular cardiac valve procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other endovascular cardiac valve procedures with major complications (DRG 319) at 14 hospitals in the U.S. was billed at $216,242 on average, while the average total payment was $50,304, of which Medicare paid $44,559. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other endovascular cardiac valve procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($68,226) and lowest in New York ($68,226).
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 4.3 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.