facebook tracking Other heart assist system implant cost: hospital prices by state (DRG 215)

Other heart assist system implant

What 46 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other heart assist system implant (DRG 215), from 2024 Medicare claims.

DRG 215 Inpatient 2024 Medicare data
Average charge $491,598 Hospital list price billed
Average payment $98,781 Medicare + patient + other payers
Medicare paid $88,266 Average per stay
Volume 656 Medicare hospital stays

Hospitals in the U.S. billed an average of $491,598 for other heart assist system implant, about 5.0 times the average total payment of $98,781.

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 $98,781Billed $491,598

About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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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

Adventhealth Daytona BeachDaytona Beach, FL$70,669
Arrowhead HospitalGlendale, AZ$89,486
Morristown Memorial HospitalMorristown, NJ$118,013
Brigham and Women's HosptialBoston, MA$136,470
Robert Wood Johnson University HospitalNew Brunswick, NJ$151,217

Highest

Robert Wood Johnson University HospitalNew Brunswick, NJ$151,217
Brigham and Women's HosptialBoston, MA$136,470
Morristown Memorial HospitalMorristown, NJ$118,013
Arrowhead HospitalGlendale, AZ$89,486
Adventhealth Daytona BeachDaytona Beach, FL$70,669

Other heart assist system implant 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
Arizona 4 $588,719 $86,786 $71,269 – $94,461
Arkansas 2 $225,735 $66,113 $63,957 – $68,270
California 1 $392,663 $115,813 –
Florida 5 $669,336 $81,720 $70,669 – $101,042
Georgia 1 $592,602 $101,139 –
Illinois 2 $342,235 $86,301 $80,470 – $92,131
Iowa 1 $339,130 $87,903 –
Kansas 1 $318,015 $80,064 –
Louisiana 1 $477,540 $70,780 –
Massachusetts 2 $407,119 $135,286 $131,412 – $136,470
Michigan 2 $437,163 $125,331 $123,244 – $127,593
Minnesota 3 $367,962 $114,354 $96,870 – $136,134
Mississippi 1 $748,229 $75,061 –
New Hampshire 1 $351,819 $128,875 –
New Jersey 3 $614,370 $125,887 $96,793 – $151,217
New York 2 $630,141 $126,920 $92,291 – $149,328
Ohio 1 $377,835 $70,983 –
Pennsylvania 1 $472,062 $99,834 –
South Carolina 3 $386,687 $101,427 $90,840 – $109,768
Tennessee 2 $365,810 $102,882 $81,901 – $127,678
Texas 5 $559,443 $82,961 $73,387 – $93,835
Washington 1 $308,205 $87,354 –
Wyoming 1 $344,919 $89,988 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Brigham and Women's HosptialBoston, MA36$375,973$136,470
Arrowhead HospitalGlendale, AZ30$864,651$89,486
Adventhealth Daytona BeachDaytona Beach, FL20$342,352$70,669
Morristown Memorial HospitalMorristown, NJ20$716,751$118,013
Robert Wood Johnson University HospitalNew Brunswick, NJ20$623,761$151,217
Manatee Memorial HospitalBradenton, FL17$1,013,205$77,509
New York-Presbyterian HospitalNew York, NY17$646,698$149,328
Methodist HospitalSan Antonio, TX17$799,716$74,134
Adventhealth OrlandoOrlando, FL16$851,524$101,042
Memorial Hospital at GulfportGulfport, MS16$748,229$75,061
Mem Hermann Mem City HospHouston, TX16$317,275$93,835
Banner Heart HospitalMesa, AZ15$383,523$71,269
York HospitalYork, PA15$472,062$99,834
Genesis Medical Center-DavenportDavenport, IA14$339,130$87,903
Mayo Clinic - Saint Marys HospitalRochester, MN14$387,845$136,134

Questions

How much does other heart assist system implant cost in the U.S.?

In 2024 Medicare data, a hospital stay for other heart assist system implant (DRG 215) at 46 hospitals in the U.S. was billed at $491,598 on average, while the average total payment was $98,781, of which Medicare paid $88,266. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for other heart assist system implant?

Among states with at least three hospitals reporting, the average total payment was highest in New Jersey ($125,887), Minnesota ($114,354), South Carolina ($101,427) and lowest in Florida ($81,720), Texas ($82,961), Arizona ($86,786).

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.