Other major cardiovascular procedures with major complications
What 541 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other major cardiovascular procedures with major complications (DRG 270), from 2024 Medicare claims.
Average charge
$275,581
Hospital list price billed
Average payment
$52,554
Medicare + patient + other payers
Medicare paid
$45,147
Average per stay
Volume
11,400
Medicare hospital stays
Hospitals in the U.S. billed an average of $275,581 for other major cardiovascular procedures with major complications, about 5.2 times the average total payment of $52,554.
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 $52,554Billed $275,581
About 19¢ 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
| Franklin Square Hospital CenterRosedale, MD | $30,237 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $31,080 |
| Oklahoma Heart HospitalOklahoma City, OK | $32,343 |
| Roper HospitalCharleston, SC | $33,158 |
| Trinity Mother Frances SystTyler, TX | $33,279 |
| Memorial Healthcare System, INCChattanooga, TN | $33,910 |
| Avera Heart Hospital of South Dakota LLCSioux Falls, SD | $33,956 |
| Mercy Hospital SouthSt Louis, MO | $34,173 |
| Naples Community HospitalNaples, FL | $34,285 |
| Fairview HospitalCleveland, OH | $34,433 |
Highest
| Stanford HospitalPalo Alto, CA | $128,056 |
|---|---|
| University of Maryland Medical CenterBaltimore, MD | $105,788 |
| Medical College of Virginia HospitalsRichmond, VA | $102,907 |
| University of California San Diego Medical CenterSan Diego, CA | $93,488 |
| UCSF Medical CenterSan Francisco, CA | $93,461 |
| Loyola University Medical CenterMaywood, IL | $93,086 |
| USC University HospitalLos Angeles, CA | $93,060 |
| Mount Sinai WestNew York, NY | $92,415 |
| Hospital of the Univ of PaPhiladelphia, PA | $88,438 |
| New York-Presbyterian HospitalNew York, NY | $87,278 |
Other major cardiovascular 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 |
|---|---|---|---|---|
| Alabama | 6 | $201,548 | $43,863 | $31,429 – $54,083 |
| Alaska | 1 | $207,913 | $47,245 | – |
| Arizona | 11 | $237,723 | $49,372 | $36,998 – $85,592 |
| Arkansas | 5 | $173,625 | $37,977 | $33,349 – $43,954 |
| California | 53 | $448,434 | $70,089 | $46,865 – $134,571 |
| Colorado | 5 | $352,101 | $47,733 | $38,828 – $58,417 |
| Connecticut | 2 | $241,214 | $67,159 | $61,479 – $70,693 |
| Delaware | 1 | $194,054 | $60,029 | – |
| Florida | 56 | $314,241 | $43,371 | $29,472 – $71,310 |
| Georgia | 12 | $284,524 | $55,227 | $36,116 – $87,177 |
| Hawaii | 2 | $248,631 | $65,703 | $54,978 – $72,341 |
| Idaho | 2 | $120,599 | $39,857 | $37,514 – $41,575 |
| Illinois | 24 | $230,948 | $54,326 | $34,041 – $128,892 |
| Indiana | 12 | $221,688 | $42,266 | $34,165 – $55,826 |
| Iowa | 5 | $219,902 | $47,200 | $36,390 – $64,409 |
| Kansas | 4 | $286,440 | $42,863 | $34,321 – $49,496 |
| Kentucky | 8 | $170,004 | $40,972 | $33,287 – $58,336 |
| Louisiana | 7 | $187,721 | $41,848 | $35,015 – $53,640 |
| Maine | 1 | $234,632 | $67,909 | – |
| Maryland | 13 | $66,664 | $60,106 | $27,229 – $105,788 |
| Massachusetts | 13 | $199,923 | $63,856 | $38,663 – $79,827 |
| Michigan | 15 | $183,866 | $50,467 | $31,891 – $77,643 |
| Minnesota | 11 | $196,526 | $55,560 | $39,604 – $80,009 |
| Mississippi | 2 | $153,790 | $39,639 | $33,841 – $46,887 |
| Missouri | 14 | $221,272 | $46,560 | $32,037 – $63,155 |
| Montana | 2 | $122,805 | $40,111 | $39,590 – $40,867 |
| Nebraska | 5 | $158,826 | $44,686 | $37,248 – $51,649 |
| Nevada | 6 | $490,273 | $49,514 | $43,022 – $58,264 |
| New Hampshire | 3 | $209,104 | $57,343 | $38,522 – $66,535 |
| New Jersey | 20 | $294,770 | $51,921 | $43,420 – $71,074 |
| New Mexico | 4 | $182,601 | $47,399 | $35,565 – $54,939 |
| New York | 26 | $345,034 | $69,421 | $39,910 – $92,415 |
| North Carolina | 13 | $183,490 | $49,035 | $38,186 – $65,353 |
| North Dakota | 2 | $166,753 | $48,503 | $40,608 – $57,526 |
| Ohio | 18 | $233,294 | $50,677 | $34,433 – $66,478 |
| Oklahoma | 8 | $234,979 | $39,465 | $32,343 – $53,140 |
| Oregon | 5 | $216,977 | $60,120 | $46,564 – $69,223 |
| Pennsylvania | 22 | $305,203 | $50,650 | $31,265 – $88,438 |
| Rhode Island | 1 | $158,111 | $52,822 | – |
| South Carolina | 9 | $275,906 | $44,536 | $30,537 – $66,378 |
| South Dakota | 4 | $203,095 | $43,058 | $33,956 – $49,219 |
| Tennessee | 13 | $224,919 | $39,771 | $26,500 – $56,968 |
| Texas | 46 | $355,902 | $46,712 | $33,279 – $74,198 |
| Utah | 2 | $177,171 | $45,917 | $44,660 – $47,174 |
| Vermont | 1 | $215,919 | $53,988 | – |
| Virginia | 13 | $254,332 | $54,322 | $33,675 – $102,907 |
| Washington | 14 | $232,129 | $52,379 | $41,292 – $64,952 |
| West Virginia | 5 | $226,820 | $51,758 | $33,148 – $65,186 |
| Wisconsin | 9 | $205,117 | $51,704 | $36,913 – $67,137 |
| Wyoming | 2 | $220,910 | $54,632 | $52,453 – $58,488 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 108 | $500,350 | $87,278 |
| Medstar Washington Hospital CenterWashington, DC | 97 | $260,491 | $69,032 |
| Mount Sinai HospitalNew York, NY | 83 | $288,532 | $79,281 |
| Adventhealth OrlandoOrlando, FL | 71 | $315,564 | $46,769 |
| NYU Hospitals CenterNew York, NY | 70 | $520,632 | $79,684 |
| Methodist HospitalSan Antonio, TX | 69 | $470,634 | $47,788 |
| Duke University Medical CenterDurham, NC | 66 | $228,126 | $65,353 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 61 | $225,124 | $80,009 |
| Holmes Regional Medical CenterMelbourne, FL | 60 | $235,063 | $37,792 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 58 | $923,714 | $84,172 |
| Massachusetts General HospitalBoston, MA | 58 | $364,725 | $77,447 |
| Mary Hitchcock Mem HospitalLebanon, NH | 58 | $204,032 | $66,535 |
| UT Southwestern University HospitalDallas, TX | 55 | $232,874 | $56,860 |
| Methodist Hospital,TheHouston, TX | 55 | $443,947 | $54,870 |
| Orlando Regional HealthcareOrlando, FL | 51 | $408,053 | $47,418 |
Questions
How much does other major cardiovascular procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other major cardiovascular procedures with major complications (DRG 270) at 541 hospitals in the U.S. was billed at $275,581 on average, while the average total payment was $52,554, of which Medicare paid $45,147. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other major cardiovascular procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($70,089), New York ($69,421), Massachusetts ($63,856) and lowest in Arkansas ($37,977), Oklahoma ($39,465), Tennessee ($39,771).
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 5.2 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.