Other major cardiovascular procedures without complications
What 29 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other major cardiovascular procedures without complications (DRG 272), from 2024 Medicare claims.
Average charge
$125,395
Hospital list price billed
Average payment
$22,635
Medicare + patient + other payers
Medicare paid
$19,047
Average per stay
Volume
403
Medicare hospital stays
Hospitals in the U.S. billed an average of $125,395 for other major cardiovascular procedures without complications, about 5.5 times the average total payment of $22,635.
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 $22,635Billed $125,395
About 18¢ 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:
Other major cardiovascular procedures without 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 |
|---|---|---|---|---|
| California | 2 | $163,524 | $32,003 | $29,120 – $34,681 |
| Florida | 5 | $179,274 | $19,180 | $17,538 – $22,403 |
| Idaho | 1 | $83,508 | $22,638 | – |
| Iowa | 2 | $131,266 | $18,136 | $17,557 – $18,803 |
| Kansas | 1 | $36,216 | $15,443 | – |
| Kentucky | 1 | $188,241 | $25,151 | – |
| Louisiana | 1 | $64,475 | $17,106 | – |
| Minnesota | 1 | $81,109 | $22,395 | – |
| Missouri | 1 | $120,439 | $29,266 | – |
| New Hampshire | 1 | $105,271 | $26,150 | – |
| New Jersey | 1 | $76,208 | $21,565 | – |
| New York | 2 | $74,503 | $31,159 | $26,084 – $33,609 |
| North Carolina | 2 | $67,781 | $20,848 | $18,378 – $23,319 |
| Ohio | 1 | $109,025 | $25,673 | – |
| Oklahoma | 1 | $60,658 | $15,659 | – |
| Pennsylvania | 1 | $272,083 | $28,007 | – |
| South Dakota | 1 | $105,866 | $19,888 | – |
| Texas | 2 | $175,886 | $19,704 | $17,798 – $22,403 |
| Virginia | 2 | $108,403 | $19,898 | $19,064 – $20,801 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mount Sinai HospitalNew York, NY | 29 | $77,527 | $33,609 |
| Longview Regional Medical CenterLongview, TX | 17 | $236,312 | $17,798 |
| Holmes Regional Medical CenterMelbourne, FL | 16 | $122,664 | $17,538 |
| Sarasota Memorial HospitalSarasota, FL | 16 | $153,401 | $18,100 |
| Jersey Shore University Medical CenterNeptune City, NJ | 16 | $76,208 | $21,565 |
| Sanford Usd Medical CenterSioux Falls, SD | 16 | $105,866 | $19,888 |
| Gulf Coast Medical CenterPanama City, FL | 15 | $230,158 | $18,041 |
| Iowa Methodist Medical CenterDes Moines, IA | 15 | $145,316 | $17,557 |
| Kansas Heart HospitalWichita, KS | 15 | $36,216 | $15,443 |
| Norton Healthcare PavilionLouisville, KY | 15 | $188,241 | $25,151 |
| University of California Davis Medical CenterSacramento, CA | 14 | $224,805 | $34,681 |
| Rochester General HospitalRochester, NY | 14 | $68,237 | $26,084 |
| Sutter General HospitalSacramento, CA | 13 | $97,529 | $29,120 |
| Baptist Medical CenterJacksonville, FL | 13 | $132,750 | $22,403 |
| St Joseph Regional Medical CenterLewiston, ID | 13 | $83,508 | $22,638 |
Questions
How much does other major cardiovascular procedures without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other major cardiovascular procedures without complications (DRG 272) at 29 hospitals in the U.S. was billed at $125,395 on average, while the average total payment was $22,635, of which Medicare paid $19,047. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other major cardiovascular procedures without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Florida ($19,180) and lowest in Florida ($19,180).
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 5.5 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.