Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/
What 1,136 hospitals in the U.S. charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321), from 2024 Medicare claims.
Average charge
$164,137
Hospital list price billed
Average payment
$26,768
Medicare + patient + other payers
Medicare paid
$22,191
Average per stay
Volume
30,999
Medicare hospital stays
Hospitals in the U.S. billed an average of $164,137 for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/, about 6.1 times the average total payment of $26,768.
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 $26,768Billed $164,137
About 16¢ 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
| Piedmont Healthcare SystemRock Hill, SC | $16,669 |
|---|---|
| Wheeling HospitalWheeling, WV | $17,454 |
| Arkansas Heart HospitalLittle Rock, AR | $17,795 |
| Baxter Regional Medical CenterMountain Home, AR | $18,046 |
| Boone Hospital CenterColumbia, MO | $18,231 |
| Methodist Stone Oak HospitalSan Antonio, TX | $18,336 |
| North Alabama Medical CenterFlorence, AL | $18,435 |
| Kansas Heart HospitalWichita, KS | $18,647 |
| River Oaks HospitalFlowood, MS | $18,702 |
| Washington Regional Med CenterFayetteville, AR | $18,853 |
Highest
| UCSF Medical CenterSan Francisco, CA | $62,377 |
|---|---|
| Bellevue Hospital CenterNew York, NY | $58,858 |
| Stanford HospitalPalo Alto, CA | $58,327 |
| University of Maryland Medical CenterBaltimore, MD | $52,566 |
| The University of Chicago Medical CenterChicago, IL | $49,196 |
| University of California San Diego Medical CenterSan Diego, CA | $49,030 |
| Peninsula Medical CenterBurlingame, CA | $48,175 |
| University of California Davis Medical CenterSacramento, CA | $45,052 |
| Lenox Hill HospitalNew York, NY | $43,719 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $43,135 |
Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ 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 | 20 | $169,690 | $21,960 | $16,893 – $27,359 |
| Alaska | 4 | $243,462 | $33,436 | $27,304 – $48,618 |
| Arizona | 28 | $194,248 | $25,912 | $21,467 – $38,068 |
| Arkansas | 18 | $110,372 | $20,749 | $17,795 – $25,480 |
| California | 103 | $253,314 | $34,464 | $24,354 – $62,377 |
| Colorado | 18 | $205,918 | $24,068 | $21,509 – $32,758 |
| Connecticut | 9 | $134,563 | $34,606 | $29,099 – $40,087 |
| Delaware | 3 | $124,003 | $27,082 | $24,567 – $29,908 |
| Florida | 92 | $214,557 | $23,920 | $18,546 – $37,337 |
| Georgia | 33 | $160,236 | $25,137 | $19,934 – $35,132 |
| Hawaii | 4 | $133,623 | $33,685 | $30,539 – $37,308 |
| Idaho | 7 | $139,533 | $23,799 | $21,532 – $28,272 |
| Illinois | 49 | $142,582 | $27,514 | $20,096 – $49,196 |
| Indiana | 31 | $152,292 | $24,179 | $19,622 – $31,358 |
| Iowa | 16 | $103,172 | $21,647 | $18,808 – $30,558 |
| Kansas | 13 | $172,131 | $22,321 | $17,785 – $28,892 |
| Kentucky | 19 | $158,542 | $22,778 | $19,452 – $30,092 |
| Louisiana | 16 | $158,846 | $21,038 | $18,474 – $30,223 |
| Maine | 2 | $148,160 | $34,330 | $29,638 – $38,251 |
| Maryland | 22 | $33,669 | $30,401 | $20,149 – $52,566 |
| Massachusetts | 18 | $123,591 | $33,412 | $23,011 – $41,224 |
| Michigan | 35 | $109,649 | $25,676 | $19,375 – $37,333 |
| Minnesota | 15 | $122,554 | $27,703 | $22,321 – $46,071 |
| Mississippi | 14 | $155,946 | $20,792 | $18,246 – $27,502 |
| Missouri | 36 | $137,418 | $23,272 | $18,231 – $37,402 |
| Montana | 4 | $87,567 | $22,661 | $21,353 – $23,273 |
| Nebraska | 8 | $110,861 | $23,833 | $19,324 – $35,497 |
| Nevada | 10 | $308,662 | $28,042 | $23,815 – $30,843 |
| New Hampshire | 7 | $143,960 | $28,361 | $21,929 – $34,493 |
| New Jersey | 35 | $198,879 | $29,855 | $22,940 – $43,810 |
| New Mexico | 7 | $163,187 | $24,739 | $19,839 – $32,126 |
| New York | 46 | $172,659 | $35,218 | $24,255 – $58,858 |
| North Carolina | 25 | $121,915 | $26,015 | $21,141 – $33,742 |
| North Dakota | 5 | $93,429 | $23,110 | $20,927 – $24,311 |
| Ohio | 50 | $127,169 | $24,377 | $16,381 – $36,225 |
| Oklahoma | 16 | $123,774 | $21,346 | $19,371 – $31,835 |
| Oregon | 13 | $115,015 | $29,689 | $23,502 – $34,354 |
| Pennsylvania | 50 | $171,326 | $26,392 | $18,728 – $46,464 |
| Rhode Island | 4 | $106,939 | $30,586 | $26,213 – $32,084 |
| South Carolina | 19 | $179,071 | $25,420 | $16,669 – $31,195 |
| South Dakota | 4 | $135,452 | $25,443 | $20,001 – $36,067 |
| Tennessee | 23 | $151,754 | $23,182 | $16,623 – $33,913 |
| Texas | 86 | $200,618 | $24,416 | $17,133 – $71,393 |
| Utah | 6 | $137,549 | $25,957 | $22,300 – $29,089 |
| Vermont | 1 | $108,197 | $19,746 | – |
| Virginia | 31 | $159,053 | $27,008 | $19,803 – $55,608 |
| Washington | 21 | $149,855 | $28,181 | $22,848 – $36,878 |
| West Virginia | 13 | $137,187 | $24,154 | $17,454 – $31,207 |
| Wisconsin | 23 | $105,879 | $25,051 | $19,761 – $31,028 |
| Wyoming | 2 | $145,909 | $32,382 | $30,393 – $35,792 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Oklahoma Heart HospitalOklahoma City, OK | 124 | $81,052 | $19,371 |
| Methodist HospitalSan Antonio, TX | 123 | $254,730 | $22,666 |
| New Hanover Regional Medical CenterWilmington, NC | 119 | $87,938 | $24,985 |
| St Francis Hospital, RoslynRoslyn, NY | 117 | $180,127 | $29,581 |
| Mount Sinai HospitalNew York, NY | 113 | $103,687 | $40,736 |
| NYU Hospitals CenterNew York, NY | 113 | $282,456 | $41,642 |
| Massachusetts General HospitalBoston, MA | 110 | $171,861 | $38,710 |
| Adventhealth OrlandoOrlando, FL | 107 | $207,304 | $31,764 |
| Morristown Memorial HospitalMorristown, NJ | 104 | $249,714 | $32,492 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 99 | $534,005 | $39,247 |
| New York-Presbyterian HospitalNew York, NY | 98 | $241,716 | $42,644 |
| Lehigh Valley HospitalAllentown, PA | 98 | $238,080 | $25,836 |
| Rex HospitalRaleigh, NC | 95 | $91,210 | $21,141 |
| Mary Hitchcock Mem HospitalLebanon, NH | 89 | $134,609 | $34,493 |
| Jersey Shore University Medical CenterNeptune City, NJ | 89 | $172,722 | $29,120 |
Questions
How much does percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in the U.S.?
In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321) at 1,136 hospitals in the U.S. was billed at $164,137 on average, while the average total payment was $26,768, of which Medicare paid $22,191. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($35,218), Connecticut ($34,606), California ($34,464) and lowest in Arkansas ($20,749), Mississippi ($20,792), Louisiana ($21,038).
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 6.1 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.