Home / Procedures / Heart Transplant or Implant of Heart Assist System with major complications
Heart Transplant or Implant of Heart Assist System with major complications
Medicare DRG 001. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$1,569,031
Avg total payment
$341,048
Avg Medicare pays
$286,685
Hospitals reporting
87
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 10 | $2,540,976 | $420,626 |
| New York | 5 | $2,295,355 | $385,702 |
| Oklahoma | 1 | $2,247,162 | $287,995 |
| Colorado | 1 | $1,980,369 | $306,289 |
| Pennsylvania | 4 | $1,931,176 | $314,511 |
| Tennessee | 4 | $1,769,670 | $228,067 |
| Texas | 7 | $1,763,073 | $231,848 |
| Illinois | 3 | $1,531,159 | $300,212 |
| Florida | 7 | $1,489,549 | $237,856 |
| Virginia | 3 | $1,474,049 | $294,092 |
| Georgia | 2 | $1,457,326 | $236,495 |
| District of Columbia | 1 | $1,389,796 | $282,646 |
| New Jersey | 3 | $1,366,324 | $241,426 |
| Connecticut | 1 | $1,361,975 | $251,112 |
| Alabama | 1 | $1,346,295 | $242,985 |
| Massachusetts | 3 | $1,343,053 | $327,312 |
| Washington | 1 | $1,311,461 | $331,533 |
| Kentucky | 2 | $1,310,802 | $267,802 |
| Kansas | 1 | $1,282,560 | $211,672 |
| Minnesota | 3 | $1,269,805 | $296,743 |
| Ohio | 3 | $1,229,690 | $271,505 |
| Nebraska | 1 | $1,201,623 | $237,940 |
| Indiana | 2 | $1,197,080 | $240,560 |
| Missouri | 2 | $1,171,322 | $248,590 |
| South Carolina | 1 | $1,158,127 | $261,823 |
| North Carolina | 6 | $1,055,842 | $231,981 |
| Arkansas | 2 | $1,050,171 | $216,964 |
| Utah | 1 | $1,010,177 | $319,197 |
| Arizona | 1 | $962,620 | $248,860 |
| Michigan | 2 | $902,170 | $237,201 |
| Maryland | 1 | $634,784 | $512,608 |
| Oregon | 1 | $614,286 | $228,261 |
| Louisiana | 1 | $391,145 | $144,650 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.