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Cardiac Valve and Other major Cardiothoracic Procedures with Cardiac Catheterization Wit
Medicare DRG 216. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$508,350
Avg total payment
$102,713
Avg Medicare pays
$86,950
Hospitals reporting
124
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 |
|---|---|---|---|
| Nevada | 2 | $1,206,753 | $85,099 |
| California | 9 | $866,454 | $128,990 |
| Pennsylvania | 5 | $795,828 | $96,079 |
| Kansas | 2 | $686,098 | $77,153 |
| Texas | 10 | $684,656 | $77,582 |
| Virginia | 3 | $630,038 | $77,890 |
| Florida | 7 | $603,854 | $76,602 |
| Tennessee | 4 | $533,369 | $69,528 |
| Arizona | 5 | $509,889 | $86,057 |
| New Jersey | 5 | $505,455 | $86,316 |
| Georgia | 3 | $493,917 | $72,802 |
| New York | 8 | $458,744 | $97,690 |
| South Carolina | 2 | $458,462 | $79,670 |
| Washington | 2 | $448,613 | $86,907 |
| Illinois | 4 | $437,375 | $89,198 |
| Wisconsin | 2 | $418,444 | $86,549 |
| New Mexico | 3 | $417,161 | $62,271 |
| Kentucky | 2 | $411,426 | $68,149 |
| Indiana | 1 | $401,856 | $70,990 |
| Michigan | 4 | $399,910 | $93,124 |
| Wyoming | 1 | $398,142 | $87,667 |
| Missouri | 3 | $391,601 | $72,485 |
| District of Columbia | 1 | $385,275 | $93,260 |
| North Carolina | 4 | $380,148 | $71,434 |
| Alabama | 2 | $359,602 | $67,248 |
| Vermont | 1 | $355,748 | $74,665 |
| Nebraska | 1 | $354,778 | $80,946 |
| Minnesota | 3 | $354,332 | $88,883 |
| Oregon | 2 | $351,472 | $102,967 |
| Massachusetts | 4 | $344,411 | $104,122 |
| Ohio | 4 | $342,650 | $73,316 |
| Connecticut | 2 | $337,364 | $91,592 |
| West Virginia | 1 | $333,625 | $72,758 |
| Iowa | 1 | $327,895 | $51,973 |
| Maine | 2 | $323,867 | $70,874 |
| Arkansas | 3 | $321,797 | $61,567 |
| Oklahoma | 1 | $310,491 | $56,459 |
| New Hampshire | 1 | $270,122 | $83,000 |
| Maryland | 4 | $179,462 | $142,590 |
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.