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Cardiac Valve and Other major Cardiothoracic Procedures with Cardiac Catheterization Wit
Medicare DRG 217. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$280,530
Avg total payment
$69,680
Avg Medicare pays
$53,297
Hospitals reporting
15
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 |
|---|---|---|---|
| Florida | 1 | $493,239 | $38,404 |
| New Mexico | 2 | $434,692 | $42,688 |
| New Jersey | 2 | $326,894 | $45,906 |
| Alabama | 1 | $274,163 | $49,920 |
| North Carolina | 2 | $266,023 | $45,210 |
| New York | 1 | $265,122 | $77,491 |
| Texas | 1 | $245,052 | $45,515 |
| Ohio | 1 | $232,408 | $50,526 |
| District of Columbia | 1 | $223,937 | $60,630 |
| Minnesota | 1 | $198,779 | $60,686 |
| Massachusetts | 1 | $116,437 | $67,003 |
| Maryland | 1 | $103,591 | $81,663 |
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.