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Cardiac Valve and Other major Cardiothoracic Procedures without Cardiac Catheterization
Medicare DRG 219. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$392,251
Avg total payment
$78,385
Avg Medicare pays
$65,869
Hospitals reporting
350
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 | 5 | $693,320 | $66,028 |
| California | 30 | $633,061 | $90,168 |
| Kansas | 3 | $527,631 | $57,936 |
| Virginia | 8 | $524,219 | $69,350 |
| Texas | 25 | $498,515 | $59,988 |
| Florida | 24 | $479,683 | $57,400 |
| Arizona | 10 | $460,988 | $66,866 |
| New Jersey | 10 | $445,689 | $68,653 |
| Colorado | 8 | $439,196 | $63,516 |
| Indiana | 5 | $428,937 | $62,932 |
| Pennsylvania | 20 | $428,355 | $64,507 |
| Georgia | 9 | $421,486 | $61,612 |
| New York | 18 | $407,919 | $77,303 |
| Washington | 7 | $386,176 | $70,292 |
| South Carolina | 5 | $369,659 | $64,800 |
| New Hampshire | 3 | $367,606 | $67,471 |
| Tennessee | 9 | $360,667 | $55,471 |
| Alabama | 3 | $352,579 | $61,495 |
| Illinois | 15 | $351,139 | $61,347 |
| West Virginia | 2 | $344,891 | $56,660 |
| Oklahoma | 4 | $342,437 | $50,770 |
| Delaware | 1 | $341,224 | $86,191 |
| Hawaii | 2 | $320,663 | $72,869 |
| Ohio | 12 | $310,801 | $53,494 |
| Missouri | 9 | $308,859 | $59,491 |
| District of Columbia | 1 | $308,597 | $74,401 |
| Kentucky | 6 | $304,037 | $53,551 |
| Utah | 2 | $302,505 | $72,223 |
| Oregon | 5 | $298,275 | $72,424 |
| North Carolina | 12 | $293,066 | $59,069 |
| Iowa | 3 | $284,869 | $57,705 |
| Idaho | 3 | $279,761 | $62,792 |
| South Dakota | 2 | $260,595 | $50,770 |
| Minnesota | 10 | $257,872 | $62,940 |
| Maine | 2 | $255,007 | $56,818 |
| Arkansas | 4 | $253,853 | $54,789 |
| Michigan | 8 | $248,682 | $63,804 |
| Wisconsin | 7 | $240,047 | $59,915 |
| Connecticut | 5 | $238,747 | $70,044 |
| Mississippi | 4 | $235,705 | $56,210 |
| Nebraska | 4 | $229,752 | $55,776 |
| Louisiana | 2 | $229,392 | $55,764 |
| Massachusetts | 10 | $226,516 | $78,427 |
| Vermont | 1 | $217,039 | $47,792 |
| North Dakota | 3 | $214,620 | $54,929 |
| New Mexico | 2 | $197,689 | $67,188 |
| Rhode Island | 1 | $196,990 | $69,187 |
| Montana | 2 | $171,881 | $60,902 |
| Maryland | 4 | $140,296 | $113,198 |
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.