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Cardiac Valve and Other major Cardiothoracic Procedures without Cardiac Catheterization
Medicare DRG 220. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$271,588
Avg total payment
$53,369
Avg Medicare pays
$42,305
Hospitals reporting
291
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 | 23 | $456,396 | $56,399 |
| Kansas | 2 | $394,182 | $33,803 |
| Texas | 13 | $378,398 | $37,612 |
| Colorado | 3 | $362,149 | $43,831 |
| Alabama | 4 | $351,270 | $31,851 |
| South Carolina | 6 | $338,974 | $40,206 |
| Florida | 18 | $337,561 | $39,517 |
| Alaska | 1 | $324,622 | $43,703 |
| Arizona | 9 | $315,217 | $38,596 |
| Georgia | 7 | $312,356 | $40,195 |
| New Jersey | 9 | $303,932 | $45,085 |
| Washington | 10 | $301,616 | $43,482 |
| Illinois | 10 | $289,994 | $43,169 |
| Kentucky | 6 | $287,537 | $36,609 |
| New York | 12 | $283,998 | $49,141 |
| Oklahoma | 2 | $282,912 | $31,532 |
| Pennsylvania | 14 | $281,501 | $42,143 |
| Tennessee | 8 | $265,671 | $34,869 |
| West Virginia | 2 | $262,752 | $39,404 |
| Indiana | 6 | $259,801 | $37,598 |
| Louisiana | 8 | $243,658 | $35,075 |
| Ohio | 9 | $241,862 | $38,495 |
| Utah | 5 | $239,661 | $39,815 |
| Virginia | 8 | $237,192 | $44,945 |
| District of Columbia | 1 | $232,554 | $44,475 |
| North Carolina | 13 | $226,910 | $40,392 |
| Hawaii | 1 | $211,266 | $44,946 |
| Nevada | 1 | $209,474 | $38,763 |
| Arkansas | 4 | $203,082 | $30,094 |
| Oregon | 6 | $201,468 | $47,117 |
| Idaho | 2 | $200,714 | $42,068 |
| South Dakota | 2 | $198,795 | $35,675 |
| Maine | 2 | $196,055 | $32,703 |
| Michigan | 6 | $193,721 | $41,430 |
| New Hampshire | 2 | $181,439 | $40,948 |
| Minnesota | 8 | $181,350 | $41,409 |
| Connecticut | 3 | $179,559 | $45,736 |
| Missouri | 8 | $178,029 | $34,087 |
| Delaware | 1 | $175,934 | $41,624 |
| Nebraska | 3 | $169,638 | $36,608 |
| Wisconsin | 6 | $169,412 | $36,330 |
| Vermont | 1 | $165,934 | $31,250 |
| Massachusetts | 7 | $160,868 | $50,181 |
| Mississippi | 4 | $154,804 | $33,540 |
| Iowa | 2 | $140,613 | $33,175 |
| Rhode Island | 1 | $140,543 | $40,725 |
| Montana | 3 | $139,300 | $37,923 |
| North Dakota | 2 | $138,695 | $33,164 |
| Maryland | 7 | $95,871 | $78,162 |
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.