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Cardiac Valve and Other major Cardiothoracic Procedures without Cardiac Catheterization
Medicare DRG 221. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$207,808
Avg total payment
$41,884
Avg Medicare pays
$33,951
Hospitals reporting
12
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 |
|---|---|---|---|
| Arizona | 1 | $345,968 | $21,848 |
| Kentucky | 2 | $317,516 | $28,326 |
| Florida | 1 | $296,670 | $29,704 |
| Pennsylvania | 2 | $254,304 | $39,102 |
| North Carolina | 1 | $179,555 | $42,808 |
| Iowa | 1 | $163,142 | $30,734 |
| New Hampshire | 1 | $109,365 | $46,613 |
| North Dakota | 1 | $102,443 | $28,978 |
| Arkansas | 1 | $96,213 | $27,030 |
| Maryland | 1 | $56,695 | $44,843 |
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.