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Cardiac Congenital and Valvular Disorders with major complications
Medicare DRG 306. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$105,408
Avg total payment
$18,925
Avg Medicare pays
$14,873
Hospitals reporting
38
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 | 2 | $222,166 | $19,496 |
| New York | 7 | $165,367 | $18,568 |
| New Jersey | 2 | $148,512 | $13,834 |
| Pennsylvania | 4 | $131,616 | $14,489 |
| Missouri | 1 | $104,485 | $17,367 |
| Texas | 2 | $100,712 | $14,833 |
| Virginia | 2 | $87,688 | $16,616 |
| Ohio | 1 | $85,017 | $13,143 |
| Florida | 3 | $78,464 | $10,536 |
| Kansas | 1 | $64,228 | $10,921 |
| Illinois | 2 | $64,200 | $13,209 |
| District of Columbia | 1 | $62,188 | $15,518 |
| Delaware | 1 | $61,194 | $14,738 |
| Tennessee | 1 | $56,364 | $10,671 |
| Massachusetts | 5 | $55,520 | $14,994 |
| Georgia | 1 | $52,118 | $9,720 |
| North Carolina | 1 | $46,453 | $9,860 |
| Minnesota | 1 | $29,888 | $12,748 |
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.