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Cardiac Congenital and Valvular Disorders without with major complications
Medicare DRG 307. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$81,983
Avg total payment
$12,058
Avg Medicare pays
$8,955
Hospitals reporting
13
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 | $142,261 | $11,438 |
| New York | 5 | $94,989 | $10,089 |
| Texas | 1 | $81,553 | $5,341 |
| Georgia | 1 | $60,577 | $4,979 |
| Florida | 2 | $46,023 | $6,925 |
| Missouri | 1 | $45,127 | $8,622 |
| Massachusetts | 1 | $27,013 | $10,297 |
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.