Cardiac congenital and valvular disorders with MCC
In 2024, Medicare and patients paid an average of $19,049 per stay at 38 hospitals. Half of hospitals averaged between $14,015 and $22,545.
National figures, 2024
- Average payment per case
- $19,049
- Typical range (middle half of hospitals)
- $14,015–$22,545
- Medicare’s share
- $14,932
- Average billed charge
- $104,180
- Hospitals reporting
- 38
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
38 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Rex Hospital | 14 | $10,618 | 44% below the national average | $9,860 | $46,453 |
| Sarasota Memorial Hospital | 11 | $11,626 | 39% below the national average | $9,906 | $57,021 |
| Ascension Via Christi Hospitals Wichita, Inc. | 14 | $12,357 | 35% below the national average | $10,921 | $64,228 |
| Lee Memorial Hospital | 11 | $12,400 | 35% below the national average | $11,262 | $50,169 |
| AdventHealth Orlando | 17 | $12,472 | 35% below the national average | $10,438 | $128,201 |
| Beth Israel Deaconess Hospital Plymouth | 11 | $12,760 | 33% below the national average | $11,870 | $28,380 |
| Ascension Saint Thomas Hospital | 12 | $12,872 | 32% below the national average | $10,671 | $56,364 |
| Baylor Scott & White The Heart Hospital Plano | 19 | $13,560 | 29% below the national average | $9,001 | $42,179 |
| Jersey Shore University Medical Center | 15 | $13,563 | 29% below the national average | $12,529 | $98,709 |
| Lehigh Valley Hospital | 12 | $13,931 | 27% below the national average | $12,021 | $98,974 |
| Regions Hospital | 12 | $14,267 | 25% below the national average | $12,748 | $29,888 |
| St Francis Hospital - The Heart Center | 16 | $14,395 | 24% below the national average | $11,546 | $83,951 |
| NorthShore University HealthSystem - Evanston Hospital | 53 | $14,592 | 23% below the national average | $12,585 | $50,679 |
| Main Line Hospital Lankenau | 21 | $15,852 | 17% below the national average | $12,387 | $97,295 |
| Christiana Hospital | 14 | $16,434 | 14% below the national average | $14,738 | $61,194 |
| Baystate Medical Center | 18 | $16,743 | 12% below the national average | $13,954 | $21,367 |
| Northwestern Memorial Hospital | 20 | $16,957 | 11% below the national average | $13,833 | $77,721 |
| Cleveland Clinic | 30 | $17,648 | About average | $13,143 | $85,017 |
| MedStar Washington Hospital Center | 11 | $18,019 | About average | $15,518 | $62,188 |
| St Lukes Hospital | 15 | $18,176 | About average | $11,943 | $86,754 |
| Piedmont Hospital, Inc | 17 | $18,474 | About average | $9,720 | $52,118 |
| Robert Wood Johnson University Hospital | 17 | $19,265 | About average | $15,139 | $198,316 |
| Brigham And Women's Hospital | 14 | $19,695 | About average | $16,738 | $103,034 |
| North Shore University Hospital | 19 | $19,977 | About average | $13,928 | $159,002 |
| Cedars-Sinai Medical Center | 22 | $20,039 | About average | $16,024 | $218,580 |
| Inova Fairfax Hospital | 14 | $20,291 | About average | $12,501 | $58,926 |
| Beth Israel Deaconess Medical Center | 18 | $21,531 | 13% above the national average | $16,697 | $39,160 |
| Massachusetts General Hospital | 16 | $21,758 | 14% above the national average | $15,711 | $85,660 |
| Barnes Jewish Hospital | 17 | $22,807 | 20% above the national average | $17,367 | $104,485 |
| Nyu Langone Hospitals | 20 | $22,918 | 20% above the national average | $19,114 | $127,985 |
| Penn Presbyterian Medical Center | 13 | $23,576 | 24% above the national average | $21,608 | $243,439 |
| Lenox Hill Hospital | 12 | $23,771 | 25% above the national average | $19,899 | $180,403 |
| Houston Methodist Hospital | 12 | $24,732 | 30% above the national average | $20,665 | $159,244 |
| Mount Sinai Hospital | 42 | $25,079 | 32% above the national average | $19,620 | $116,124 |
| New York-Presbyterian Hospital | 21 | $26,295 | 38% above the national average | $20,447 | $187,043 |
| University Of Virginia Medical Center | 17 | $28,615 | 50% above the national average | $20,730 | $116,450 |
| Stanford Health Care | 12 | $33,689 | 77% above the national average | $22,969 | $225,753 |
| Montefiore Medical Center | 15 | $37,388 | 96% above the national average | $25,420 | $303,064 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $17K | $77K |
| 2021 | $17K | $82K |
| 2022 | $17K | $81K |
| 2023 | $19K | $104K |
| 2024 | $19K | $104K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 18 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| North Carolina | 1 | 14 | $10,618 | $10,618–$10,618 |
| Florida | 3 | 39 | $12,213 | $12,013–$12,436 |
| Kansas | 1 | 14 | $12,357 | $12,357–$12,357 |
| Tennessee | 1 | 12 | $12,872 | $12,872–$12,872 |
| Minnesota | 1 | 12 | $14,267 | $14,267–$14,267 |
| Illinois | 2 | 73 | $15,240 | $15,183–$16,366 |
| Delaware | 1 | 14 | $16,434 | $16,434–$16,434 |
| New Jersey | 2 | 32 | $16,592 | $14,988–$17,839 |
| Ohio | 1 | 30 | $17,648 | $17,648–$17,648 |
| Pennsylvania | 4 | 61 | $17,692 | $15,372–$19,526 |
| Texas | 2 | 31 | $17,885 | $16,353–$21,939 |
| District of Columbia | 1 | 11 | $18,019 | $18,019–$18,019 |
| Georgia | 1 | 17 | $18,474 | $18,474–$18,474 |
| Massachusetts | 5 | 77 | $18,872 | $16,743–$21,531 |
| Missouri | 1 | 17 | $22,807 | $22,807–$22,807 |
| New York | 7 | 145 | $24,275 | $21,447–$25,687 |
| Virginia | 2 | 31 | $24,856 | $22,372–$26,534 |
| California | 2 | 34 | $24,857 | $23,452–$30,277 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.