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Inpatient stay · MS-DRG 306

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
$14,93278% of the payment
Average billed charge
$104,180
Hospitals reporting
38664 stays

Hospitals in Florida

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.

Location
Florida
Specific hospitals up to 10
Average payment across these 3 hospitals
$12,213National $19,049 · Florida $12,213
Median hospital
$12,400
Lowest to highest
$11,626–$12,472
Medicare stays
39

3 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Cardiac congenital and valvular disorders with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sarasota Memorial HospitalSarasota, FL · CCN 10008711$11,62639% below the national average$9,906$57,021
Lee Memorial HospitalFort Myers, FL · CCN 10001211$12,40035% below the national average$11,262$50,169
AdventHealth OrlandoOrlando, FL · CCN 10000717$12,47235% below the national average$10,438$128,201

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 419 stays at 30 hospitals · 2021: 516 stays at 33 hospitals · 2022: 387 stays at 26 hospitals · 2023: 577 stays at 38 hospitals · 2024: 664 stays at 38 hospitals
View data as a table
National average payment and billed charge for Cardiac congenital and valvular disorders with MCC
Year of careAverage paymentAverage 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
Average payment by state for Cardiac congenital and valvular disorders with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
North Carolina114$10,618$10,618–$10,618
Florida339$12,213$12,013–$12,436
Kansas114$12,357$12,357–$12,357
Tennessee112$12,872$12,872–$12,872
Minnesota112$14,267$14,267–$14,267
Illinois273$15,240$15,183–$16,366
Delaware114$16,434$16,434–$16,434
New Jersey232$16,592$14,988–$17,839
Ohio130$17,648$17,648–$17,648
Pennsylvania461$17,692$15,372–$19,526
Texas231$17,885$16,353–$21,939
District of Columbia111$18,019$18,019–$18,019
Georgia117$18,474$18,474–$18,474
Massachusetts577$18,872$16,743–$21,531
Missouri117$22,807$22,807–$22,807
New York7145$24,275$21,447–$25,687
Virginia231$24,856$22,372–$26,534
California234$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.