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Inpatient stay · MS-DRG 307

Cardiac congenital and valvular disorders without MCC

In 2024, Medicare and patients paid an average of $12,474 per stay at 13 hospitals. Half of hospitals averaged between $10,436 and $13,015.

National figures, 2024

Average payment per case
$12,474
Typical range (middle half of hospitals)
$10,436–$13,015
Medicare’s share
$9,24974% of the payment
Average billed charge
$84,383
Hospitals reporting
13214 stays

Hospitals in Missouri

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
Missouri
Specific hospitals up to 10
Average payment (1 hospital)
$12,402National $12,474 · Missouri $12,402
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
12

1 hospital reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Cardiac congenital and valvular disorders without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Barnes Jewish HospitalSaint Louis, MO · CCN 26003212$12,402About average$8,622$45,127

National trend

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

  • Average payment
  • Average billed charge
2020: 69 stays at 6 hospitals · 2021: 168 stays at 13 hospitals · 2022: 149 stays at 10 hospitals · 2023: 184 stays at 13 hospitals · 2024: 214 stays at 13 hospitals
View data as a table
National average payment and billed charge for Cardiac congenital and valvular disorders without MCC
Year of careAverage paymentAverage billed charge
2020$10K$40K
2021$11K$61K
2022$11K$66K
2023$11K$71K
2024$12K$84K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 7 states
Average payment by state for Cardiac congenital and valvular disorders without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Florida224$8,132$8,112–$8,162
Texas112$9,590$9,590–$9,590
Georgia113$10,436$10,436–$10,436
Missouri112$12,402$12,402–$12,402
California238$12,839$12,707–$14,381
Massachusetts120$13,015$13,015–$13,015
New York595$13,963$12,677–$13,703

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.