Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Massachusetts
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$354,364typical hospital bill
$114,127typical amount paid
$107,846–$131,681range paid across 4 hospitals
Massachusetts hospitals billed Medicare a typical $354,364 for this stay in 2024, about 3.1 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | Boston | 46 | $142,973 | $107,846 | |
| Baystate Medical Center | Springfield | 11 | $253,711 | $111,522 | |
| Brigham and Women's Hospital | Boston | 26 | $455,017 | $116,733 | |
| Massachusetts General Hospital | Boston | 26 | $525,945 | $131,681 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.