Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in California
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$578,848typical hospital bill
$95,539typical amount paid
$71,961–$165,642range paid across 30 hospitals
California hospitals billed Medicare a typical $578,848 for this stay in 2024, about 6.1 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)
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.