Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Massachusetts

MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

$232,807typical hospital bill

$92,371typical amount paid

$67,711–$107,202range paid across 10 hospitals

Massachusetts hospitals billed Medicare a typical $232,807 for this stay in 2024, about 2.5 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
Southcoast Hospitals Group	Fall River	17	$268,782	$67,711
Lahey Hospital & Medical Center, Burlington	Burlington	63	$109,056	$76,411
Cape Cod Hospital	Hyannis	14	$143,768	$79,107
Boston Medical Center-Brighton	Brighton	23	$159,956	$89,983
Baystate Medical Center	Springfield	35	$211,832	$90,955
Brigham and Women's Hospital	Boston	158	$327,057	$93,788
Massachusetts General Hospital	Boston	263	$337,937	$95,850
Umass Memorial Medical Center/University Campus	Worcester	14	$269,650	$96,470
Beth Israel Deaconess Medical Center	Boston	43	$183,337	$101,927
Tufts Medical Center	Boston	32	$253,782	$107,202

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.