Heart valve replacement through a catheter (TAVR) in Massachusetts
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$133,299typical hospital bill
$52,386typical amount paid
$41,235–$77,136range paid across 12 hospitals
Massachusetts hospitals billed Medicare a typical $133,299 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 | 137 | $139,984 | $41,235 | |
| St Vincent Hospital | Worcester | 16 | $358,072 | $48,437 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 102 | $96,104 | $48,818 | |
| Mount Auburn Hospital | Cambridge | 24 | $111,020 | $49,231 | |
| Cape Cod Hospital | Hyannis | 90 | $112,941 | $49,894 | |
| Baystate Medical Center | Springfield | 216 | $116,214 | $50,110 | |
| Massachusetts General Hospital | Boston | 179 | $169,160 | $54,662 | |
| Tufts Medical Center | Boston | 111 | $111,524 | $54,716 | |
| Brigham and Women's Hospital | Boston | 185 | $140,885 | $55,727 | |
| Umass Memorial Medical Center/University Campus | Worcester | 65 | $169,724 | $57,590 | |
| Beth Israel Deaconess Medical Center | Boston | 245 | $126,615 | $58,364 | |
| Boston Medical Center-Brighton | Brighton | 71 | $251,969 | $77,136 |
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.