Heart valve replacement through a catheter (TAVR), with major complications in Massachusetts
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$171,595typical hospital bill
$72,255typical amount paid
$50,836–$98,329range paid across 10 hospitals
Massachusetts hospitals billed Medicare a typical $171,595 for this stay in 2024, about 2.4 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 | 46 | $154,056 | $50,836 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 78 | $116,434 | $63,431 | |
| Cape Cod Hospital | Hyannis | 38 | $140,897 | $64,874 | |
| Baystate Medical Center | Springfield | 51 | $157,083 | $66,038 | |
| Tufts Medical Center | Boston | 52 | $161,112 | $71,902 | |
| Umass Memorial Medical Center/University Campus | Worcester | 40 | $193,266 | $72,608 | |
| Massachusetts General Hospital | Boston | 196 | $245,368 | $74,300 | |
| Brigham and Women's Hospital | Boston | 90 | $283,730 | $77,365 | |
| Beth Israel Deaconess Medical Center | Boston | 56 | $182,078 | $91,617 | |
| Boston Medical Center-Brighton | Brighton | 36 | $297,033 | $98,329 |
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.