CostGrade

Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications — what U.S. hospitals charge

MS-DRG 268 · Inpatient stay · 36 U.S. hospitals publish a price

Cheapest quarter

under $251,215

Typical charge

$335,587

Dearest quarter

over $492,542

Actually paid

$83,508

The middle U.S. hospital bills $335,587 for Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications. The dearest hospitals charge about 3.0x what the cheapest do for the same coded work. Medicare actually paid about $83,508 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Texas 5 $456,383 $210,190 – $819,912
Florida 3 $539,894 $287,750 – $672,504

Where Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Saint Joseph Hospital

Lexington, KY

$142,868 $54,069
University Of Maryland Medical Center

Baltimore, MD

$143,638 $132,012
Beth Israel Deaconess Medical Center

Boston, MA

$148,674 $91,074
Saint Francis Hospital, Inc

Tulsa, OK

$183,422 $65,573
Johns Hopkins Hospital, The

Baltimore, MD

$208,758 $160,693
Memorial Hermann Hospital System

Houston, TX

$210,190 $53,049
Ssm Health St Anthony Hospital - Oklahoma City

Oklahoma City, OK

$239,544 $53,407
Duke University Hospital

Durham, NC

$241,948 $84,689
Hartford Hospital

Hartford, CT

$244,102 $77,623
Henry Ford Health Hospital

Detroit, MI

$253,585 $87,014
Sentara Norfolk General Hospital

Norfolk, VA

$259,164 $62,638
Uf Health Shands Hospital

Gainesville, FL

$287,750 $69,586

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Nyu Langone Hospitals

New York, NY

$937,441 $129,018
Hca Houston Healthcare Kingwood

Kingwood, TX

$819,912 $54,879
Orlando Health

Orlando, FL

$672,504 $68,455
Ucsf Medical Center

San Francisco, CA

$592,439 $127,249
Methodist Hospital

San Antonio, TX

$567,792 $54,218
Keck Hospital Of Usc

Los Angeles, CA

$556,603 $118,658
Tampa General Hospital

Tampa, FL

$539,894 $69,092
Northwestern Memorial Hospital

Chicago, IL

$500,008 $88,746
Massachusetts General Hospital

Boston, MA

$499,103 $92,630
New York-Presbyterian Hospital

New York, NY

$490,355 $92,777
Honorhealth Scottsdale Osborn Medical Center

Scottsdale, AZ

$489,062 $58,424
Morristown Medical Center

Morristown, NJ

$460,514 $66,278

Questions people ask

What do U.S. hospitals charge for Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications?

Across 36 U.S. hospitals, the middle charge for Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications is $335,587. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $251,215 and the dearest quarter over $492,542.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications, the hospitals in the dearest tenth charge about 3.0x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $83,508 is roughly what Medicare actually paid per case, against an average charge of $390,217. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as MS-DRG 268: “AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.