Cardiac Congenital and Valvular Disorders without Major Complications — what U.S. hospitals charge
MS-DRG 307 · Inpatient stay · 13 U.S. hospitals publish a price
Cheapest quarter
under $55,266
Typical charge
$81,553
Dearest quarter
over $103,678
Actually paid
$12,058
The middle U.S. hospital bills $81,553 for Cardiac Congenital and Valvular Disorders without Major Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $12,058 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.
Cardiac Congenital and Valvular Disorders without 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 |
|---|---|---|---|
| New York | 5 | $91,062 | $75,902 – $119,735 |
Where Cardiac Congenital and Valvular Disorders without 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 |
|---|---|---|
|
Beth Israel Deaconess Medical Center
Boston, MA |
$27,013 | $13,015 |
|
Lee Memorial Hospital
Fort Myers, FL |
$36,781 | $8,187 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$45,127 | $12,402 |
|
Adventhealth Orlando
Orlando, FL |
$55,266 | $8,086 |
|
Piedmont Hospital, Inc
Atlanta, GA |
$60,577 | $10,436 |
|
Mount Sinai Hospital
New York, NY |
$75,902 | $16,289 |
|
Methodist Hospital
San Antonio, TX |
$81,553 | $9,590 |
|
North Shore University Hospital
Manhasset, NY |
$84,567 | $12,784 |
|
Nyu Langone Hospitals
New York, NY |
$91,062 | $13,703 |
|
Lenox Hill Hospital
New York, NY |
$103,678 | $12,677 |
|
New York-Presbyterian Hospital
New York, NY |
$119,735 | $12,499 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$123,930 | $11,870 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$160,592 | $15,218 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$123,930 | $11,870 |
|
New York-Presbyterian Hospital
New York, NY |
$119,735 | $12,499 |
|
Lenox Hill Hospital
New York, NY |
$103,678 | $12,677 |
|
Nyu Langone Hospitals
New York, NY |
$91,062 | $13,703 |
|
North Shore University Hospital
Manhasset, NY |
$84,567 | $12,784 |
|
Methodist Hospital
San Antonio, TX |
$81,553 | $9,590 |
|
Mount Sinai Hospital
New York, NY |
$75,902 | $16,289 |
|
Piedmont Hospital, Inc
Atlanta, GA |
$60,577 | $10,436 |
|
Adventhealth Orlando
Orlando, FL |
$55,266 | $8,086 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$45,127 | $12,402 |
|
Lee Memorial Hospital
Fort Myers, FL |
$36,781 | $8,187 |
Questions people ask
What do U.S. hospitals charge for Cardiac Congenital and Valvular Disorders without Major Complications?
Across 13 U.S. hospitals, the middle charge for Cardiac Congenital and Valvular Disorders without Major Complications is $81,553. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $55,266 and the dearest quarter over $103,678.
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 Cardiac Congenital and Valvular Disorders without Major Complications, the hospitals in the dearest tenth charge about 3.2x 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. $12,058 is roughly what Medicare actually paid per case, against an average charge of $84,383. 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 307: “CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT 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.