Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major — what U.S. hospitals charge
MS-DRG 286 · Inpatient stay · 1,085 U.S. hospitals publish a price
Cheapest quarter
under $64,800
Typical charge
$87,976
Dearest quarter
over $131,340
Actually paid
$20,440
The middle U.S. hospital bills $87,976 for Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $20,440 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.
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 23 | $26,867 | $18,067 – $68,052 |
| Massachusetts | 19 | $51,023 | $33,667 – $194,760 |
| Montana | 4 | $54,165 | $45,697 – $58,263 |
| North Dakota | 5 | $55,426 | $48,139 – $72,250 |
| West Virginia | 8 | $55,633 | $44,326 – $94,836 |
| Iowa | 13 | $56,987 | $35,055 – $124,161 |
| Michigan | 33 | $58,518 | $34,716 – $110,350 |
| Delaware | 4 | $60,692 | $33,988 – $92,621 |
| Arkansas | 17 | $64,070 | $28,308 – $111,721 |
| Rhode Island | 3 | $65,027 | $51,420 – $107,093 |
| Hawaii | 4 | $65,396 | $52,916 – $98,428 |
| Oregon | 10 | $65,764 | $42,293 – $119,282 |
| Minnesota | 18 | $66,440 | $49,488 – $170,274 |
| Alabama | 21 | $67,120 | $32,031 – $233,221 |
| Wisconsin | 15 | $67,489 | $33,460 – $118,416 |
| North Carolina | 32 | $69,706 | $40,108 – $124,152 |
| Oklahoma | 13 | $70,544 | $37,777 – $306,093 |
| Kansas | 13 | $71,516 | $25,654 – $231,970 |
| Mississippi | 10 | $71,636 | $37,981 – $166,187 |
| Missouri | 28 | $73,666 | $55,379 – $197,236 |
| New Hampshire | 8 | $74,285 | $40,539 – $158,940 |
| Ohio | 49 | $74,340 | $31,223 – $141,850 |
| New Mexico | 5 | $75,336 | $51,691 – $134,875 |
| Nebraska | 8 | $75,360 | $45,098 – $96,251 |
| Virginia | 31 | $75,978 | $43,877 – $228,480 |
| Tennessee | 24 | $77,328 | $38,632 – $181,779 |
| South Dakota | 3 | $77,409 | $64,800 – $87,065 |
| Kentucky | 15 | $78,188 | $27,128 – $131,455 |
| Louisiana | 16 | $78,759 | $48,987 – $158,875 |
| South Carolina | 17 | $79,906 | $42,463 – $227,592 |
| Maine | 4 | $80,985 | $48,410 – $82,595 |
| Utah | 6 | $84,852 | $65,612 – $137,791 |
| Indiana | 28 | $85,072 | $47,975 – $148,660 |
| Illinois | 52 | $85,636 | $41,487 – $173,790 |
| Pennsylvania | 62 | $95,301 | $26,890 – $363,380 |
| Washington | 21 | $96,140 | $63,947 – $143,061 |
| Georgia | 37 | $96,458 | $40,195 – $151,708 |
| Connecticut | 8 | $100,038 | $64,473 – $129,870 |
| Texas | 75 | $103,783 | $40,423 – $302,924 |
| New York | 51 | $107,678 | $35,857 – $364,616 |
| Idaho | 5 | $114,977 | $62,838 – $168,750 |
| Florida | 89 | $116,127 | $55,245 – $319,273 |
| Arizona | 27 | $118,835 | $57,561 – $219,149 |
| Colorado | 14 | $132,679 | $73,973 – $359,581 |
| New Jersey | 36 | $147,298 | $68,766 – $552,933 |
| District of Columbia | 3 | $155,087 | $118,060 – $224,589 |
| California | 84 | $160,242 | $60,766 – $1,113,900 |
| Nevada | 10 | $264,930 | $48,203 – $362,712 |
Where Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$18,067 | $16,645 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$18,265 | $16,354 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$18,576 | $17,265 |
|
Meritus Medical Center
Hagerstown, MD |
$19,531 | $18,054 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$20,639 | $19,279 |
|
Suburban Hospital
Bethesda, MD |
$22,146 | $20,021 |
|
Frederick Health Hospital
Frederick, MD |
$22,300 | $20,124 |
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$23,313 | $20,867 |
|
Medstar Southern Maryland Hospital Center
Clinton, MD |
$23,672 | $23,122 |
|
Kansas Heart Hospital
Wichita, KS |
$25,654 | $13,250 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$25,952 | $23,280 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$26,401 | $23,578 |
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 |
$1,113,900 | $131,553 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$552,933 | $24,798 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$451,856 | $38,112 |
|
Ronald Reagan Ucla Medical Center
Los Angeles, CA |
$423,792 | $108,866 |
|
Good Samaritan Hospital
San Jose, CA |
$392,114 | $25,755 |
|
Westchester Medical Center
Valhalla, NY |
$364,616 | $31,738 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$363,380 | $40,427 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$362,712 | $20,886 |
|
Hca-Healthone Dba Swedish Medical Center
Englewood, CO |
$359,581 | $21,945 |
|
Henderson Hospital
Henderson, NV |
$352,901 | $18,929 |
|
Doctors Medical Center
Modesto, CA |
$351,462 | $22,969 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$351,415 | $19,889 |
Questions people ask
What do U.S. hospitals charge for Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major?
Across 1,085 U.S. hospitals, the middle charge for Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major is $87,976. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $64,800 and the dearest quarter over $131,340.
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 Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major, the hospitals in the dearest tenth charge about 3.8x 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. $20,440 is roughly what Medicare actually paid per case, against an average charge of $113,650. 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 286: “CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION 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.