CostGrade

Coronary Bypass without Cardiac Catheterization with Major Complications — what U.S. hospitals charge

MS-DRG 235 · Inpatient stay · 330 U.S. hospitals publish a price

Cheapest quarter

under $182,381

Typical charge

$240,518

Dearest quarter

over $358,013

Actually paid

$55,298

The middle U.S. hospital bills $240,518 for Coronary Bypass without Cardiac Catheterization with Major Complications. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $55,298 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.

Coronary Bypass without Cardiac Catheterization 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
Maryland 5 $98,836 $65,264 – $123,787
Louisiana 3 $139,083 $124,373 – $222,112
Massachusetts 8 $151,481 $78,724 – $265,531
Iowa 4 $164,375 $123,414 – $210,736
Nebraska 5 $174,333 $132,110 – $285,346
Connecticut 4 $178,909 $158,225 – $227,731
Utah 3 $181,583 $174,510 – $240,248
Michigan 8 $194,836 $116,189 – $262,767
Wisconsin 5 $197,793 $167,732 – $228,741
Tennessee 13 $198,151 $127,362 – $577,107
Arkansas 4 $199,036 $92,259 – $222,008
Virginia 12 $199,420 $115,922 – $725,467
Missouri 8 $207,723 $131,718 – $286,299
Minnesota 7 $213,583 $129,534 – $328,508
North Carolina 11 $214,565 $114,743 – $277,236
Indiana 4 $221,748 $162,811 – $406,584
Kentucky 6 $222,334 $132,087 – $306,145
Oklahoma 5 $224,606 $159,556 – $405,312
Illinois 15 $233,468 $115,646 – $348,952
West Virginia 3 $238,516 $163,320 – $299,474
Oregon 4 $243,719 $146,964 – $289,027
Pennsylvania 13 $248,138 $136,477 – $723,350
Ohio 10 $255,754 $102,603 – $297,873
Alabama 4 $256,305 $99,135 – $605,470
Georgia 9 $259,232 $202,770 – $583,531
Kansas 3 $276,877 $168,264 – $720,373
New York 16 $278,574 $123,817 – $761,656
Washington 7 $285,157 $209,060 – $470,464
South Carolina 6 $296,015 $220,296 – $587,223
New Mexico 3 $304,785 $164,011 – $372,981
Florida 30 $308,527 $177,116 – $972,393
Texas 31 $351,757 $119,874 – $838,263
New Jersey 8 $356,191 $240,788 – $517,326
Arizona 9 $383,678 $209,719 – $1,283,747
Colorado 3 $405,159 $336,406 – $547,205
California 20 $441,044 $238,631 – $1,236,188
Nevada 4 $523,292 $388,583 – $788,221

Where Coronary Bypass without Cardiac Catheterization 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
University Of Md St Joseph Medical Center

Towson, MD

$65,264 $64,714
Tidalhealth Peninsula Regional, Inc

Salisbury, MD

$73,128 $66,421
Lahey Hospital & Medical Center, Burlington

Burlington, MA

$78,724 $55,413
Arkansas Heart Hospital, Llc

Little Rock, AR

$92,259 $34,149
Medstar Union Memorial Hospital

Baltimore, MD

$98,836 $87,659
Thomas Hospital

Fairhope, AL

$99,135 $39,353
Bethesda North

Cincinnati, OH

$102,603 $44,069
Beth Israel Deaconess Medical Center

Boston, MA

$108,817 $69,510
Boston Medical Center-Brighton

Brighton, MA

$110,219 $65,389
Johns Hopkins Hospital, The

Baltimore, MD

$111,685 $97,578
Ecu Health Medical Center

Greenville, NC

$114,743 $45,209
Silver Cross Hospital And Medical Centers

New Lenox, IL

$115,646 $40,486

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
St. Mary's Hospital

Tucson, AZ

$1,283,747 $66,264
Doctors Medical Center

Modesto, CA

$1,236,188 $69,870
Stanford Health Care

Stanford, CA

$1,212,583 $124,238
Hca Florida Memorial Hospital

Jacksonville, FL

$972,393 $53,399
Good Samaritan Hospital

San Jose, CA

$899,972 $68,483
Hca Florida Largo Hospital

Largo, FL

$881,450 $50,959
Medical City Dallas Hospital

Dallas, TX

$838,263 $55,179
Hca Florida Bayonet Point Hospital

Hudson, FL

$812,477 $70,455
Mountainview Hospital

Las Vegas, NV

$788,221 $80,012
Cedars-Sinai Medical Center

Los Angeles, CA

$775,470 $68,781
Westchester Medical Center

Valhalla, NY

$761,656 $68,406
Henrico Doctors' Hospital

Richmond, VA

$725,467 $40,739

Questions people ask

What do U.S. hospitals charge for Coronary Bypass without Cardiac Catheterization with Major Complications?

Across 330 U.S. hospitals, the middle charge for Coronary Bypass without Cardiac Catheterization with Major Complications is $240,518. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $182,381 and the dearest quarter over $358,013.

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 Coronary Bypass without Cardiac Catheterization with Major Complications, the hospitals in the dearest tenth charge about 4.0x 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. $55,298 is roughly what Medicare actually paid per case, against an average charge of $287,146. 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 235: “CORONARY BYPASS WITHOUT 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.