Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications — what U.S. hospitals charge
MS-DRG 323 · Inpatient stay · 76 U.S. hospitals publish a price
Cheapest quarter
under $173,364
Typical charge
$213,530
Dearest quarter
over $272,412
Actually paid
$40,473
The middle U.S. hospital bills $213,530 for Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications. The dearest hospitals charge about 2.7x what the cheapest do for the same coded work. Medicare actually paid about $40,473 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 Intravascular Lithotripsy with Intraluminal Device 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 |
|---|---|---|---|
| North Carolina | 3 | $116,653 | $101,690 – $218,114 |
| Massachusetts | 4 | $120,342 | $96,159 – $245,273 |
| Ohio | 3 | $136,792 | $117,897 – $274,741 |
| Illinois | 3 | $205,876 | $195,862 – $215,635 |
| Washington | 5 | $216,475 | $166,665 – $321,930 |
| New York | 4 | $228,210 | $132,865 – $423,915 |
| New Jersey | 3 | $230,845 | $212,346 – $257,442 |
| Florida | 8 | $237,990 | $202,607 – $499,782 |
| Tennessee | 3 | $247,447 | $204,114 – $394,029 |
| California | 6 | $269,521 | $196,421 – $814,272 |
| Pennsylvania | 4 | $303,149 | $247,390 – $358,242 |
| Texas | 5 | $385,438 | $206,947 – $509,886 |
Where Coronary Intravascular Lithotripsy with Intraluminal Device 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 |
|---|---|---|
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$96,159 | $42,515 |
|
Rex Hospital
Raleigh, NC |
$101,690 | $28,404 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$101,735 | $51,775 |
|
Oklahoma Heart Hospital South, Llc
Oklahoma City, OK |
$110,708 | $27,167 |
|
Deaconess Hospital Inc
Evansville, IN |
$115,863 | $29,343 |
|
Ecu Health Medical Center
Greenville, NC |
$116,653 | $37,695 |
|
Bethesda North
Cincinnati, OH |
$117,897 | $29,916 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$128,524 | $52,644 |
|
Unitypoint Health - Des Moines Iowa Methodist Medi
Des Moines, IA |
$130,224 | $29,562 |
|
Vassar Brothers Medical Center
Poughkeepsie, NY |
$132,865 | $45,012 |
|
Monument Health Rapid City Hospital
Rapid City, SD |
$136,076 | $39,832 |
|
Riverside Methodist Hospital
Columbus, OH |
$136,792 | $32,542 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$814,272 | $80,549 |
|
Baptist Medical Center
San Antonio, TX |
$509,886 | $31,957 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$499,782 | $35,445 |
|
St David's Medical Center
Austin, TX |
$444,514 | $31,514 |
|
Nyu Langone Hospitals
New York, NY |
$423,915 | $62,195 |
|
Tristar Centennial Medical Center
Nashville, TN |
$394,029 | $30,455 |
|
Methodist Hospital
San Antonio, TX |
$385,438 | $29,512 |
|
Regional Hospital Of Scranton
Scranton, PA |
$358,242 | $37,419 |
|
Honorhealth Scottsdale Shea Medical Center
Scottsdale, AZ |
$342,485 | $31,301 |
|
Lehigh Valley Hospital
Allentown, PA |
$332,044 | $35,152 |
|
North Oaks Medical Center
Hammond, LA |
$322,380 | $27,567 |
|
Swedish Medical Center / Cherry Hill
Seattle, WA |
$321,930 | $39,739 |
Questions people ask
What do U.S. hospitals charge for Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications?
Across 76 U.S. hospitals, the middle charge for Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications is $213,530. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $173,364 and the dearest quarter over $272,412.
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 Intravascular Lithotripsy with Intraluminal Device with Major Complications, the hospitals in the dearest tenth charge about 2.7x 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. $40,473 is roughly what Medicare actually paid per case, against an average charge of $239,367. 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 323: “CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE 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.