How much does Heart Attack (severe) cost?
MS-DRG 280 · Inpatient stay · 1,825 U.S. hospitals publish a price
Cheapest quarter
under $44,487
Typical charge
$61,366
Dearest quarter
over $91,239
Actually paid
$14,626
The middle U.S. hospital bills $61,366 for Heart Attack (severe). The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $14,626 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.
Heart Attack (severe) 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 | 38 | $21,146 | $12,853 – $58,588 |
| Vermont | 5 | $28,215 | $17,922 – $52,843 |
| Massachusetts | 42 | $29,886 | $11,208 – $120,476 |
| Montana | 6 | $37,559 | $29,309 – $42,868 |
| Iowa | 21 | $39,254 | $20,360 – $99,174 |
| North Dakota | 6 | $39,938 | $36,012 – $47,951 |
| Maine | 6 | $41,504 | $30,795 – $76,191 |
| West Virginia | 18 | $42,196 | $20,118 – $82,240 |
| Mississippi | 19 | $43,713 | $20,123 – $137,159 |
| Rhode Island | 7 | $43,936 | $21,290 – $97,917 |
| Kansas | 19 | $43,954 | $20,428 – $148,739 |
| Michigan | 53 | $45,665 | $29,305 – $105,473 |
| North Carolina | 50 | $46,926 | $19,956 – $85,216 |
| New Hampshire | 12 | $47,253 | $31,672 – $95,048 |
| Oregon | 24 | $47,303 | $19,138 – $69,077 |
| Wisconsin | 36 | $47,313 | $17,147 – $102,841 |
| Wyoming | 3 | $47,692 | $41,386 – $68,195 |
| Arkansas | 23 | $49,030 | $18,311 – $106,488 |
| Oklahoma | 27 | $49,337 | $29,962 – $172,968 |
| Virginia | 49 | $50,423 | $17,689 – $148,554 |
| Nebraska | 16 | $52,725 | $34,799 – $71,430 |
| Ohio | 70 | $53,005 | $17,411 – $116,707 |
| Delaware | 5 | $53,868 | $23,591 – $59,458 |
| Minnesota | 19 | $54,250 | $33,241 – $110,741 |
| Hawaii | 8 | $54,693 | $38,325 – $85,137 |
| Kentucky | 30 | $54,802 | $22,161 – $92,570 |
| Alabama | 29 | $54,803 | $21,100 – $160,021 |
| South Dakota | 6 | $55,148 | $29,563 – $78,982 |
| Connecticut | 18 | $55,247 | $30,468 – $100,592 |
| Tennessee | 41 | $55,812 | $24,724 – $145,116 |
| Missouri | 41 | $56,026 | $29,383 – $161,494 |
| Louisiana | 29 | $56,148 | $11,725 – $108,480 |
| South Carolina | 27 | $57,542 | $29,779 – $126,733 |
| Pennsylvania | 76 | $58,132 | $19,866 – $247,249 |
| Indiana | 41 | $58,499 | $27,215 – $94,127 |
| Utah | 9 | $58,613 | $35,417 – $80,346 |
| Illinois | 85 | $60,854 | $26,050 – $114,719 |
| Washington | 38 | $61,983 | $23,357 – $99,401 |
| Idaho | 9 | $64,107 | $42,396 – $118,263 |
| Georgia | 56 | $66,537 | $31,968 – $136,111 |
| New Mexico | 10 | $68,509 | $16,737 – $114,674 |
| New York | 89 | $72,576 | $15,396 – $212,892 |
| Texas | 141 | $75,236 | $20,100 – $187,524 |
| District of Columbia | 5 | $79,539 | $54,419 – $146,093 |
| Arizona | 39 | $80,292 | $34,781 – $175,343 |
| Colorado | 24 | $83,554 | $50,353 – $189,629 |
| Florida | 140 | $87,902 | $32,264 – $218,526 |
| Alaska | 6 | $91,240 | $56,708 – $127,777 |
| New Jersey | 53 | $102,135 | $54,607 – $448,234 |
| California | 185 | $105,144 | $34,650 – $374,870 |
| Nevada | 16 | $146,299 | $31,375 – $266,625 |
Where Heart Attack (severe) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Holyoke Medical Center
Holyoke, MA |
$11,208 | $13,741 |
|
Leonard J Chabert Medical Center
Houma, LA |
$11,725 | $15,666 |
|
Union Hospital Of Cecil County
Elkton, MD |
$12,853 | $11,517 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$13,347 | $12,201 |
|
Calverthealth Medical Center
Prince Frederick, MD |
$13,673 | $12,240 |
|
Atlantic General Hospital
Berlin, MD |
$13,755 | $12,586 |
|
Medstar Saint Mary's Hospital
Leonardtown, MD |
$14,046 | $13,304 |
|
Holy Cross Germantown Hospital
Germantown, MD |
$14,727 | $13,237 |
|
Medstar Montgomery Medical Center
Olney, MD |
$14,825 | $13,146 |
|
Aurelia Osborn Fox Memorial Hospital
Oneonta, NY |
$15,396 | $14,856 |
|
Carroll Hospital Center
Westminster, MD |
$15,397 | $13,691 |
|
Meritus Medical Center
Hagerstown, MD |
$15,556 | $14,508 |
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 |
|---|---|---|
|
Capital Health Regional Medical Center
Trenton, NJ |
$448,234 | $18,001 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$426,980 | $15,938 |
|
Doctors Medical Center
Modesto, CA |
$374,870 | $18,741 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$287,730 | $18,590 |
|
Stanford Health Care
Stanford, CA |
$284,916 | $32,612 |
|
Adventist Health White Memorial
Los Angeles, CA |
$283,225 | $30,065 |
|
Carepoint Health - Bayonne Medical Center
Bayonne, NJ |
$267,605 | $17,965 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$266,625 | $14,508 |
|
Good Samaritan Hospital
San Jose, CA |
$264,074 | $17,863 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$258,723 | $22,976 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$247,372 | $13,161 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$247,249 | $27,825 |
Questions people ask
How much does Heart Attack (severe) cost in the United States?
Across 1,825 U.S. hospitals, the middle charge for Heart Attack (severe) is $61,366. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $44,487 and the dearest quarter over $91,239.
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 Heart Attack (severe), the hospitals in the dearest tenth charge about 3.9x 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. $14,626 is roughly what Medicare actually paid per case, against an average charge of $76,887. 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 280: “ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE 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.