CostGrade

Heart Transplant or Implant of Heart Assist System with Major Complications — what U.S. hospitals charge

MS-DRG 001 · Inpatient stay · 87 U.S. hospitals publish a price

Cheapest quarter

under $1,119,668

Typical charge

$1,351,348

Dearest quarter

over $1,902,119

Actually paid

$341,048

The middle U.S. hospital bills $1,351,348 for Heart Transplant or Implant of Heart Assist System with Major Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $341,048 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 Transplant or Implant of Heart Assist System 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
Minnesota 3 $1,116,067 $1,112,043 – $1,581,305
North Carolina 6 $1,142,887 $703,072 – $1,320,342
Virginia 3 $1,283,783 $974,910 – $2,163,455
Ohio 3 $1,287,923 $1,099,235 – $1,301,911
New Jersey 3 $1,344,837 $1,103,877 – $1,650,258
Massachusetts 3 $1,365,024 $1,156,912 – $1,507,223
Florida 7 $1,406,732 $559,457 – $2,455,406
Tennessee 4 $1,493,651 $1,123,270 – $2,968,110
Illinois 3 $1,550,132 $1,395,649 – $1,647,696
Texas 7 $1,842,229 $698,417 – $2,922,378
Pennsylvania 4 $1,933,810 $1,695,455 – $2,161,631
California 10 $2,340,950 $1,391,178 – $4,539,050
New York 5 $2,735,305 $1,150,685 – $3,251,758

Where Heart Transplant or Implant of Heart Assist System 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
Our Lady Of Lourdes Regional Medical Center, Inc

Lafayette, LA

$391,145 $192,941
Naples Community Hospital

Naples, FL

$559,457 $218,419
Chi-St Vincent Infirmary

Little Rock, AR

$610,557 $188,224
Providence St Vincent Medical Center

Portland, OR

$614,286 $281,887
Johns Hopkins Hospital, The

Baltimore, MD

$634,784 $561,230
Baylor Scott & White The Heart Hospital Plano

Plano, TX

$698,417 $195,921
Unc Hospitals

Chapel Hill, NC

$703,072 $252,017
Novant Health New Hanover Regional Medical Center

Wilmington, NC

$705,776 $230,679
Cleveland Clinic Hospital

Weston, FL

$809,220 $235,039
Baylor University Medical Center

Dallas, TX

$826,670 $320,608
Henry Ford Health Hospital

Detroit, MI

$884,886 $344,269
Spectrum Health

Grand Rapids, MI

$919,453 $254,968

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

$4,539,050 $570,389
Cedars-Sinai Medical Center

Los Angeles, CA

$3,718,436 $413,310
Nyu Langone Hospitals

New York, NY

$3,251,758 $460,102
Doctors Medical Center

Modesto, CA

$3,085,440 $294,298
Tristar Centennial Medical Center

Nashville, TN

$2,968,110 $286,772
Medical City Dallas Hospital

Dallas, TX

$2,922,378 $232,665
New York-Presbyterian Hospital

New York, NY

$2,905,979 $508,079
North Shore University Hospital

Manhasset, NY

$2,735,305 $375,586
Sharp Memorial Hospital

San Diego, CA

$2,649,064 $381,705
Methodist Hospital

San Antonio, TX

$2,545,241 $372,545
Ucsf Medical Center

San Francisco, CA

$2,460,577 $503,719
Adventhealth Orlando

Orlando, FL

$2,455,406 $325,575

Questions people ask

What do U.S. hospitals charge for Heart Transplant or Implant of Heart Assist System with Major Complications?

Across 87 U.S. hospitals, the middle charge for Heart Transplant or Implant of Heart Assist System with Major Complications is $1,351,348. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $1,119,668 and the dearest quarter over $1,902,119.

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 Transplant or Implant of Heart Assist System with 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. $341,048 is roughly what Medicare actually paid per case, against an average charge of $1,604,490. 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 001: “HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM 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.