Other Cardiothoracic Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 228 · Inpatient stay · 134 U.S. hospitals publish a price
Cheapest quarter
under $167,063
Typical charge
$225,834
Dearest quarter
over $312,080
Actually paid
$51,412
The middle U.S. hospital bills $225,834 for Other Cardiothoracic Procedures with Major Complications. The dearest hospitals charge about 2.8x what the cheapest do for the same coded work. Medicare actually paid about $51,412 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.
Other Cardiothoracic Procedures 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 |
|---|---|---|---|
| Virginia | 4 | $162,729 | $157,060 – $185,818 |
| Massachusetts | 6 | $166,492 | $136,170 – $233,453 |
| Wisconsin | 4 | $167,090 | $92,300 – $205,664 |
| North Carolina | 4 | $181,099 | $105,097 – $291,533 |
| Kentucky | 4 | $182,109 | $158,351 – $348,872 |
| Ohio | 3 | $190,051 | $167,617 – $250,900 |
| Tennessee | 4 | $191,227 | $121,888 – $302,595 |
| Florida | 15 | $199,494 | $145,929 – $490,702 |
| Illinois | 6 | $208,332 | $155,489 – $310,257 |
| Missouri | 3 | $212,700 | $166,878 – $238,509 |
| Washington | 3 | $222,283 | $190,995 – $304,691 |
| California | 20 | $298,388 | $195,168 – $810,902 |
| New York | 14 | $303,609 | $158,969 – $501,965 |
| Georgia | 3 | $318,684 | $235,975 – $378,712 |
| New Jersey | 6 | $318,901 | $214,321 – $427,518 |
| Texas | 6 | $386,277 | $155,854 – $410,612 |
Where Other Cardiothoracic Procedures 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 |
|---|---|---|
|
Medstar Union Memorial Hospital
Baltimore, MD |
$77,100 | $70,732 |
|
Dch Regional Medical Center
Tuscaloosa, AL |
$89,470 | $37,416 |
|
Gundersen Lutheran Medical Center
La Crosse, WI |
$92,300 | $42,794 |
|
Ecu Health Medical Center
Greenville, NC |
$105,097 | $40,486 |
|
Arkansas Heart Hospital, Llc
Little Rock, AR |
$108,377 | $32,706 |
|
Forrest General Hospital
Hattiesburg, MS |
$111,822 | $32,346 |
|
Willis Knighton Medical Center
Shreveport, LA |
$116,656 | $34,762 |
|
Oklahoma Heart Hospital South, Llc
Oklahoma City, OK |
$119,115 | $32,329 |
|
Jackson-Madison County General Hospital
Jackson, TN |
$121,888 | $37,081 |
|
Medical Center Of The Rockies
Loveland, CO |
$126,340 | $34,297 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$136,170 | $83,532 |
|
St Bernards Medical Center
Jonesboro, AR |
$136,532 | $37,344 |
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 |
$810,902 | $91,269 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$807,875 | $77,978 |
|
Lehigh Valley Hospital
Allentown, PA |
$641,642 | $62,928 |
|
Trident Medical Center
Charleston, SC |
$568,524 | $38,006 |
|
Nyu Langone Hospitals
New York, NY |
$501,965 | $72,371 |
|
Hca Florida Orange Park Hospital
Orange Park, FL |
$490,702 | $44,209 |
|
Northridge Hospital Medical Center
Northridge, CA |
$444,709 | $56,275 |
|
New York-Presbyterian Hospital
New York, NY |
$438,386 | $91,699 |
|
Virtua Our Lady Of Lourdes Hospital
Camden, NJ |
$427,518 | $48,372 |
|
Covenant Medical Center
Lubbock, TX |
$410,612 | $37,102 |
|
Methodist Hospital
San Antonio, TX |
$410,543 | $36,463 |
|
Wesley Medical Center
Wichita, KS |
$408,370 | $38,884 |
Questions people ask
What do U.S. hospitals charge for Other Cardiothoracic Procedures with Major Complications?
Across 134 U.S. hospitals, the middle charge for Other Cardiothoracic Procedures with Major Complications is $225,834. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $167,063 and the dearest quarter over $312,080.
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 Other Cardiothoracic Procedures with Major Complications, the hospitals in the dearest tenth charge about 2.8x 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. $51,412 is roughly what Medicare actually paid per case, against an average charge of $265,880. 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 228: “OTHER CARDIOTHORACIC PROCEDURES 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.