Other Circulatory System Operating Room Procedures — what U.S. hospitals charge
MS-DRG 264 · Inpatient stay · 171 U.S. hospitals publish a price
Cheapest quarter
under $102,812
Typical charge
$135,844
Dearest quarter
over $206,359
Actually paid
$33,756
The middle U.S. hospital bills $135,844 for Other Circulatory System Operating Room Procedures. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $33,756 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 Circulatory System Operating Room Procedures 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 | $73,655 | $51,336 – $343,472 |
| Kentucky | 3 | $90,453 | $85,809 – $116,860 |
| Minnesota | 4 | $94,338 | $50,325 – $136,193 |
| Indiana | 4 | $100,636 | $69,460 – $177,222 |
| North Carolina | 6 | $105,575 | $77,617 – $138,422 |
| Michigan | 4 | $107,012 | $78,415 – $170,900 |
| Wisconsin | 3 | $110,165 | $33,499 – $125,919 |
| Massachusetts | 6 | $119,529 | $37,663 – $228,730 |
| Illinois | 9 | $120,855 | $40,259 – $207,804 |
| South Carolina | 3 | $124,106 | $102,810 – $137,581 |
| Pennsylvania | 10 | $129,553 | $76,280 – $409,593 |
| Washington | 3 | $133,677 | $114,024 – $145,460 |
| Ohio | 3 | $140,595 | $46,007 – $183,971 |
| Florida | 18 | $163,823 | $83,672 – $503,939 |
| Tennessee | 3 | $167,675 | $87,179 – $189,685 |
| Connecticut | 3 | $182,940 | $158,969 – $189,964 |
| Texas | 16 | $187,909 | $79,158 – $425,621 |
| California | 12 | $190,867 | $95,019 – $599,392 |
| New Jersey | 11 | $192,404 | $122,735 – $299,026 |
| Georgia | 3 | $223,078 | $201,261 – $265,769 |
| New York | 16 | $242,583 | $115,547 – $370,729 |
Where Other Circulatory System Operating Room Procedures 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 Charles Regional Medical Center
La Plata, MD |
$21,138 | $24,382 |
|
Thedacare Regional Medical Center - Appleton Inc
Appleton, WI |
$33,499 | $22,548 |
|
South Shore Hospital
South Weymouth, MA |
$37,663 | $24,139 |
|
Medstar Good Samaritan Hospital
Baltimore, MD |
$37,986 | $34,113 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$40,259 | $22,135 |
|
Medina Hospital
Medina, OH |
$46,007 | $16,818 |
|
United Hospital Center, Inc
Bridgeport, WV |
$46,618 | $24,257 |
|
Baystate Medical Center
Springfield, MA |
$49,385 | $34,925 |
|
Essentia Health St Mary's Medical Center
Duluth, MN |
$50,325 | $25,413 |
|
Riverside Regional Medical Center
Newport News, VA |
$51,336 | $22,653 |
|
Christiana Hospital
Newark, DE |
$55,474 | $28,069 |
|
Presbyterian Hospital
Albuquerque, NM |
$56,344 | $24,952 |
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 |
$599,392 | $50,061 |
|
Hca Florida Jfk Hospital
Atlantis, FL |
$503,939 | $28,942 |
|
Ut Of Texas Southwestern University Hospital - William P. Clements Jr.
Dallas, TX |
$425,621 | $114,599 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$409,593 | $27,898 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$404,822 | $59,010 |
|
Thomas Jefferson University Hospital
Philadelphia, PA |
$394,982 | $72,592 |
|
Montefiore Medical Center
Bronx, NY |
$370,729 | $54,721 |
|
New York-Presbyterian Hospital
New York, NY |
$360,195 | $62,154 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$357,652 | $25,765 |
|
Stanford Health Care
Stanford, CA |
$355,678 | $52,781 |
|
Cjw Medical Center
Richmond, VA |
$343,472 | $22,513 |
|
North Shore University Hospital
Manhasset, NY |
$339,542 | $48,765 |
Questions people ask
What do U.S. hospitals charge for Other Circulatory System Operating Room Procedures?
Across 171 U.S. hospitals, the middle charge for Other Circulatory System Operating Room Procedures is $135,844. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $102,812 and the dearest quarter over $206,359.
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 Circulatory System Operating Room Procedures, the hospitals in the dearest tenth charge about 4.1x 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. $33,756 is roughly what Medicare actually paid per case, against an average charge of $179,979. 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 264: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES”. 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.