Percutaneous Cardiovascular Procedures without Intraluminal Device without Major — what U.S. hospitals charge
MS-DRG 251 · Inpatient stay · 4 U.S. hospitals publish a price
Cheapest quarter
under $84,621
Typical charge
$97,392
Dearest quarter
over $109,936
Actually paid
$16,900
The middle U.S. hospital bills $97,392 for Percutaneous Cardiovascular Procedures without Intraluminal Device without Major. The dearest hospitals charge about 1.6x what the cheapest do for the same coded work. Medicare actually paid about $16,900 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.
Where Percutaneous Cardiovascular Procedures without Intraluminal Device without Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Mount Sinai Hospital
New York, NY |
$67,129 | $21,323 |
|
Baylor Scott & White The Heart Hospital Plano
Plano, TX |
$90,452 | $17,660 |
|
Cleveland Clinic
Cleveland, OH |
$104,332 | $15,870 |
|
Hendrick Medical Center
Abilene, TX |
$126,746 | $12,748 |
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 |
|---|---|---|
|
Hendrick Medical Center
Abilene, TX |
$126,746 | $12,748 |
|
Cleveland Clinic
Cleveland, OH |
$104,332 | $15,870 |
|
Baylor Scott & White The Heart Hospital Plano
Plano, TX |
$90,452 | $17,660 |
|
Mount Sinai Hospital
New York, NY |
$67,129 | $21,323 |
Questions people ask
What do U.S. hospitals charge for Percutaneous Cardiovascular Procedures without Intraluminal Device without Major?
Across 4 U.S. hospitals, the middle charge for Percutaneous Cardiovascular Procedures without Intraluminal Device without Major is $97,392. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $84,621 and the dearest quarter over $109,936.
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 Percutaneous Cardiovascular Procedures without Intraluminal Device without Major, the hospitals in the dearest tenth charge about 1.6x 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. $16,900 is roughly what Medicare actually paid per case, against an average charge of $90,775. 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 251: “PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT 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.