Inpatient stays / DRG 001
MS-DRG 001 · 87 hospitals · 2,726 stays
DRG 001: Heart Transplant or Implant of Heart Assist System with MCC
Medicare patients had 2,726 stays in DRG 001 in 2024. Hospitals charged an average of $1,466,967 per stay and were paid $321,958 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $275,303. Average charges ran from $391,145 at the least expensive hospital to $4,539,050 at the most; half of hospitals charged between $1,116,067 and $1,962,010.
- 1Average charge $1,466,967
- 2Average paid $321,958
- 3Reporting hospitals 87
- 4Medicare stays 2,726
By state
Average charges for DRG 001 were highest in New York ($2,361,884) and lowest in Maryland ($599,595). Payments vary far less than charges, because Medicare sets them: they range across states from $203,694 to $533,204.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| New York | 148 | $2,361,884 | $442,676 | 5.3× |
| California | 293 | $2,249,574 | $438,383 | 5.1× |
| Pennsylvania | 125 | $1,985,427 | $326,589 | 6.1× |
| Oklahoma | 39 | $1,859,950 | $274,661 | 6.8× |
| Texas | 238 | $1,636,146 | $292,720 | 5.6× |
| Colorado | 27 | $1,522,392 | $288,731 | 5.3× |
| Tennessee | 96 | $1,478,217 | $247,920 | 6× |
| Florida | 221 | $1,478,194 | $271,824 | 5.4× |
| Illinois | 131 | $1,460,527 | $345,799 | 4.2× |
| District of Columbia | 52 | $1,445,559 | $348,872 | 4.1× |
| Virginia | 53 | $1,347,614 | $359,062 | 3.8× |
| Georgia | 85 | $1,338,163 | $312,952 | 4.3× |
| Kentucky | 30 | $1,326,190 | $299,826 | 4.4× |
| Arizona | 52 | $1,318,967 | $305,536 | 4.3× |
| Wisconsin | 16 | $1,303,458 | $283,762 | 4.6× |
| New Jersey | 89 | $1,268,426 | $289,456 | 4.4× |
| Alabama | 18 | $1,248,032 | $273,586 | 4.6× |
| Connecticut | 22 | $1,247,521 | $319,962 | 3.9× |
| Minnesota | 64 | $1,217,794 | $355,440 | 3.4× |
| Washington | 53 | $1,210,722 | $339,194 | 3.6× |
| Ohio | 104 | $1,169,866 | $299,052 | 3.9× |
| Massachusetts | 90 | $1,169,464 | $362,138 | 3.2× |
| Nebraska | 27 | $1,102,772 | $253,785 | 4.3× |
| Indiana | 48 | $1,096,299 | $233,900 | 4.7× |
| South Carolina | 55 | $1,079,774 | $264,829 | 4.1× |
| Kansas | 28 | $1,073,511 | $224,234 | 4.8× |
| Missouri | 92 | $1,069,434 | $281,096 | 3.8× |
| North Carolina | 132 | $1,021,557 | $284,342 | 3.6× |
| Arkansas | 54 | $972,462 | $239,919 | 4.1× |
| Utah | 23 | $954,296 | $372,666 | 2.6× |
| Michigan | 43 | $897,148 | $292,663 | 3.1× |
| Louisiana | 25 | $874,948 | $264,571 | 3.3× |
| New Mexico | 11 | $833,245 | $235,738 | 3.5× |
| Mississippi | 22 | $666,962 | $203,694 | 3.3× |
| Oregon | 30 | $664,330 | $288,443 | 2.3× |
| Maryland | 31 | $599,595 | $533,204 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 17 stays | $4,539,050 | $570,389 |
| Cedars-Sinai Medical Center Los Angeles, CA · 39 stays | $3,718,436 | $413,310 |
| NYU Langone Hospitals New York, NY · 24 stays | $3,251,758 | $460,102 |
| Doctors Medical Center Modesto, CA · 11 stays | $3,085,440 | $294,298 |
| Tristar Centennial Medical Center Nashville, TN · 12 stays | $2,968,110 | $286,772 |
| Medical City Dallas Dallas, TX · 13 stays | $2,922,378 | $232,665 |
| New York-Presbyterian Hospital New York, NY · 51 stays | $2,905,979 | $508,079 |
| North Shore University Hospital Manhasset, NY · 12 stays | $2,735,305 | $375,586 |
| Sharp Memorial Hospital San Diego, CA · 12 stays | $2,649,064 | $381,705 |
| Methodist Hospital San Antonio, TX · 22 stays | $2,545,241 | $372,545 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Our Lady of Lourdes Regional Medical Center, Inc Lafayette, LA · 11 stays | $391,145 | $192,941 |
| Naples Community Hospital Naples, FL · 14 stays | $559,457 | $218,419 |
| CHI St Vincent Infirmary Little Rock, AR · 13 stays | $610,557 | $188,224 |
| Providence St Vincent Medical Center Portland, OR · 18 stays | $614,286 | $281,887 |
| Johns Hopkins Hospital, the Baltimore, MD · 24 stays | $634,784 | $561,230 |
| Baylor Sott & White the Heart Hospital Plano Plano, TX · 16 stays | $698,417 | $195,921 |
| UNC Hospitals Chapel Hill, NC · 15 stays | $703,072 | $252,017 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · 15 stays | $705,776 | $230,679 |
| Cleveland Clinic Hospital Weston, FL · 27 stays | $809,220 | $235,039 |
| Baylor University Medical Center Dallas, TX · 25 stays | $826,670 | $320,608 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.