Inpatient stays / DRG 219
MS-DRG 219 · 350 hospitals · 14,553 stays
DRG 219: Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
Medicare patients had 14,553 stays in DRG 219 in 2024. Hospitals charged an average of $398,710 per stay and were paid $82,051 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $68,520. Average charges ran from $72,792 at the least expensive hospital to $1,523,959 at the most; half of hospitals charged between $257,305 and $471,690.
- 1Average charge $398,710
- 2Average paid $82,051
- 3Reporting hospitals 350
- 4Medicare stays 14,553
By state
Average charges for DRG 219 were highest in California ($705,611) and lowest in Maryland ($141,174). Payments vary far less than charges, because Medicare sets them: they range across states from $57,341 to $126,595.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,308 | $705,611 | $108,523 | 6.5× |
| Nevada | 117 | $680,536 | $71,835 | 9.5× |
| Colorado | 238 | $490,652 | $67,758 | 7.2× |
| Florida | 881 | $479,326 | $66,690 | 7.2× |
| Pennsylvania | 821 | $469,267 | $77,482 | 6.1× |
| New Jersey | 352 | $457,772 | $85,326 | 5.4× |
| Texas | 1,091 | $454,112 | $73,487 | 6.2× |
| Arizona | 312 | $450,404 | $77,424 | 5.8× |
| New York | 942 | $415,187 | $99,583 | 4.2× |
| Virginia | 439 | $408,352 | $88,788 | 4.6× |
| Louisiana | 87 | $407,319 | $63,946 | 6.4× |
| South Carolina | 170 | $405,338 | $74,991 | 5.4× |
| Alabama | 203 | $403,644 | $73,564 | 5.5× |
| Washington | 320 | $398,427 | $87,492 | 4.6× |
| Tennessee | 282 | $390,733 | $67,792 | 5.8× |
| New Hampshire | 77 | $387,928 | $74,725 | 5.2× |
| Georgia | 317 | $383,051 | $81,278 | 4.7× |
| Oklahoma | 132 | $373,938 | $63,224 | 5.9× |
| Illinois | 641 | $368,231 | $87,122 | 4.2× |
| Kansas | 163 | $368,080 | $62,465 | 5.9× |
| Indiana | 283 | $334,477 | $62,507 | 5.4× |
| Idaho | 55 | $333,283 | $71,147 | 4.7× |
| Delaware | 34 | $332,227 | $95,898 | 3.5× |
| Kentucky | 154 | $330,518 | $69,221 | 4.8× |
| West Virginia | 71 | $329,334 | $84,281 | 3.9× |
| Missouri | 362 | $327,646 | $72,612 | 4.5× |
| District of Columbia | 137 | $321,599 | $94,501 | 3.4× |
| Hawaii | 40 | $313,337 | $97,260 | 3.2× |
| Utah | 98 | $306,004 | $79,423 | 3.9× |
| Ohio | 860 | $298,823 | $79,016 | 3.8× |
| Oregon | 221 | $294,548 | $88,683 | 3.3× |
| North Carolina | 321 | $291,438 | $73,518 | 4× |
| New Mexico | 33 | $286,246 | $77,517 | 3.7× |
| Massachusetts | 669 | $278,140 | $92,762 | 3× |
| Iowa | 168 | $271,445 | $62,941 | 4.3× |
| Minnesota | 447 | $267,998 | $85,871 | 3.1× |
| Mississippi | 86 | $266,902 | $58,757 | 4.5× |
| Wisconsin | 281 | $265,487 | $73,806 | 3.6× |
| South Dakota | 39 | $261,962 | $59,651 | 4.4× |
| Michigan | 364 | $260,065 | $81,416 | 3.2× |
| Maine | 53 | $256,974 | $75,317 | 3.4× |
| Nebraska | 137 | $251,816 | $67,731 | 3.7× |
| Arkansas | 173 | $248,539 | $57,341 | 4.3× |
| Connecticut | 192 | $229,672 | $88,796 | 2.6× |
| Vermont | 22 | $217,039 | $82,034 | 2.6× |
| North Dakota | 48 | $203,532 | $67,942 | 3× |
| Rhode Island | 32 | $196,990 | $84,305 | 2.3× |
| Montana | 94 | $195,736 | $65,232 | 3× |
| Maryland | 172 | $141,174 | $126,595 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Good Samaritan Hospital San Jose, CA · 13 stays | $1,523,959 | $121,564 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 11 stays | $1,405,388 | $65,325 |
| Stanford Health Care Stanford, CA · 131 stays | $1,337,746 | $165,642 |
| Temple University Hospital Philadelphia, PA · 19 stays | $1,211,132 | $112,921 |
| HCA Houston Healthcare Medical Center Houston, TX · 15 stays | $1,181,150 | $75,745 |
| Medical City Dallas Dallas, TX · 14 stays | $1,147,921 | $61,310 |
| HCA Florida Largo Hospital Largo, FL · 18 stays | $1,047,627 | $73,983 |
| Wesley Medical Center Wichita, KS · 15 stays | $1,018,293 | $71,176 |
| Mountainview Hospital Las Vegas, NV · 16 stays | $1,001,592 | $86,392 |
| Delray Medical Center Delray Beach, FL · 15 stays | $960,270 | $54,730 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of MD St Joseph Medical Center Towson, MD · 12 stays | $72,792 | $64,278 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 63 stays | $109,056 | $76,411 |
| Johns Hopkins Hospital, the Baltimore, MD · 63 stays | $117,203 | $103,546 |
| Strong Memorial Hospital Rochester, NY · 42 stays | $127,798 | $85,881 |
| St Joseph's Hospital Health Center Syracuse, NY · 37 stays | $131,129 | $67,518 |
| Rex Hospital Raleigh, NC · 27 stays | $138,745 | $55,502 |
| Independence Health System Westmoreland Hospital Greensburg, PA · 12 stays | $142,562 | $48,367 |
| Cape Cod Hospital Hyannis, MA · 14 stays | $143,768 | $79,107 |
| St Patrick Hospital Missoula, MT · 47 stays | $146,369 | $62,178 |
| Doylestown Hospital Doylestown, PA · 25 stays | $149,006 | $57,287 |
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.