Inpatient stays / DRG 220
MS-DRG 220 · 291 hospitals · 10,409 stays
DRG 220: Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
Medicare patients had 10,409 stays in DRG 220 in 2024. Hospitals charged an average of $276,025 per stay and were paid $54,391 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $43,208. Average charges ran from $67,414 at the least expensive hospital to $897,454 at the most; half of hospitals charged between $176,467 and $323,680.
- 1Average charge $276,025
- 2Average paid $54,391
- 3Reporting hospitals 291
- 4Medicare stays 10,409
By state
Average charges for DRG 220 were highest in California ($503,433) and lowest in Maryland ($104,730). Payments vary far less than charges, because Medicare sets them: they range across states from $36,939 to $95,434.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 768 | $503,433 | $79,544 | 6.3× |
| Nevada | 54 | $370,335 | $48,781 | 7.6× |
| Colorado | 145 | $353,544 | $49,726 | 7.1× |
| Florida | 712 | $344,540 | $44,664 | 7.7× |
| Kansas | 78 | $344,058 | $39,321 | 8.7× |
| New Mexico | 17 | $337,773 | $45,315 | 7.5× |
| Texas | 621 | $329,901 | $46,305 | 7.1× |
| Arizona | 316 | $322,453 | $50,799 | 6.3× |
| Washington | 322 | $316,950 | $59,851 | 5.3× |
| South Carolina | 202 | $316,449 | $44,980 | 7× |
| Alaska | 21 | $315,031 | $54,537 | 5.8× |
| Georgia | 248 | $307,720 | $51,376 | 6× |
| New Jersey | 326 | $303,659 | $56,092 | 5.4× |
| Pennsylvania | 603 | $298,871 | $51,969 | 5.8× |
| Oklahoma | 92 | $280,257 | $44,982 | 6.2× |
| Kentucky | 140 | $278,624 | $44,871 | 6.2× |
| New York | 418 | $272,072 | $64,959 | 4.2× |
| Alabama | 207 | $268,726 | $47,667 | 5.6× |
| Illinois | 300 | $265,759 | $57,704 | 4.6× |
| Indiana | 259 | $264,519 | $45,317 | 5.8× |
| Tennessee | 243 | $264,392 | $45,242 | 5.8× |
| Louisiana | 155 | $249,430 | $42,503 | 5.9× |
| Utah | 92 | $247,392 | $49,326 | 5× |
| West Virginia | 60 | $244,678 | $49,984 | 4.9× |
| District of Columbia | 52 | $239,202 | $64,297 | 3.7× |
| North Carolina | 364 | $238,519 | $50,583 | 4.7× |
| Virginia | 268 | $237,048 | $53,656 | 4.4× |
| Idaho | 76 | $229,744 | $47,372 | 4.8× |
| Ohio | 532 | $224,582 | $52,579 | 4.3× |
| Missouri | 300 | $213,253 | $47,294 | 4.5× |
| New Hampshire | 61 | $205,664 | $51,064 | 4× |
| South Dakota | 53 | $205,279 | $43,134 | 4.8× |
| Oregon | 152 | $203,492 | $55,012 | 3.7× |
| Maine | 50 | $200,465 | $68,670 | 2.9× |
| Michigan | 356 | $194,058 | $53,516 | 3.6× |
| Hawaii | 26 | $189,192 | $57,322 | 3.3× |
| Nebraska | 95 | $187,269 | $46,726 | 4× |
| Arkansas | 114 | $185,785 | $38,345 | 4.8× |
| Minnesota | 274 | $184,228 | $56,699 | 3.2× |
| Delaware | 33 | $182,984 | $50,563 | 3.6× |
| Iowa | 72 | $182,164 | $37,133 | 4.9× |
| Wisconsin | 256 | $178,495 | $46,398 | 3.8× |
| Massachusetts | 210 | $168,047 | $62,281 | 2.7× |
| Connecticut | 119 | $165,125 | $67,681 | 2.4× |
| Mississippi | 74 | $156,067 | $36,939 | 4.2× |
| Montana | 75 | $150,928 | $41,668 | 3.6× |
| North Dakota | 54 | $144,696 | $42,993 | 3.4× |
| Rhode Island | 15 | $140,543 | $69,059 | 2× |
| Maryland | 315 | $104,730 | $95,434 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 99 stays | $897,454 | $103,649 |
| Grandview Medical Center Birmingham, AL · 16 stays | $766,695 | $38,986 |
| Westchester Medical Center Valhalla, NY · 16 stays | $758,725 | $75,079 |
| Round Rock Medical Center Round Rock, TX · 14 stays | $734,336 | $37,065 |
| Wesley Medical Center Wichita, KS · 25 stays | $708,575 | $41,760 |
| John Muir Medical Center - Concord Campus Concord, CA · 27 stays | $690,334 | $83,005 |
| Cedars-Sinai Medical Center Los Angeles, CA · 62 stays | $687,298 | $63,764 |
| University of California Davis Medical Center Sacramento, CA · 12 stays | $671,448 | $104,808 |
| Grand Strand Regional Medical Center Myrtle Beach, SC · 21 stays | $655,331 | $40,941 |
| Mercy General Hospital Sacramento, CA · 21 stays | $652,400 | $76,941 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Adventist Healthcare White Oak Medical Center Silver Spring, MD · 20 stays | $67,414 | $60,365 |
| University of MD St Joseph Medical Center Towson, MD · 36 stays | $75,268 | $67,122 |
| Johns Hopkins Hospital, the Baltimore, MD · 101 stays | $77,818 | $70,618 |
| Suburban Hospital Bethesda, MD · 13 stays | $79,499 | $73,012 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 14 stays | $79,696 | $71,895 |
| Kansas Heart Hospital Wichita, KS · 11 stays | $79,788 | $33,159 |
| Beth Israel Deaconess Medical Center Boston, MA · 26 stays | $91,573 | $65,507 |
| Bellin Memorial Hospital Green Bay, WI · 13 stays | $95,108 | $36,271 |
| Mercy Medical Center - Cedar Rapids Cedar Rapids, IA · 13 stays | $95,418 | $35,094 |
| Doylestown Hospital Doylestown, PA · 22 stays | $107,348 | $37,518 |
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.