Inpatient stays / DRG 228
MS-DRG 228 · 134 hospitals · 5,606 stays
DRG 228: Other Cardiothoracic Procedures with MCC
Medicare patients had 5,606 stays in DRG 228 in 2024. Hospitals charged an average of $250,730 per stay and were paid $49,266 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $44,149. Average charges ran from $77,100 at the least expensive hospital to $810,902 at the most; half of hospitals charged between $166,755 and $313,431.
- 1Average charge $250,730
- 2Average paid $49,266
- 3Reporting hospitals 134
- 4Medicare stays 5,606
By state
Average charges for DRG 228 were highest in Nevada ($422,899) and lowest in Maryland ($72,357). Payments vary far less than charges, because Medicare sets them: they range across states from $33,944 to $79,226.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 39 | $422,899 | $49,010 | 8.6× |
| California | 729 | $358,967 | $61,998 | 5.8× |
| Texas | 363 | $323,227 | $44,838 | 7.2× |
| Pennsylvania | 138 | $320,548 | $48,663 | 6.6× |
| New York | 406 | $304,487 | $65,629 | 4.6× |
| South Carolina | 78 | $289,822 | $48,259 | 6× |
| New Jersey | 151 | $289,492 | $49,989 | 5.8× |
| District of Columbia | 32 | $280,478 | $66,938 | 4.2× |
| Florida | 600 | $274,588 | $40,729 | 6.7× |
| Utah | 14 | $264,783 | $52,486 | 5× |
| Arizona | 122 | $259,062 | $45,097 | 5.7× |
| Georgia | 133 | $256,954 | $48,819 | 5.3× |
| Delaware | 14 | $245,190 | $79,226 | 3.1× |
| New Mexico | 23 | $234,967 | $37,595 | 6.2× |
| Colorado | 87 | $230,314 | $39,692 | 5.8× |
| Kansas | 86 | $224,782 | $36,889 | 6.1× |
| Washington | 119 | $216,413 | $47,027 | 4.6× |
| Tennessee | 144 | $214,196 | $40,138 | 5.3× |
| Virginia | 125 | $211,925 | $44,902 | 4.7× |
| Illinois | 235 | $207,386 | $50,540 | 4.1× |
| Louisiana | 53 | $206,797 | $36,832 | 5.6× |
| Kentucky | 96 | $206,606 | $38,616 | 5.4× |
| Minnesota | 56 | $201,801 | $61,912 | 3.3× |
| Missouri | 160 | $198,484 | $43,122 | 4.6× |
| South Dakota | 16 | $196,633 | $45,964 | 4.3× |
| Ohio | 154 | $196,478 | $46,430 | 4.2× |
| North Carolina | 162 | $196,319 | $46,881 | 4.2× |
| Oklahoma | 81 | $193,964 | $37,737 | 5.1× |
| Indiana | 98 | $192,915 | $41,102 | 4.7× |
| Connecticut | 52 | $191,407 | $59,883 | 3.2× |
| Nebraska | 22 | $185,250 | $44,124 | 4.2× |
| West Virginia | 46 | $183,204 | $42,292 | 4.3× |
| Alabama | 62 | $181,324 | $36,902 | 4.9× |
| Wisconsin | 103 | $175,916 | $46,265 | 3.8× |
| Massachusetts | 180 | $174,148 | $65,040 | 2.7× |
| Oregon | 30 | $173,206 | $53,058 | 3.3× |
| New Hampshire | 30 | $171,807 | $48,236 | 3.6× |
| Idaho | 30 | $170,908 | $41,261 | 4.1× |
| Iowa | 54 | $165,776 | $42,224 | 3.9× |
| Michigan | 152 | $161,805 | $43,683 | 3.7× |
| Mississippi | 75 | $161,179 | $33,944 | 4.7× |
| Hawaii | 16 | $158,944 | $60,232 | 2.6× |
| Maine | 27 | $156,114 | $38,208 | 4.1× |
| Arkansas | 86 | $155,461 | $37,045 | 4.2× |
| Rhode Island | 17 | $139,570 | $50,349 | 2.8× |
| Montana | 14 | $123,750 | $43,010 | 2.9× |
| North Dakota | 21 | $122,264 | $38,316 | 3.2× |
| Maryland | 63 | $72,357 | $64,873 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 12 stays | $810,902 | $91,269 |
| Cedars-Sinai Medical Center Los Angeles, CA · 43 stays | $807,875 | $77,978 |
| Lehigh Valley Hospital Allentown, PA · 11 stays | $641,642 | $62,928 |
| Trident Medical Center Charleston, SC · 11 stays | $568,524 | $38,006 |
| NYU Langone Hospitals New York, NY · 41 stays | $501,965 | $72,371 |
| HCA Florida Orange Park Hospital Orange Park, FL · 11 stays | $490,702 | $44,209 |
| Northridge Hospital Medical Center Northridge, CA · 11 stays | $444,709 | $56,275 |
| New York-Presbyterian Hospital New York, NY · 45 stays | $438,386 | $91,699 |
| Virtua Our Lady of Lourdes Hospital Camden, NJ · 13 stays | $427,518 | $48,372 |
| Covenant Medical Center Lubbock, TX · 13 stays | $410,612 | $37,102 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Union Memorial Hospital Baltimore, MD · 12 stays | $77,100 | $70,732 |
| DCH Regional Medical Center Tuscaloosa, AL · 17 stays | $89,470 | $37,416 |
| Gundersen Lutheran Medical Center La Crosse, WI · 12 stays | $92,300 | $42,794 |
| Ecu Health Medical Center Greenville, NC · 22 stays | $105,097 | $40,486 |
| Arkansas Heart Hospital, LLC Little Rock, AR · 12 stays | $108,377 | $32,706 |
| Forrest General Hospital Hattiesburg, MS · 16 stays | $111,822 | $32,346 |
| Willis Knighton Medical Center, Inc Shreveport, LA · 14 stays | $116,656 | $34,762 |
| Oklahoma Heart Hospital South, LLC Oklahoma City, OK · 17 stays | $119,115 | $32,329 |
| Jackson-Madison County General Hospital Jackson, TN · 17 stays | $121,888 | $37,081 |
| Medical Center of the Rockies Loveland, CO · 14 stays | $126,340 | $34,297 |
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.