Inpatient stays / DRG 264
MS-DRG 264 · 171 hospitals · 8,623 stays
DRG 264: Other Circulatory System O.R. Procedures
Medicare patients had 8,623 stays in DRG 264 in 2024. Hospitals charged an average of $149,288 per stay and were paid $31,694 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $26,996. Average charges ran from $21,138 at the least expensive hospital to $599,392 at the most; half of hospitals charged between $102,810 and $207,002.
- 1Average charge $149,288
- 2Average paid $31,694
- 3Reporting hospitals 171
- 4Medicare stays 8,623
By state
Average charges for DRG 264 were highest in Alaska ($300,037) and lowest in Maryland ($43,483). Payments vary far less than charges, because Medicare sets them: they range across states from $21,458 to $63,182.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 14 | $300,037 | $63,182 | 4.7× |
| Nevada | 62 | $282,590 | $31,193 | 9.1× |
| California | 787 | $228,756 | $39,431 | 5.8× |
| Colorado | 60 | $223,764 | $32,943 | 6.8× |
| New York | 703 | $216,391 | $42,580 | 5.1× |
| New Jersey | 438 | $206,327 | $32,563 | 6.3× |
| District of Columbia | 36 | $199,322 | $49,532 | 4× |
| Texas | 750 | $182,581 | $30,601 | 6× |
| Florida | 754 | $172,466 | $26,312 | 6.6× |
| Arizona | 123 | $165,237 | $31,251 | 5.3× |
| Georgia | 211 | $164,055 | $32,331 | 5.1× |
| Connecticut | 99 | $159,882 | $37,589 | 4.3× |
| Washington | 130 | $156,199 | $34,252 | 4.6× |
| Pennsylvania | 408 | $152,398 | $30,797 | 4.9× |
| Maine | 26 | $134,322 | $49,732 | 2.7× |
| Kansas | 83 | $129,879 | $28,764 | 4.5× |
| Alabama | 124 | $124,272 | $26,258 | 4.7× |
| Idaho | 27 | $121,273 | $24,563 | 4.9× |
| Illinois | 355 | $116,851 | $29,752 | 3.9× |
| Tennessee | 171 | $116,125 | $25,876 | 4.5× |
| Missouri | 164 | $112,247 | $26,513 | 4.2× |
| South Carolina | 129 | $111,765 | $27,316 | 4.1× |
| Louisiana | 118 | $107,637 | $24,348 | 4.4× |
| Virginia | 201 | $107,101 | $28,367 | 3.8× |
| Massachusetts | 238 | $103,539 | $38,062 | 2.7× |
| South Dakota | 40 | $103,526 | $26,463 | 3.9× |
| New Hampshire | 43 | $103,464 | $29,423 | 3.5× |
| Oklahoma | 94 | $102,933 | $25,064 | 4.1× |
| Ohio | 320 | $102,247 | $27,474 | 3.7× |
| Hawaii | 31 | $100,571 | $54,283 | 1.9× |
| Oregon | 57 | $98,479 | $35,068 | 2.8× |
| Michigan | 243 | $97,918 | $30,156 | 3.2× |
| Minnesota | 130 | $97,544 | $33,824 | 2.9× |
| Indiana | 196 | $94,651 | $24,860 | 3.8× |
| North Carolina | 251 | $94,010 | $30,221 | 3.1× |
| Arkansas | 76 | $93,069 | $23,329 | 4× |
| Nebraska | 68 | $93,044 | $27,956 | 3.3× |
| Kentucky | 155 | $92,266 | $24,547 | 3.8× |
| Wisconsin | 144 | $89,555 | $27,308 | 3.3× |
| Rhode Island | 13 | $87,562 | $30,444 | 2.9× |
| Utah | 37 | $84,094 | $26,550 | 3.2× |
| New Mexico | 19 | $81,630 | $26,343 | 3.1× |
| North Dakota | 20 | $78,602 | $25,581 | 3.1× |
| West Virginia | 63 | $77,616 | $24,980 | 3.1× |
| Mississippi | 120 | $76,420 | $21,458 | 3.6× |
| Iowa | 52 | $71,272 | $23,836 | 3× |
| Delaware | 29 | $66,832 | $28,504 | 2.3× |
| Montana | 23 | $63,135 | $27,578 | 2.3× |
| Maryland | 170 | $43,483 | $39,591 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 41 stays | $599,392 | $50,061 |
| HCA Florida Jfk Hospital Atlantis, FL · 20 stays | $503,939 | $28,942 |
| UT Southwestern University Hospital Dallas, TX · 23 stays | $425,621 | $114,599 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 12 stays | $409,593 | $27,898 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 13 stays | $404,822 | $59,010 |
| Thomas Jefferson University Hospital Philadelphia, PA · 16 stays | $394,982 | $72,592 |
| Montefiore Medical Center Bronx, NY · 24 stays | $370,729 | $54,721 |
| New York-Presbyterian Hospital New York, NY · 71 stays | $360,195 | $62,154 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 15 stays | $357,652 | $25,765 |
| Stanford Health Care Stanford, CA · 15 stays | $355,678 | $52,781 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of MD Charles Regional Medical Center La Plata, MD · 11 stays | $21,138 | $24,382 |
| Thedacare Regional Medical Center - Appleton Inc Appleton, WI · 17 stays | $33,499 | $22,548 |
| South Shore Hospital South Weymouth, MA · 17 stays | $37,663 | $24,139 |
| Medstar Good Samaritan Hospital Baltimore, MD · 12 stays | $37,986 | $34,113 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 18 stays | $40,259 | $22,135 |
| Medina Hospital Medina, OH · 12 stays | $46,007 | $16,818 |
| United Hospital Center, Inc Bridgeport, WV · 12 stays | $46,618 | $24,257 |
| Baystate Medical Center Springfield, MA · 14 stays | $49,385 | $34,925 |
| Essentia Health St Mary's Medical Center Duluth, MN · 11 stays | $50,325 | $25,413 |
| Riverside Regional Medical Center Newport News, VA · 11 stays | $51,336 | $22,653 |
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.