Inpatient stays / DRG 266
MS-DRG 266 · 533 hospitals · 25,095 stays
DRG 266: Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
Medicare patients had 25,095 stays in DRG 266 in 2024. Hospitals charged an average of $284,878 per stay and were paid $57,046 — a ratio of 5 to 1 — of which Medicare's own share averaged $52,815. Average charges ran from $55,081 at the least expensive hospital to $1,003,521 at the most; half of hospitals charged between $182,912 and $356,157.
- 1Average charge $284,878
- 2Average paid $57,046
- 3Reporting hospitals 533
- 4Medicare stays 25,095
By state
Average charges for DRG 266 were highest in California ($413,516) and lowest in Maryland ($106,699). Payments vary far less than charges, because Medicare sets them: they range across states from $40,857 to $95,944.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 2,518 | $413,516 | $74,603 | 5.5× |
| Nevada | 279 | $400,496 | $56,430 | 7.1× |
| Texas | 1,985 | $372,420 | $49,901 | 7.5× |
| New Jersey | 733 | $366,899 | $61,658 | 6× |
| Kentucky | 178 | $340,731 | $51,228 | 6.7× |
| New York | 1,685 | $333,053 | $72,904 | 4.6× |
| Arizona | 443 | $327,255 | $55,032 | 5.9× |
| Colorado | 466 | $324,715 | $51,270 | 6.3× |
| Florida | 2,317 | $318,422 | $48,648 | 6.5× |
| Pennsylvania | 1,057 | $305,835 | $55,803 | 5.5× |
| District of Columbia | 106 | $295,597 | $69,339 | 4.3× |
| Delaware | 96 | $283,569 | $67,911 | 4.2× |
| Illinois | 737 | $283,483 | $56,365 | 5× |
| Kansas | 301 | $280,449 | $48,849 | 5.7× |
| Tennessee | 636 | $276,909 | $46,876 | 5.9× |
| Georgia | 781 | $273,267 | $51,133 | 5.3× |
| New Mexico | 81 | $269,744 | $46,268 | 5.8× |
| Maine | 92 | $266,244 | $59,360 | 4.5× |
| South Carolina | 581 | $260,460 | $49,119 | 5.3× |
| New Hampshire | 120 | $253,806 | $59,424 | 4.3× |
| West Virginia | 119 | $253,057 | $51,468 | 4.9× |
| Alabama | 396 | $252,033 | $42,289 | 6× |
| Oklahoma | 168 | $249,606 | $44,543 | 5.6× |
| South Dakota | 74 | $243,698 | $51,191 | 4.8× |
| Washington | 912 | $234,245 | $59,932 | 3.9× |
| North Carolina | 478 | $233,011 | $53,146 | 4.4× |
| Missouri | 509 | $229,074 | $48,823 | 4.7× |
| Virginia | 830 | $222,959 | $55,165 | 4× |
| Vermont | 58 | $220,832 | $47,466 | 4.7× |
| Indiana | 490 | $217,904 | $46,712 | 4.7× |
| Michigan | 446 | $212,570 | $56,506 | 3.8× |
| Ohio | 775 | $207,672 | $52,821 | 3.9× |
| Massachusetts | 697 | $206,442 | $73,340 | 2.8× |
| Hawaii | 46 | $206,158 | $67,011 | 3.1× |
| Louisiana | 316 | $203,837 | $43,335 | 4.7× |
| Wisconsin | 537 | $198,824 | $52,140 | 3.8× |
| Minnesota | 559 | $198,014 | $60,313 | 3.3× |
| Iowa | 240 | $196,311 | $47,036 | 4.2× |
| Utah | 181 | $189,105 | $50,750 | 3.7× |
| Connecticut | 266 | $186,028 | $67,519 | 2.8× |
| Oregon | 362 | $185,596 | $60,622 | 3.1× |
| North Dakota | 76 | $180,661 | $49,373 | 3.7× |
| Idaho | 82 | $178,118 | $48,932 | 3.6× |
| Nebraska | 161 | $162,464 | $49,330 | 3.3× |
| Mississippi | 316 | $159,763 | $40,857 | 3.9× |
| Rhode Island | 56 | $158,629 | $64,097 | 2.5× |
| Arkansas | 225 | $142,243 | $42,325 | 3.4× |
| Montana | 207 | $125,931 | $47,621 | 2.6× |
| Maryland | 271 | $106,699 | $95,944 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 30 stays | $1,003,521 | $64,019 |
| Riverside Community Hospital Riverside, CA · 12 stays | $993,068 | $78,732 |
| Brookwood Baptist Medical Center Vestavia, AL · 16 stays | $911,946 | $48,270 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 20 stays | $901,555 | $59,180 |
| Doctors Medical Center Modesto, CA · 14 stays | $805,764 | $64,918 |
| Englewood Hospital Englewood, NJ · 78 stays | $786,682 | $63,940 |
| HCA Healthone Swedish Englewood, CO · 12 stays | $767,617 | $48,560 |
| Sierra Medical Center El Paso, TX · 38 stays | $765,916 | $46,709 |
| Stanford Health Care Stanford, CA · 66 stays | $765,836 | $109,863 |
| Medical City Fort Worth Fort Worth, TX · 34 stays | $763,288 | $47,537 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 17 stays | $55,081 | $54,282 |
| Medstar Union Memorial Hospital Baltimore, MD · 21 stays | $73,692 | $65,439 |
| Trinity Medical Ctr East &trinity Medical Ctr West Steubenville, OH · 27 stays | $79,048 | $46,556 |
| St Patrick Hospital Missoula, MT · 90 stays | $88,293 | $47,618 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 20 stays | $93,504 | $83,862 |
| Bellin Memorial Hospital Green Bay, WI · 42 stays | $97,608 | $42,422 |
| Terrebonne General Health System Houma, LA · 41 stays | $101,285 | $39,744 |
| Johns Hopkins Hospital, the Baltimore, MD · 37 stays | $107,182 | $90,787 |
| Arkansas Heart Hospital, LLC Little Rock, AR · 32 stays | $107,694 | $37,541 |
| Mercy Hospital Northwest Arkansas Rogers, AR · 17 stays | $108,578 | $41,937 |
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.