Inpatient stays / DRG 277
MS-DRG 277 · 49 hospitals · 3,922 stays
DRG 277: Cardiac Defibrillator Implant without MCC
Medicare patients had 3,922 stays in DRG 277 in 2024. Hospitals charged an average of $234,317 per stay and were paid $44,788 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $37,471. Average charges ran from $84,000 at the least expensive hospital to $705,140 at the most; half of hospitals charged between $166,276 and $278,030.
- 1Average charge $234,317
- 2Average paid $44,788
- 3Reporting hospitals 49
- 4Medicare stays 3,922
By state
Average charges for DRG 277 were highest in Nevada ($405,182) and lowest in Maryland ($56,497). Payments vary far less than charges, because Medicare sets them: they range across states from $31,699 to $62,896.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 33 | $405,182 | $48,236 | 8.4× |
| Texas | 260 | $336,868 | $41,755 | 8.1× |
| Colorado | 38 | $331,764 | $41,804 | 7.9× |
| California | 296 | $311,198 | $56,667 | 5.5× |
| Pennsylvania | 200 | $296,559 | $45,311 | 6.5× |
| New Jersey | 98 | $285,076 | $45,849 | 6.2× |
| Kentucky | 46 | $280,893 | $43,649 | 6.4× |
| Florida | 345 | $280,626 | $38,216 | 7.3× |
| South Carolina | 81 | $273,772 | $47,036 | 5.8× |
| New Mexico | 21 | $253,046 | $34,655 | 7.3× |
| District of Columbia | 21 | $252,397 | $62,896 | 4× |
| New York | 300 | $250,766 | $55,579 | 4.5× |
| Arizona | 73 | $242,926 | $41,072 | 5.9× |
| Louisiana | 32 | $237,272 | $34,571 | 6.9× |
| Alabama | 35 | $234,793 | $36,547 | 6.4× |
| Virginia | 113 | $229,527 | $43,358 | 5.3× |
| Utah | 29 | $221,137 | $44,198 | 5× |
| Tennessee | 85 | $221,052 | $38,023 | 5.8× |
| Georgia | 112 | $219,013 | $40,657 | 5.4× |
| Illinois | 169 | $211,279 | $45,234 | 4.7× |
| South Dakota | 18 | $210,178 | $36,892 | 5.7× |
| Michigan | 108 | $203,347 | $47,218 | 4.3× |
| Delaware | 21 | $201,457 | $52,851 | 3.8× |
| Alaska | 13 | $197,037 | $60,800 | 3.2× |
| Maine | 22 | $196,794 | $54,199 | 3.6× |
| Indiana | 105 | $195,561 | $40,853 | 4.8× |
| North Carolina | 157 | $195,412 | $40,174 | 4.9× |
| Oklahoma | 35 | $192,312 | $34,259 | 5.6× |
| Missouri | 77 | $189,592 | $36,028 | 5.3× |
| Nebraska | 39 | $183,807 | $41,116 | 4.5× |
| Wisconsin | 61 | $180,494 | $44,136 | 4.1× |
| Idaho | 25 | $177,659 | $40,305 | 4.4× |
| Kansas | 52 | $177,576 | $34,472 | 5.2× |
| Ohio | 151 | $177,218 | $41,611 | 4.3× |
| Oregon | 36 | $175,936 | $47,616 | 3.7× |
| Washington | 70 | $172,473 | $47,086 | 3.7× |
| Minnesota | 82 | $165,178 | $49,445 | 3.3× |
| Mississippi | 41 | $164,413 | $34,133 | 4.8× |
| West Virginia | 31 | $156,313 | $47,811 | 3.3× |
| Hawaii | 11 | $154,293 | $57,234 | 2.7× |
| North Dakota | 16 | $151,583 | $36,344 | 4.2× |
| Arkansas | 46 | $151,482 | $31,699 | 4.8× |
| Iowa | 42 | $147,662 | $36,963 | 4× |
| Montana | 22 | $145,563 | $36,275 | 4× |
| Connecticut | 36 | $145,095 | $51,343 | 2.8× |
| Massachusetts | 113 | $142,622 | $53,115 | 2.7× |
| New Hampshire | 22 | $142,483 | $45,647 | 3.1× |
| Rhode Island | 11 | $127,880 | $42,920 | 3× |
| Maryland | 59 | $56,497 | $50,920 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| St David's Medical Center Austin, TX · 12 stays | $705,140 | $37,006 |
| NYU Langone Hospitals New York, NY · 21 stays | $527,716 | $63,336 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 29 stays | $511,647 | $64,744 |
| Deborah Heart and Lung Center Browns Mills, NJ · 13 stays | $432,019 | $48,425 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 18 stays | $379,362 | $46,455 |
| St Luke's Hospital Bethlehem Bethlehem, PA · 17 stays | $353,055 | $46,454 |
| Stony Brook University Hospital Stony Brook, NY · 15 stays | $332,403 | $61,644 |
| Adventhealth Orlando Orlando, FL · 17 stays | $325,264 | $50,628 |
| Methodist Hospital San Antonio, TX · 14 stays | $321,439 | $41,014 |
| Lovelace Medical Center Albuquerque, NM · 16 stays | $286,843 | $32,460 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Beth Israel Deaconess Medical Center Boston, MA · 19 stays | $84,000 | $58,005 |
| Kaleida Health Buffalo, NY · 11 stays | $102,330 | $48,492 |
| Deaconess Hospital Inc Evansville, IN · 14 stays | $117,657 | $51,410 |
| Olathe Medical Center Olathe, KS · 16 stays | $132,449 | $30,984 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · 18 stays | $143,916 | $39,518 |
| University of Tn Medical Center (The) Knoxville, TN · 13 stays | $144,052 | $40,582 |
| Sentara Norfolk General Hospital Norfolk, VA · 14 stays | $149,627 | $44,546 |
| Hartford Hospital Hartford, CT · 11 stays | $152,306 | $54,592 |
| Mayo Clinic Hospital Rochester Rochester, MN · 19 stays | $155,470 | $60,827 |
| Massachusetts General Hospital Boston, MA · 12 stays | $155,915 | $54,512 |
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.