DRG 001 Surgical
Heart Transplant or Implant of Heart Assist System with MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$182,155
National average
Avg Total Costs
$350,947
CMS Inpatient data
Avg Length of Stay
25.8 days
CMS MS-DRG
Est. Commercial Insurance
$273,233 — $455,388
1.5x — 2.5x Medicare
Annual Discharges
1,328
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
1,328
Total Discharges
$350,947
Avg Total Costs
$296,666
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for heart transplant or implant of heart assist system with mcc cost?
The average Medicare payment for DRG 001 is $182,155. Average hospital costs are $350,947. Commercial insurance typically pays 150-250% of Medicare rates ($273,233 — $455,388).
How long is the hospital stay for DRG 001?
The average length of stay is 25.8 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.