DRG 216 Surgical
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$63,588
National average
Avg Total Costs
$104,716
CMS Inpatient data
Avg Length of Stay
10.6 days
CMS MS-DRG
Est. Commercial Insurance
$95,382 — $158,971
1.5x — 2.5x Medicare
Annual Discharges
2,977
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
2,977
Total Discharges
$104,716
Avg Total Costs
$89,622
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheteriza... cost?
The average Medicare payment for DRG 216 is $63,588. Average hospital costs are $104,716. Commercial insurance typically pays 150-250% of Medicare rates ($95,382 — $158,971).
How long is the hospital stay for DRG 216?
The average length of stay is 10.6 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.