CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
Medicare inpatient claims for MS-DRG 219. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 219?
MS-DRG 219 is the Medicare Severity Diagnosis-Related Group for CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 400 hospitals reported 24,020 discharges for MS-DRG 219. The average hospital submitted charge was $386K, while the average amount Medicare actually paid was $66K — a 5.8× gap between list price and reimbursement, which is typical for Medicare inpatient claims.