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Chest pain (hospital stay): what insurers pay

A short stay to rule out a heart problem. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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MS-DRG 313: Chest Pain

1532 hospitals in 83 markets. National Medicare rate $5,239.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)22$6,160$7,570$8,762$4,353–$16,986
Alaska (statewide)4———$6,511–$23,586
Arizona (statewide)29$8,727$12,048$14,100$3,376–$18,516
Arkansas (statewide)10$6,198$6,819$7,398$5,496–$8,453
Atlanta GA10$12,872$13,778$14,224$12,872–$21,000
Austin TX13$4,805$7,922$8,737$4,568–$10,125
Boston MA15$6,258$7,170$21,092$5,203–$31,106
California (statewide)53$8,639$10,635$13,613$4,522–$38,792
Charlotte NC8$10,862$11,764$14,075$8,077–$14,075
Chicago IL10$8,897$10,258$11,802$6,775–$13,392
Cleveland OH11$9,337$9,895$10,035$8,979–$12,768
Colorado (statewide)16$9,458$13,754$16,649$4,411–$22,638
Columbus OH2———$14,635–$19,294
Connecticut (statewide)6$14,353$16,267$22,690$10,325–$25,400
Dallas-Fort Worth TX15$8,246$8,629$10,520$7,202–$16,047
Delaware (statewide)2———$9,206–$13,849
Denver CO15$8,202$9,396$14,301$6,618–$18,832
Detroit MI17$9,863$10,091$14,616$9,022–$19,157
Florida (statewide)90$8,186$9,644$14,564$5,326–$21,626
Georgia (statewide)42$10,511$14,200$18,049$7,084–$23,673
Hawaii (statewide)12$11,448$12,174$14,880$7,645–$16,616
Houston TX19$8,357$10,128$11,064$6,862–$23,726
Idaho (statewide)16$10,028$11,814$15,481$5,047–$17,396
Illinois (statewide)45$6,765$7,816$10,770$4,846–$15,409
Indiana (statewide)50$9,031$11,369$14,732$3,916–$44,090
Indianapolis IN5$13,700$14,732$15,000$13,180–$16,322
Iowa (statewide)20$6,685$8,074$9,907$4,658–$13,851
Kansas (statewide)24$6,599$7,894$9,796$3,538–$23,586
Kentucky (statewide)37$6,710$8,131$9,596$4,338–$16,455
Las Vegas NV1———$11,686–$11,686
Los Angeles CA18$12,232$13,126$13,554$9,629–$16,604
Louisiana (statewide)23$5,592$6,411$7,776$4,910–$9,784
Maine (statewide)13$14,480$19,525$21,770$5,551–$21,770
Maryland (statewide)1———$9,970–$9,970
Massachusetts (statewide)8$5,156$7,933$9,896$4,909–$12,912
Miami-Fort Lauderdale FL3———$8,106–$9,267
Michigan (statewide)36$8,966$9,780$11,943$6,840–$16,953
Minneapolis-St. Paul MN15$10,429$12,200$12,250$7,888–$12,804
Minnesota (statewide)22$9,112$9,188$12,210$3,953–$19,332
Mississippi (statewide)19$6,998$7,776$8,858$3,926–$11,928
Missouri (statewide)33$7,262$7,972$9,283$3,487–$14,415
Montana (statewide)7$8,654$12,404$16,320$3,405–$24,439
Nashville TN8$7,386$8,614$10,725$6,569–$13,697
Nebraska (statewide)15$11,861$12,369$13,640$7,652–$17,196
Nevada (statewide)5$9,982$11,040$14,300$8,033–$14,987
New Hampshire (statewide)8$8,453$9,634$11,985$7,124–$16,934
New Jersey (statewide)21$12,243$14,348$16,261$6,905–$21,294
New Mexico (statewide)10$6,528$8,732$11,408$4,878–$21,479
New York (statewide)47$8,266$9,648$13,483$5,224–$33,011
New York City8$13,255$13,686$15,982$6,357–$22,169
North Carolina (statewide)32$6,351$8,880$13,977$4,412–$24,169
North Dakota (statewide)7$8,610$9,066$9,435$7,368–$12,880
Ohio (statewide)56$9,284$10,854$13,460$3,446–$19,116
Oklahoma (statewide)17$6,698$7,540$9,679$4,478–$13,248
Oregon (statewide)11$12,367$14,160$15,188$7,808–$19,116
Pennsylvania (statewide)61$8,294$10,864$12,695$4,902–$20,478
Philadelphia PA11$12,148$13,036$14,832$11,408–$21,294
Phoenix AZ11$11,984$11,984$12,734$11,331–$13,683
Pittsburgh PA7$8,393$8,872$9,870$7,003–$11,598
Portland OR9$16,142$17,139$18,146$14,346–$18,893
Research Triangle NC9$9,188$9,622$11,104$6,282–$11,576
Rhode Island (statewide)7$8,620$11,528$14,478$7,432–$15,590
Richmond VA7$9,060$13,928$15,770$8,322–$17,323
Rio Grande Valley TX6$8,782$9,426$10,161$8,589–$12,896
Salt Lake City UT9$13,147$13,147$13,147$13,016–$13,147
San Antonio TX3———$7,073–$27,225
San Diego CA7$9,188$10,302$11,910$8,891–$12,857
San Francisco Bay Area CA2———$9,133–$13,400
Seattle-Tacoma WA16$14,244$15,683$16,617$13,873–$20,241
South Carolina (statewide)32$12,380$13,824$16,906$4,824–$21,820
South Dakota (statewide)3———$9,263–$11,711
St. Louis MO7$11,178$11,178$11,178$3,679–$13,149
Tampa FL11$14,061$14,420$14,864$11,131–$15,969
Tennessee (statewide)33$6,044$7,160$9,078$3,846–$13,697
Texas (statewide)89$7,606$9,178$12,858$3,290–$22,489
Utah (statewide)6$11,851$15,478$18,349$5,281–$18,529
Vermont (statewide)3———$8,919–$19,715
Virginia (statewide)32$10,274$13,555$15,016$6,850–$22,381
Washington (statewide)13$12,505$13,723$15,205$5,982–$30,122
Washington DC11$11,192$13,987$14,418$7,530–$15,160
West Virginia (statewide)15$4,404$4,814$12,241$3,784–$17,342
Wisconsin (statewide)49$10,980$13,480$14,976$6,585–$17,318
Wyoming (statewide)1———$16,078–$16,078

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Memorial Medical CenterTexas (statewide)$3,2900.6×12026-09-14
Northern Cochise Community Hospital, Inc.Arizona (statewide)$3,3760.6×12026-07-29
Mccone County Health CenterMontana (statewide)$3,4050.7×12026-01-01
Mercy Health - Willard HospitalOhio (statewide)$3,4460.7×32026-04-01
Mercy Hospital LincolnMissouri (statewide)$3,4870.7×12026-06-10
Stormont Vail Health Flint Hills, LlcKansas (statewide)$3,5380.8×32025-12-19
Lafayette Regional Health CenterMissouri (statewide)$3,5890.7×42026-09-01
Mercy Hospital SouthSt. Louis MO$3,6790.7×12026-06-10
Wetzel County HospitalWest Virginia (statewide)$3,7840.8×22026-07-10
Livingston Regional HospitalTennessee (statewide)$3,8460.8×12026-04-01
Peterson Regional Medical CenterTexas (statewide)$3,8990.8×12026-08-17
Putnam County HospitalIndiana (statewide)$3,9160.7×22026-06-30
Providence St Joseph Medical CenterMontana (statewide)$24,4394.7×12026-04-01
St Vincent'S Medical CenterConnecticut (statewide)$24,8213.8×42026-04-01
William W Backus HospitalConnecticut (statewide)$25,4004.0×12026-04-01
Brigham and Women's HospitalBoston MA$26,7404.3×52026-03-27
Brigham and Women's Faulkner HospitalBoston MA$26,9344.3×42026-03-27
University Health SystemSan Antonio TX$27,2255.3×102025-10-14
Providence Centralia HospitalWashington (statewide)$30,1225.2×22026-04-01
Massachusetts General HospitalBoston MA$31,1065.0×42026-03-27
Stony Brook University HospitalNew York (statewide)$33,0115.1×12026-06-10
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$36,2355.4×12026-03-12
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$38,7925.8×12026-03-12
Columbus Regional HospitalIndiana (statewide)$44,0907.8×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for chest pain (hospital stay)?

Across 1532 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 313) is $10,499, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $8,064 to $13,841. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for chest pain (hospital stay)?

Medicare's national inpatient base rate for MS-DRG 313 is $5,239, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for chest pain (hospital stay)?

Lowest medians: Memorial Medical Center ($3,290), Northern Cochise Community Hospital, Inc. ($3,376), Mccone County Health Center ($3,405). Highest: Columbus Regional Hospital ($44,090), Lac/Olive View-Ucla Medical Center ($38,792), Lac/Harbor-Ucla Med Center ($36,235). Coverage: every hospital whose price file we could read.