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Left atrial appendage closure (Watchman): what insurers pay

A plug placed by catheter to close the heart pouch where clots form. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

MS-DRG 274: Percutaneous and Other Intracardiac Procedures Without McC

1399 hospitals in 82 markets. National Medicare rate $23,953.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)22$27,107$32,625$37,978$22,054–$74,309
Alaska (statewide)3———$28,668–$103,189
Arizona (statewide)26$39,148$53,330$59,436$24,786–$76,567
Arkansas (statewide)9$27,979$30,675$33,589$24,044–$38,645
Atlanta GA9$56,318$62,162$65,434$56,318–$91,878
Austin TX13$21,433$38,438$39,192$20,624–$52,168
Boston MA12$27,375$30,448$36,985$23,343–$68,293
California (statewide)51$36,468$45,474$61,587$26,096–$124,272
Charlotte NC8$47,520$51,463$64,349$36,926–$64,349
Chicago IL11$36,078$43,757$51,584$21,051–$61,226
Cleveland OH11$22,582$33,223$41,874$21,632–$54,712
Colorado (statewide)16$43,238$58,322$76,115$20,168–$103,494
Columbus OH2———$66,907–$88,208
Connecticut (statewide)4———$24,821–$72,756
Dallas-Fort Worth TX15$31,679$44,314$44,632$30,721–$79,911
Delaware (statewide)2———$44,678–$75,290
Denver CO15$36,002$43,776$65,382$27,322–$84,514
Detroit MI15$45,090$45,090$62,770$36,933–$76,003
Florida (statewide)92$30,899$33,286$63,086$17,562–$98,873
Georgia (statewide)44$46,078$61,900$73,769$25,118–$91,878
Hawaii (statewide)11$37,591$47,508$62,394$32,805–$105,950
Houston TX19$32,576$37,269$44,895$31,123–$68,279
Idaho (statewide)14$48,137$54,006$67,726$33,964–$76,105
Illinois (statewide)37$30,860$36,433$48,196$23,784–$154,231
Indiana (statewide)43$24,908$43,506$55,310$16,326–$71,956
Indianapolis IN5$17,562$17,886$60,255$17,233–$74,620
Iowa (statewide)15$29,425$34,287$44,549$26,388–$52,963
Kansas (statewide)20$25,614$31,212$38,841$15,515–$103,189
Kentucky (statewide)20$31,263$35,077$43,050$28,675–$71,986
Las Vegas NV2———$32,944–$59,506
Los Angeles CA18$48,922$54,645$59,331$41,398–$72,417
Louisiana (statewide)23$24,937$29,295$31,625$18,404–$38,282
Maine (statewide)13$63,347$89,264$99,528$25,379–$99,528
Massachusetts (statewide)8$37,282$42,896$48,301$23,468–$71,744
Miami-Fort Lauderdale FL4———$29,601–$40,750
Michigan (statewide)34$38,368$43,178$52,330$25,939–$71,217
Minneapolis-St. Paul MN14$50,135$53,597$55,230$33,165–$62,093
Minnesota (statewide)20$42,004$44,094$53,503$18,071–$68,467
Mississippi (statewide)17$33,147$35,494$38,372$24,344–$54,534
Missouri (statewide)25$31,331$35,814$42,440$22,939–$79,911
Montana (statewide)7$39,565$53,948$66,758$14,898–$113,497
Nashville TN8$25,393$26,985$37,946$24,230–$59,923
Nebraska (statewide)14$52,676$54,901$59,260$36,538–$78,616
Nevada (statewide)6$25,842$42,774$55,688$20,686–$65,375
New Hampshire (statewide)8$38,030$43,052$54,155$28,895–$77,421
New Jersey (statewide)21$54,168$61,285$74,578$20,494–$96,633
New Mexico (statewide)10$32,651$41,356$49,914$21,900–$93,976
New York (statewide)46$35,031$41,675$57,654$23,881–$104,613
New York City8$59,513$62,568$72,449$27,812–$101,352
North Carolina (statewide)24$31,522$45,872$64,418$21,367–$76,585
North Dakota (statewide)7$39,730$41,622$50,070$32,113–$73,274
Ohio (statewide)43$32,742$54,248$59,940$21,144–$84,806
Oklahoma (statewide)17$26,396$28,835$34,543$16,493–$57,959
Oregon (statewide)8$53,416$58,864$70,904$52,710–$84,806
Pennsylvania (statewide)59$38,579$47,747$56,647$25,526–$88,017
Philadelphia PA11$54,716$60,382$65,797$50,133–$96,633
Phoenix AZ11$53,816$53,816$55,424$49,571–$57,602
Pittsburgh PA7$42,458$44,674$50,021$35,139–$57,056
Portland OR9$63,973$69,986$84,273$62,766–$84,273
Research Triangle NC9$36,908$50,766$54,253$34,060–$60,857
Rhode Island (statewide)5$41,679$59,893$63,000$31,978–$69,378
Richmond VA7$33,302$70,587$77,072$32,196–$88,190
Rio Grande Valley TX6$34,197$37,534$40,959$32,841–$44,807
Salt Lake City UT9$53,885$53,885$53,885$53,350–$53,885
San Antonio TX3———$30,346–$48,373
San Diego CA5$37,207$45,400$53,151$37,207–$54,187
San Francisco Bay Area CA3———$27,097–$52,052
Seattle-Tacoma WA16$65,190$70,852$72,752$61,420–$88,559
South Carolina (statewide)25$53,531$66,670$78,964$31,192–$100,413
South Dakota (statewide)3———$42,348–$53,540
St. Louis MO4———$16,821–$55,318
Tampa FL11$62,816$63,086$64,295$48,073–$69,402
Tennessee (statewide)29$25,903$30,512$34,128$21,763–$59,923
Texas (statewide)87$30,812$38,900$50,782$14,711–$81,141
Utah (statewide)4———$53,885–$75,946
Vermont (statewide)3———$39,019–$86,249
Virginia (statewide)21$48,044$59,299$65,520$27,742–$104,314
Washington (statewide)12$53,716$62,666$69,859$47,480–$132,912
Washington DC11$47,751$61,212$63,076$30,162–$69,310
West Virginia (statewide)12$22,649$23,594$62,822$19,768–$79,284
Wisconsin (statewide)47$49,576$61,277$68,467$14,553–$79,175
Wyoming (statewide)1———$72,011–$72,011

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Thedacare Regional Medical Center - Appleton IncWisconsin (statewide)$14,5530.6×12026-08-07
Peterson Regional Medical CenterTexas (statewide)$14,7110.6×12026-08-17
Mccone County Health CenterMontana (statewide)$14,8980.6×12026-01-01
Salina Regional Health CenterKansas (statewide)$15,5150.7×12026-08-14
Schneck Medical CenterIndiana (statewide)$16,3260.7×12024-01-24
Ascension St John SapulpaOklahoma (statewide)$16,4930.7×12026-01-01
Ascension Columbia St Mary'S Hospital Milwaukee CaWisconsin (statewide)$16,6050.7×82026-01-01
Mercy Hospital SouthSt. Louis MO$16,8210.7×12026-06-10
Ascension St Vincent Heart CenterIndiana (statewide)$17,2050.7×72026-01-01
Ascension St Vincent FishersIndianapolis IN$17,2330.7×72026-01-01
Ascension St Vincent EvansvilleIndiana (statewide)$17,3980.7×42026-01-01
Ascension St Vincent'S Clay CountyFlorida (statewide)$17,5620.7×72026-01-01
Cherokee Medical CenterSouth Carolina (statewide)$100,4134.6×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$101,3523.4×92026-01-01
Providence Alaska Medical CenterAlaska (statewide)$103,1893.9×42026-04-01
Providence Medical CenterKansas (statewide)$103,1894.7×42026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$103,4944.2×42026-03-22
Carilion Roanoke Memorial HospitalVirginia (statewide)$104,3144.6×12025-12-15
Garnet Health Medical CenterNew York (statewide)$104,6133.5×102026-04-01
Wilcox Memorial HospitalHawaii (statewide)$105,9503.8×22026-02-12
Providence St Joseph Medical CenterMontana (statewide)$113,4974.7×12026-04-01
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$124,2724.0×12026-03-12
Providence Centralia HospitalWashington (statewide)$132,9125.0×22026-04-01
Taylorville Memorial HospitalIllinois (statewide)$154,2316.1×12026-09-17

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

MS-DRG 273: Percutaneous and Other Intracardiac Procedures With McC

1385 hospitals in 82 markets. National Medicare rate $30,020.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)21$33,606$39,336$44,819$27,641–$93,102
Alaska (statewide)3———$35,807–$129,284
Arizona (statewide)27$48,524$69,060$79,106$19,358–$96,059
Arkansas (statewide)8$34,558$38,212$40,836$30,125–$48,433
Atlanta GA9$70,560$77,908$79,985$70,560–$115,112
Austin TX13$26,862$41,418$43,429$26,494–$65,383
Boston MA13$31,907$38,161$43,978$29,256–$87,676
California (statewide)51$45,526$55,448$75,881$32,706–$146,700
Charlotte NC8$59,537$64,478$80,649$46,280–$80,649
Chicago IL11$43,267$54,576$64,640$30,883–$76,734
Cleveland OH11$29,280$41,340$52,482$27,404–$68,571
Colorado (statewide)16$54,191$73,249$95,395$25,276–$129,710
Columbus OH2———$83,855–$110,551
Connecticut (statewide)4———$24,821–$80,370
Dallas-Fort Worth TX15$39,369$55,985$58,653$37,828–$100,119
Delaware (statewide)2———$58,897–$104,098
Denver CO15$45,416$54,865$81,942$34,999–$105,908
Detroit MI15$56,512$56,512$75,704$45,774–$90,528
Florida (statewide)92$37,344$41,359$79,041$19,607–$123,918
Georgia (statewide)34$47,718$66,298$101,320$30,864–$115,112
Hawaii (statewide)11$53,401$62,739$76,291$46,595–$89,320
Houston TX19$40,350$45,800$55,822$37,880–$82,724
Idaho (statewide)14$60,364$69,441$84,854$42,568–$95,352
Illinois (statewide)37$38,186$46,632$60,384$32,869–$73,740
Indiana (statewide)43$32,417$54,130$69,321$19,607–$120,361
Indianapolis IN5$19,607$19,607$75,517$19,607–$93,521
Iowa (statewide)16$36,922$43,299$54,914$33,037–$66,358
Kansas (statewide)20$26,576$32,496$50,973$16,549–$129,284
Kentucky (statewide)19$39,040$43,550$54,074$27,018–$90,191
Las Vegas NV2———$45,880–$70,311
Los Angeles CA18$57,144$64,908$72,966$41,398–$90,761
Louisiana (statewide)23$30,822$36,715$38,938$22,770–$47,964
Maine (statewide)13$79,368$111,876$124,739$31,808–$124,739
Massachusetts (statewide)8$46,708$52,652$60,536$29,412–$93,579
Miami-Fort Lauderdale FL4———$31,220–$56,109
Michigan (statewide)34$47,304$54,034$65,213$32,510–$85,810
Minneapolis-St. Paul MN14$62,834$67,150$69,214$41,452–$77,822
Minnesota (statewide)20$52,644$55,263$67,050$22,649–$85,810
Mississippi (statewide)17$41,544$44,096$47,880$30,264–$68,347
Missouri (statewide)25$39,090$44,885$53,190$28,741–$100,119
Montana (statewide)7$42,066$67,418$89,982$18,666–$135,575
Nashville TN8$31,300$35,246$49,214$29,996–$75,078
Nebraska (statewide)15$65,534$67,797$72,904$19,460–$98,529
Nevada (statewide)6$57,347$64,748$68,920$51,469–$81,935
New Hampshire (statewide)8$49,022$54,234$67,867$42,392–$97,032
New Jersey (statewide)21$64,947$74,795$93,386$24,599–$117,124
New Mexico (statewide)9$40,842$52,977$62,610$27,438–$117,740
New York (statewide)46$42,391$52,232$72,258$29,930–$128,394
New York City8$74,582$78,360$90,800$34,846–$127,024
North Carolina (statewide)24$37,353$57,482$80,735$23,838–$95,984
North Dakota (statewide)7$49,786$52,158$55,546$40,103–$70,600
Ohio (statewide)44$41,861$69,092$75,752$26,500–$106,264
Oklahoma (statewide)16$34,026$39,871$43,553$18,736–$72,616
Oregon (statewide)8$66,774$73,486$86,137$64,232–$106,264
Pennsylvania (statewide)58$47,473$62,399$71,859$31,992–$110,294
Philadelphia PA11$68,570$74,796$82,410$62,770–$117,124
Phoenix AZ11$68,669$68,669$72,092$62,107–$76,632
Pittsburgh PA7$58,059$60,828$68,849$44,623–$78,305
Portland OR9$79,479$87,545$101,809$78,639–$101,809
Research Triangle NC9$56,379$57,208$63,626$34,548–$81,736
Rhode Island (statewide)5$52,082$76,102$78,958$40,466–$86,951
Richmond VA7$39,260$92,182$96,595$37,858–$111,182
Rio Grande Valley TX6$43,076$47,370$51,754$40,704–$55,152
Salt Lake City UT9$63,272$63,272$63,272$62,644–$63,272
San Antonio TX3———$36,658–$56,638
San Diego CA5$57,757$58,588$66,215$46,388–$67,666
San Francisco Bay Area CA3———$27,097–$65,215
Seattle-Tacoma WA16$79,424$85,960$89,886$75,371–$110,954
South Carolina (statewide)25$61,180$82,855$91,202$33,786–$125,023
South Dakota (statewide)3———$53,074–$67,101
St. Louis MO3———$52,704–$66,039
Tampa FL11$78,776$79,041$84,132$63,780–$86,982
Tennessee (statewide)29$32,758$38,974$42,490$28,902–$75,078
Texas (statewide)86$40,513$48,896$62,202$20,957–$101,660
Utah (statewide)4———$63,272–$89,176
Vermont (statewide)3———$48,887–$108,061
Virginia (statewide)21$59,370$74,296$82,116$34,052–$130,737
Washington (statewide)12$65,910$76,944$87,536$56,912–$164,072
Washington DC11$58,246$76,693$79,027$36,898–$86,867
West Virginia (statewide)12$24,454$25,474$82,673$21,344–$99,367
Wisconsin (statewide)46$64,584$77,846$85,810$18,141–$99,231
Wyoming (statewide)1———$86,591–$86,591

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stormont Vail Health Flint Hills, LlcKansas (statewide)$16,5490.6×32025-12-19
Ascension Columbia St Mary'S Hospital Milwaukee CaWisconsin (statewide)$18,1410.6×52026-01-01
Mccone County Health CenterMontana (statewide)$18,6660.6×12026-01-01
Ascension St John NowataOklahoma (statewide)$18,7360.7×12026-01-01
Northern Cochise Community Hospital, Inc.Arizona (statewide)$19,3580.6×12026-07-29
Bellevue Medical CenterNebraska (statewide)$19,4600.6×42026-08-10
Ascension St Vincent'S Clay CountyFlorida (statewide)$19,6070.6×42026-01-01
Ascension St Vincent KokomoIndiana (statewide)$19,6070.6×32026-01-01
Ascension St Vincent AndersonIndianapolis IN$19,6070.6×32026-01-01
Ascension St Vincent Heart CenterIndiana (statewide)$19,6070.6×42026-01-01
Ascension St Vincent CarmelIndianapolis IN$19,6070.6×42026-01-01
Ascension St Vincent FishersIndianapolis IN$19,6070.6×42026-01-01
Loma Linda University Children'S HospitalCalifornia (statewide)$125,0693.2×32026-09-02
Montefiore Mount Vernon HospitalNew York (statewide)$125,3783.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$127,0243.4×92026-01-01
Garnet Health Medical CenterNew York (statewide)$128,3943.4×102026-04-01
Providence Alaska Medical CenterAlaska (statewide)$129,2843.9×42026-04-01
Providence Medical CenterKansas (statewide)$129,2844.7×42026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$129,7104.2×42026-03-22
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$130,0943.4×12026-03-12
Carilion Roanoke Memorial HospitalVirginia (statewide)$130,7374.6×12025-12-15
Providence St Joseph Medical CenterMontana (statewide)$135,5754.5×12026-04-01
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$146,7003.8×12026-03-12
Providence Centralia HospitalWashington (statewide)$164,0725.0×22026-04-01

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 left atrial appendage closure (watchman)?

Across 1399 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 274) is $45,086, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $32,827 to $61,210. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for left atrial appendage closure (watchman)?

Medicare's national inpatient base rate for MS-DRG 274 is $23,953, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for left atrial appendage closure (watchman)?

Lowest medians: Thedacare Regional Medical Center - Appleton Inc ($14,553), Peterson Regional Medical Center ($14,711), Mccone County Health Center ($14,898). Highest: Taylorville Memorial Hospital ($154,231), Providence Centralia Hospital ($132,912), Lac/Rancho Los Amigos National Rehabilitation Ctr ($124,272). Coverage: every hospital whose price file we could read.