According to the Centers for Disease Control and Prevention (CDC), heart disease—including coronary artery disease, congestive heart failure, and heart attacks—is the leading cause of death in the United States. The CDC reports that as many as 647,000 Americans die from cardiovascular diseases each year, accounting for approximately 25 percent of total reported deaths in the U.S.

Because of its prevalence, heart disease also amasses significant healthcare costs. In a 2017 report, the American Heart Association referred to cardiovascular disease as “America’s costliest disease,” and estimated that the total economic cost would reach $1.1 trillion by 2035.

According to Definitive Healthcare data, the average hospital payment for heart attack patients was $24,785 as of April 2020, including data from Medicare, Medicaid, and private health insurers. It’s worth noting, however, that these costs can vary significantly for each patient—particularly if a patient receives care from an out-of-network healthcare provider.

Below, we’ve compiled lists of the top 25 hospitals with the greatest heart attack payments, and the top 25 hospitals with the greatest heart attack readmission rates.

25 hospitals with the highest heart attack payments

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RankDefinitive IDHospital NameStateNumber of Staffed BedsNet Patient RevenueExcess Readmission RatioAvg. Heart Attack PaymentExplore This Dataset
1.4431Weirton Medical CenterWV127$161,603,6781.03$31,190Explore This Profile
2.4018Memorial Hermann - Texas Medical CenterTX994$1,691,807,4221.13$30,986Explore This Profile
3.430Cedars-Sinai Medical CenterCA880$3,406,500,6510.91$30,724Explore This Profile
4.2548CHI Health Nebraska HeartNE54$70,306,3440.89$30,313Explore This Profile
5.2926Westchester Medical CenterNY383$1,233,480,8430.99$30,224Explore This Profile
6.800693Kearney Regional Medical CenterNE94$118,100,0720.88$30,188Explore This Profile
7.2269Memorial Hospital at GulfportMS281$508,353,2131.06$30,174Explore This Profile
8.581941Resolute Health HospitalTX112$87,747,8310.98$30,069Explore This Profile
9.2552Faith Regional Health ServicesNE131$163,380,7950.93$30,045Explore This Profile
10.1972St Elizabeths Medical CenterMA212$381,055,4901.17$30,024Explore This Profile
11.2675RWJ University Hospital HamiltonNJ152$190,438,2000.95$29,791Explore This Profile
12.2586Sunrise Hospital & Medical CenterNV554$590,704,8571.05$29,733Explore This Profile
13.1197AMITA Health Saint Joseph Hospital ElginIL144$134,489,4560.97$29,650Explore This Profile
14.2677JFK Medical CenterNJ357$568,071,5411.06$29,587Explore This Profile
15.4068Paris Regional Medical CenterTX154$140,047,5941.02$29,414Explore This Profile
16.2923Montefiore New Rochelle HospitalNY151$151,842,9961.04$29,142Explore This Profile
17.2684Bayshore Medical CenterNJ169$155,534,9990.98$29,131Explore This Profile
18.2688Saint Clares Denville HospitalNJ264$276,840,8591.11$29,076Explore This Profile
19.3992Houston Methodist Clear Lake HospitalTX178$160,767,8741.08$29,075Explore This Profile
20.926574Bayhealth Hospital - Sussex CampusDE128$181,413,1280.98$29,055Explore This Profile
21.1340Community HospitalIN410$516,976,4831.12$29,044Explore This Profile
22.4000HCA Houston Healthcare TomballTX194$160,228,2261.01$28,986Explore This Profile
23.3990HCA Houston Healthcare KingwoodTX528$600,830,9991.07$28,925Explore This Profile
24.2678Saint Peters University HospitalNJ353$446,763,6321.11$28,836Explore This Profile
25.2154M Health Fairview University of Minnesota Medical Center - West Bank HospitalMN778$1,543,027,6830.94$28,789Explore This Profile

Fig 1 Data from Definitive Healthcare’s Hospitals & IDNs database. CMS calculates the excess readmission ratio by dividing the hospital’s number of 30-day readmissions for heart attack patients by an expected national average. Heart attack readmissions and payment data is sourced from the April 2020 CMS Quality Metrics Update, the most recent data available. The next CMS Quality Metrics Update is scheduled to be released in July 2020. Accessed July 2020.

Which U.S. hospital has the highest average heart attack payment?

With an average heart attack payment of $31,190 reported as of April 2020, Weirton Medical Center in West Virginia has the highest heart attack payment among all 7,245 U.S. hospitals tracked by Definitive Healthcare. Memorial Hermann – Texas Medical Center and Cedars-Sinai Medical Center have the second and third highest heart attack payments—with average payments of $30,986 and $30,724, respectively.

Interestingly, however, there appears to be little correlation between heart attack payments and excess readmission ratio. We might expect that higher heart attack readmission rates would result in greater payments due to the high costs of continuous care, and a greater overall utilization of healthcare resources.

According to Definitive Healthcare data, St. Elizabeth’s Medical Center in Massachusetts reports the highest excess readmission ratio for heart attacks. Despite this, St. Elizabeth’s reports only the tenth-highest average heart attack payment of those hospitals listed.

25 hospitals with the highest heart attack readmission rates

Definitive's Healthcare Insights are developed with data from the Definitive Healthcare platform. Want even more insights? Start a Free Trial now and get access to the highest quality data and intelligence on hospitals, physicians, and other healthcare providers.

RankDefinitive IDHospital NameStateNumber of Staffed BedsNet Patient RevenueHeart Attack Mortality RateHeart Attack Readmission RateExplore This Dataset
1.2Southern Arizona VA Health Care SystemAZ295N/A12.30%21.90%Explore This Profile
2.4667VA Caribbean Healthcare SystemPR209N/A11.00%21.50%Explore This Profile
3.819James A Haley Veterans HospitalFL415N/A14.60%21.40%Explore This Profile
4.2115DMC Harper University HospitalMI368$449,535,92411.40%19.70%Explore This Profile
5.910AdventHealth Heart of FloridaFL193$135,430,60112.70%19.70%Explore This Profile
6.309Oroville HospitalCA133$295,541,06612.30%19.70%Explore This Profile
7.3327Oklahoma City VA Health Care SystemOK192N/A13.00%19.70%Explore This Profile
8.11Harry S Truman Memorial Veterans HospitalMO89N/A11.20%19.60%Explore This Profile
9.1659Lexington VA Medical Center - Leestown DivisionKY93N/A12.50%19.60%Explore This Profile
10.253Ralph H Johnson VA Medical CenterSC132N/A11.60%19.60%Explore This Profile
11.132VA Maryland Health Care System - Baltimore VA Medical CenterMD100N/A11.90%19.60%Explore This Profile
12.4537Milwaukee VA Medical CenterWI196N/A11.60%19.50%Explore This Profile
13.1679Louisville VA Medical CenterKY109N/A10.90%19.40%Explore This Profile
14.3915VA North Texas Health Care System - Dallas VA Medical CenterTX292N/A11.70%19.30%Explore This Profile
15.272Central Arkansas Veterans Healthcare System - John L McClellan Memorial Veterans HospitalAR256N/A14.00%19.20%Explore This Profile
16.1163Edward Hines Jr VA HospitalIL483N/A12.90%19.20%Explore This Profile
17.2100Garden City HospitalMI130$153,534,81212.00%19.10%Explore This Profile
18.3157Cincinnati VA Medical CenterOH463N/A10.50%19.10%Explore This Profile
19.2861Syracuse VA Medical CenterNY106N/A12.80%19.10%Explore This Profile
20.796Ascension St Vincents Riverside HospitalFL479$473,916,94912.40%19.00%Explore This Profile
21.295St Rose HospitalCA195$117,609,88813.20%18.90%Explore This Profile
22.4135Medical City Fort WorthTX200$260,204,83712.20%18.90%Explore This Profile
23.2665Jersey City Medical CenterNJ272$383,706,28612.50%18.90%Explore This Profile
24.897Northside HospitalFL221$167,658,12613.40%18.80%Explore This Profile
25.2785VA Western New York Healthcare System - Buffalo VA Medical CenterNY199N/A10.80%18.70%Explore This Profile

Fig 2 Data from Definitive Healthcare’s Hospitals & IDNs database. VA hospitals are not required to report certain financial data to CMS, and so net patient revenue has been represented here as “N/A.” Heart attack readmission and mortality rates are sourced from the April 2020 CMS Quality Metrics Update, the most recent data available. The next CMS Quality Metrics Update is scheduled to be released in July 2020. Accessed July 2020.

Which U.S. hospital has the greatest heart attack readmission rate?

With a reported heart attack readmission rate of nearly 22 percent as of April 2020, Southern Arizona VA Health Care System in Tucson has the highest heart attack readmission rate among U.S. hospitals. VA Caribbean Healthcare System in Puerto Rico and James A Haley Veterans Hospital in Florida have the second and third-highest heart attack readmission rates at 21.5 and 21.4 percent, respectively.

It’s worth noting that 16 of the top 25 hospitals, or 64 percent, are VA hospitals. VA hospitals actually outperform non-VA facilities in many areas of clinical and quality performance, so it’s not immediately clear why they might be reporting disproportionately higher heart attack readmission rates.

According to data from the U.S. Census Bureau, 9.2 million of the nation’s 18.5 million veterans—nearly 50 percent—were age 65 and older as of 2016. The number of elderly veterans has almost certainly increased since 2016, perhaps contributing to a greater number of high-risk patients in the VA healthcare system. This could be a significant factor in the higher heart attack readmission rates reported by VA hospitals in April 2020.