Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit — what U.S. hospitals charge
MS-DRG 216 · Inpatient stay · 124 U.S. hospitals publish a price
Cheapest quarter
under $333,535
Typical charge
$444,968
Dearest quarter
over $566,391
Actually paid
$102,713
The middle U.S. hospital bills $444,968 for Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $102,713 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 4 | $169,007 | $147,677 – $232,158 |
| Ohio | 4 | $349,882 | $251,739 – $419,095 |
| Massachusetts | 4 | $354,364 | $142,973 – $525,945 |
| Minnesota | 3 | $356,749 | $292,436 – $413,810 |
| Virginia | 3 | $366,091 | $360,573 – $1,163,451 |
| Arkansas | 3 | $367,336 | $192,525 – $405,528 |
| Missouri | 3 | $372,464 | $332,144 – $470,195 |
| North Carolina | 4 | $374,847 | $264,775 – $506,124 |
| Michigan | 4 | $409,081 | $295,690 – $485,789 |
| Arizona | 5 | $427,466 | $363,054 – $758,119 |
| Illinois | 4 | $429,716 | $325,457 – $564,610 |
| Georgia | 3 | $465,235 | $333,266 – $683,250 |
| Tennessee | 4 | $479,817 | $240,808 – $933,032 |
| New Mexico | 3 | $484,338 | $237,408 – $529,736 |
| New York | 8 | $485,056 | $200,119 – $626,353 |
| New Jersey | 5 | $524,369 | $404,312 – $560,398 |
| Florida | 7 | $546,779 | $382,313 – $1,012,941 |
| California | 9 | $709,970 | $475,424 – $1,715,805 |
| Pennsylvania | 5 | $721,372 | $517,882 – $1,028,155 |
| Texas | 10 | $764,115 | $222,525 – $1,047,827 |
Where Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Beth Israel Deaconess Medical Center
Boston, MA |
$142,973 | $107,846 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$147,677 | $132,311 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$158,801 | $140,995 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$179,214 | $156,888 |
|
Arkansas Heart Hospital, Llc
Little Rock, AR |
$192,525 | $56,530 |
|
St Joseph's Hospital Health Center
Syracuse, NY |
$200,119 | $80,076 |
|
Memorial Hermann Memorial City Hospital
Houston, TX |
$222,525 | $69,316 |
|
University Of Maryland Medical Center
Baltimore, MD |
$232,158 | $187,979 |
|
Presbyterian Hospital
Albuquerque, NM |
$237,408 | $76,590 |
|
Parkwest Medical Center
Knoxville, TN |
$240,808 | $57,488 |
|
Memorial Hermann Hospital System
Houston, TX |
$241,418 | $63,597 |
|
Strong Memorial Hospital
Rochester, NY |
$243,078 | $118,290 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$1,715,805 | $241,297 |
|
Mountainview Hospital
Las Vegas, NV |
$1,641,909 | $102,488 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$1,609,453 | $175,023 |
|
Cjw Medical Center
Richmond, VA |
$1,163,451 | $92,381 |
|
Hca Houston Healthcare Medical Center
Houston, TX |
$1,047,827 | $81,566 |
|
St David's Medical Center
Austin, TX |
$1,042,068 | $77,193 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$1,028,155 | $92,839 |
|
Delray Medical Center
Delray Beach, FL |
$1,012,941 | $60,321 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$1,010,581 | $141,317 |
|
Wesley Medical Center
Wichita, KS |
$999,387 | $72,351 |
|
Baptist Medical Center
San Antonio, TX |
$971,109 | $87,428 |
|
Tristar Centennial Medical Center
Nashville, TN |
$933,032 | $90,188 |
Questions people ask
What do U.S. hospitals charge for Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit?
Across 124 U.S. hospitals, the middle charge for Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit is $444,968. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $333,535 and the dearest quarter over $566,391.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit, the hospitals in the dearest tenth charge about 3.4x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $102,713 is roughly what Medicare actually paid per case, against an average charge of $501,084. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 216: “CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.