CostGrade

Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization — what U.S. hospitals charge

MS-DRG 219 · Inpatient stay · 350 U.S. hospitals publish a price

Cheapest quarter

under $257,346

Typical charge

$335,150

Dearest quarter

over $470,768

Actually paid

$78,385

The middle U.S. hospital bills $335,150 for Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $78,385 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 without Cardiac Catheterization 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 $142,190 $72,792 – $204,013
North Dakota 3 $178,830 $163,081 – $301,948
Mississippi 4 $221,987 $200,183 – $298,662
Massachusetts 10 $232,807 $109,056 – $337,937
Nebraska 4 $238,957 $169,218 – $271,875
Minnesota 10 $243,712 $153,555 – $457,736
Connecticut 5 $252,479 $175,082 – $266,892
Wisconsin 7 $257,392 $172,057 – $333,800
Idaho 3 $260,719 $238,244 – $340,319
Oklahoma 4 $264,696 $221,553 – $618,804
Michigan 8 $270,857 $158,431 – $336,031
Arkansas 4 $271,288 $154,784 – $318,053
Iowa 3 $286,390 $272,872 – $295,346
North Carolina 12 $292,207 $138,745 – $420,492
Tennessee 9 $307,705 $230,448 – $783,037
Kentucky 6 $310,218 $214,936 – $390,600
Ohio 12 $311,609 $173,624 – $444,192
New Hampshire 3 $317,429 $208,272 – $577,117
Oregon 5 $321,594 $191,362 – $355,330
Washington 7 $331,653 $242,910 – $594,589
Missouri 9 $334,583 $228,834 – $397,395
Kansas 3 $352,836 $211,766 – $1,018,293
Texas 25 $361,923 $183,392 – $1,181,150
South Carolina 5 $362,783 $303,674 – $439,421
Illinois 15 $366,672 $179,752 – $572,811
Indiana 5 $383,778 $257,230 – $630,991
Arizona 10 $388,765 $286,152 – $897,246
New York 18 $402,129 $127,798 – $947,555
Georgia 9 $408,417 $233,218 – $747,389
Pennsylvania 20 $418,443 $142,562 – $1,211,132
Florida 24 $419,606 $195,631 – $1,047,627
Alabama 3 $428,527 $151,335 – $477,875
Colorado 8 $449,483 $316,978 – $551,630
New Jersey 10 $452,003 $300,580 – $597,950
Virginia 8 $476,664 $281,707 – $882,422
Nevada 5 $548,049 $178,797 – $1,405,388
California 30 $578,848 $335,110 – $1,523,959

Where Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
University Of Md St Joseph Medical Center

Towson, MD

$72,792 $64,278
Lahey Hospital & Medical Center, Burlington

Burlington, MA

$109,056 $76,411
Johns Hopkins Hospital, The

Baltimore, MD

$117,203 $103,546
Strong Memorial Hospital

Rochester, NY

$127,798 $85,881
St Joseph's Hospital Health Center

Syracuse, NY

$131,129 $67,518
Rex Hospital

Raleigh, NC

$138,745 $55,502
Excela Health Westmoreland Regional Hospital

Greensburg, PA

$142,562 $48,367
Cape Cod Hospital

Hyannis, MA

$143,768 $79,107
St. Patrick Hospital

Missoula, MT

$146,369 $62,178
Doylestown Hospital

Doylestown, PA

$149,006 $57,287
Thomas Hospital

Fairhope, AL

$151,335 $58,903
Centracare - St. Cloud Hospital

Saint Cloud, MN

$153,555 $77,340

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
Good Samaritan Hospital

San Jose, CA

$1,523,959 $121,564
Sunrise Hospital And Medical Center

Las Vegas, NV

$1,405,388 $65,325
Stanford Health Care

Stanford, CA

$1,337,746 $165,642
Temple University Hospital

Philadelphia, PA

$1,211,132 $112,921
Hca Houston Healthcare Medical Center

Houston, TX

$1,181,150 $75,745
Medical City Dallas Hospital

Dallas, TX

$1,147,921 $61,311
Hca Florida Largo Hospital

Largo, FL

$1,047,627 $73,983
Wesley Medical Center

Wichita, KS

$1,018,293 $71,176
Mountainview Hospital

Las Vegas, NV

$1,001,592 $86,393
Delray Medical Center

Delray Beach, FL

$960,270 $54,730
John Muir Medical Center - Concord Campus

Concord, CA

$947,804 $106,741
Westchester Medical Center

Valhalla, NY

$947,555 $115,089

Questions people ask

What do U.S. hospitals charge for Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization?

Across 350 U.S. hospitals, the middle charge for Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization is $335,150. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $257,346 and the dearest quarter over $470,768.

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 without Cardiac Catheterization, the hospitals in the dearest tenth charge about 3.2x 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. $78,385 is roughly what Medicare actually paid per case, against an average charge of $393,302. 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 219: “CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION”. 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.