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.