Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization — what U.S. hospitals charge
MS-DRG 220 · Inpatient stay · 291 U.S. hospitals publish a price
Cheapest quarter
under $177,369
Typical charge
$233,241
Dearest quarter
over $323,177
Actually paid
$53,369
The middle U.S. hospital bills $233,241 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 $53,369 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 | 7 | $79,499 | $67,414 – $170,387 |
| Montana | 3 | $139,093 | $114,515 – $164,291 |
| Mississippi | 4 | $140,196 | $117,484 – $221,340 |
| Massachusetts | 7 | $154,847 | $91,573 – $242,992 |
| Nebraska | 3 | $157,096 | $148,404 – $203,413 |
| Missouri | 8 | $169,900 | $133,008 – $246,845 |
| Minnesota | 8 | $170,785 | $137,535 – $267,154 |
| Wisconsin | 6 | $173,254 | $95,108 – $228,053 |
| Oregon | 6 | $193,133 | $143,429 – $297,624 |
| Connecticut | 3 | $193,372 | $125,406 – $219,900 |
| Michigan | 6 | $196,907 | $152,642 – $241,313 |
| Utah | 5 | $197,199 | $169,345 – $403,255 |
| Louisiana | 8 | $206,679 | $167,450 – $376,917 |
| Arkansas | 4 | $212,544 | $114,543 – $272,698 |
| Virginia | 8 | $215,258 | $164,354 – $377,454 |
| Tennessee | 8 | $240,179 | $146,641 – $551,383 |
| North Carolina | 13 | $246,148 | $132,956 – $349,171 |
| Pennsylvania | 14 | $248,864 | $107,348 – $452,479 |
| Ohio | 9 | $253,496 | $166,413 – $295,490 |
| Alabama | 4 | $260,325 | $117,737 – $766,695 |
| Indiana | 6 | $260,694 | $191,707 – $349,253 |
| Washington | 10 | $265,978 | $211,874 – $443,909 |
| New York | 12 | $267,388 | $118,916 – $758,725 |
| Kentucky | 6 | $272,979 | $171,608 – $479,116 |
| Arizona | 9 | $287,110 | $176,303 – $460,721 |
| South Carolina | 6 | $292,347 | $222,883 – $655,331 |
| New Jersey | 9 | $301,061 | $199,778 – $480,995 |
| Illinois | 10 | $308,430 | $171,136 – $378,664 |
| Georgia | 7 | $316,862 | $191,058 – $417,685 |
| Florida | 18 | $323,859 | $173,446 – $566,188 |
| Colorado | 3 | $352,282 | $339,841 – $394,322 |
| Texas | 13 | $415,608 | $138,995 – $734,336 |
| California | 23 | $444,016 | $128,908 – $897,454 |
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 |
|---|---|---|
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$67,414 | $60,365 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$75,268 | $67,122 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$77,818 | $70,618 |
|
Suburban Hospital
Bethesda, MD |
$79,499 | $73,012 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$79,696 | $71,895 |
|
Kansas Heart Hospital
Wichita, KS |
$79,788 | $33,159 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$91,573 | $65,507 |
|
Bellin Memorial Hospital
Green Bay, WI |
$95,108 | $36,271 |
|
Mercy Medical Center - Cedar Rapids
Cedar Rapids, IA |
$95,418 | $35,094 |
|
Doylestown Hospital
Doylestown, PA |
$107,348 | $37,518 |
|
Boston Medical Center-Brighton
Brighton, MA |
$113,030 | $59,612 |
|
St. Patrick Hospital
Missoula, MT |
$114,515 | $42,699 |
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 |
$897,454 | $103,649 |
|
Grandview Medical Center
Birmingham, AL |
$766,695 | $38,986 |
|
Westchester Medical Center
Valhalla, NY |
$758,725 | $75,079 |
|
Round Rock Medical Center
Round Rock, TX |
$734,336 | $37,065 |
|
Wesley Medical Center
Wichita, KS |
$708,575 | $41,760 |
|
John Muir Medical Center - Concord Campus
Concord, CA |
$690,334 | $83,005 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$687,298 | $63,764 |
|
University Of California Davis Medical Center
Sacramento, CA |
$671,448 | $104,808 |
|
Grand Strand Regional Medical Center
Myrtle Beach, SC |
$655,331 | $40,941 |
|
Mercy General Hospital
Sacramento, CA |
$652,400 | $76,941 |
|
Providence Santa Rosa Memorial Hospital
Santa Rosa, CA |
$586,051 | $61,341 |
|
Scripps Mercy Hospital
San Diego, CA |
$584,458 | $59,986 |
Questions people ask
What do U.S. hospitals charge for Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization?
Across 291 U.S. hospitals, the middle charge for Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization is $233,241. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $177,369 and the dearest quarter over $323,177.
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. $53,369 is roughly what Medicare actually paid per case, against an average charge of $270,500. 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 220: “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.