Concomitant Aortic and Mitral Valve Procedures — what U.S. hospitals charge
MS-DRG 212 · Inpatient stay · 13 U.S. hospitals publish a price
Cheapest quarter
under $389,045
Typical charge
$507,825
Dearest quarter
over $723,863
Actually paid
$124,665
The middle U.S. hospital bills $507,825 for Concomitant Aortic and Mitral Valve Procedures. The dearest hospitals charge about 2.5x what the cheapest do for the same coded work. Medicare actually paid about $124,665 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.
Where Concomitant Aortic and Mitral Valve Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Baylor Scott & White The Heart Hospital Plano
Plano, TX |
$312,882 | $92,490 |
|
Abbott Northwestern Hospital
Minneapolis, MN |
$369,622 | $90,059 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$377,765 | $150,552 |
|
St Vincent Heart Center
Carmel, IN |
$389,045 | $75,966 |
|
Cleveland Clinic
Cleveland, OH |
$469,154 | $132,035 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$489,985 | $156,134 |
|
Ascension Saint Thomas Hospital
Nashville, TN |
$507,825 | $87,048 |
|
Northwestern Memorial Hospital
Chicago, IL |
$590,545 | $141,794 |
|
Morristown Medical Center
Morristown, NJ |
$638,805 | $123,011 |
|
North Shore University Hospital
Manhasset, NY |
$723,863 | $122,114 |
|
Adventhealth Orlando
Orlando, FL |
$862,443 | $118,559 |
|
New York-Presbyterian Hospital
New York, NY |
$933,166 | $153,174 |
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 |
|---|---|---|
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$1,165,042 | $177,710 |
|
New York-Presbyterian Hospital
New York, NY |
$933,166 | $153,174 |
|
Adventhealth Orlando
Orlando, FL |
$862,443 | $118,559 |
|
North Shore University Hospital
Manhasset, NY |
$723,863 | $122,114 |
|
Morristown Medical Center
Morristown, NJ |
$638,805 | $123,011 |
|
Northwestern Memorial Hospital
Chicago, IL |
$590,545 | $141,794 |
|
Ascension Saint Thomas Hospital
Nashville, TN |
$507,825 | $87,048 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$489,985 | $156,134 |
|
Cleveland Clinic
Cleveland, OH |
$469,154 | $132,035 |
|
St Vincent Heart Center
Carmel, IN |
$389,045 | $75,966 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$377,765 | $150,552 |
|
Abbott Northwestern Hospital
Minneapolis, MN |
$369,622 | $90,059 |
Questions people ask
What do U.S. hospitals charge for Concomitant Aortic and Mitral Valve Procedures?
Across 13 U.S. hospitals, the middle charge for Concomitant Aortic and Mitral Valve Procedures is $507,825. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $389,045 and the dearest quarter over $723,863.
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 Concomitant Aortic and Mitral Valve Procedures, the hospitals in the dearest tenth charge about 2.5x 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. $124,665 is roughly what Medicare actually paid per case, against an average charge of $552,513. 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 212: “CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES”. 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.