Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 266 · Inpatient stay · 533 U.S. hospitals publish a price
Cheapest quarter
under $182,920
Typical charge
$240,512
Dearest quarter
over $355,914
Actually paid
$55,849
The middle U.S. hospital bills $240,512 for Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $55,849 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.
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications 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 | 8 | $108,532 | $55,081 – $124,170 |
| Montana | 4 | $125,721 | $88,293 – $212,820 |
| Arkansas | 5 | $127,227 | $107,694 – $179,553 |
| Nebraska | 4 | $144,102 | $120,027 – $232,335 |
| Wisconsin | 11 | $150,669 | $97,608 – $374,939 |
| Mississippi | 6 | $157,876 | $131,819 – $382,427 |
| North Dakota | 3 | $168,124 | $162,086 – $205,678 |
| Massachusetts | 10 | $171,595 | $116,434 – $297,033 |
| Oregon | 7 | $180,936 | $135,741 – $236,831 |
| Connecticut | 6 | $182,201 | $162,178 – $224,521 |
| Louisiana | 9 | $182,242 | $101,285 – $388,483 |
| Utah | 6 | $182,664 | $146,346 – $302,437 |
| Iowa | 6 | $187,981 | $161,288 – $266,741 |
| Indiana | 13 | $191,623 | $154,172 – $528,075 |
| Minnesota | 10 | $193,599 | $113,031 – $288,446 |
| Virginia | 13 | $194,387 | $108,719 – $734,213 |
| Missouri | 13 | $203,722 | $124,583 – $729,936 |
| Washington | 13 | $207,712 | $141,139 – $390,012 |
| Oklahoma | 5 | $211,272 | $183,339 – $373,720 |
| West Virginia | 3 | $211,800 | $163,125 – $301,754 |
| Michigan | 13 | $215,287 | $117,756 – $316,548 |
| New Hampshire | 3 | $227,096 | $212,401 – $274,509 |
| Ohio | 13 | $228,712 | $79,048 – $415,054 |
| North Carolina | 13 | $231,886 | $168,425 – $340,983 |
| South Dakota | 3 | $236,234 | $235,911 – $250,872 |
| Alabama | 10 | $236,866 | $120,930 – $911,947 |
| Illinois | 19 | $240,192 | $149,427 – $475,195 |
| South Carolina | 12 | $242,698 | $182,722 – $488,074 |
| Pennsylvania | 30 | $247,159 | $128,878 – $640,125 |
| Georgia | 14 | $248,900 | $156,958 – $482,824 |
| Tennessee | 12 | $249,303 | $110,836 – $446,539 |
| Colorado | 10 | $278,363 | $183,707 – $767,617 |
| New York | 23 | $295,789 | $138,768 – $590,938 |
| New Jersey | 13 | $312,015 | $196,087 – $786,682 |
| Kansas | 4 | $313,892 | $176,633 – $457,078 |
| Florida | 51 | $330,723 | $127,285 – $742,756 |
| Arizona | 15 | $332,210 | $194,862 – $691,640 |
| California | 52 | $333,518 | $150,946 – $1,003,521 |
| Nevada | 8 | $357,385 | $173,555 – $901,555 |
| Kentucky | 6 | $367,315 | $118,389 – $585,303 |
| Texas | 38 | $382,467 | $149,058 – $765,916 |
| New Mexico | 3 | $400,069 | $148,670 – $590,404 |
Where Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$55,081 | $54,282 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$73,692 | $65,439 |
|
Trinity Medical Ctr East &Trinity Medical Ctr West
Steubenville, OH |
$79,048 | $46,556 |
|
St. Patrick Hospital
Missoula, MT |
$88,293 | $47,618 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$93,504 | $83,862 |
|
Bellin Memorial Hospital
Green Bay, WI |
$97,608 | $42,422 |
|
Terrebonne General Medical Center - Parish
Houma, LA |
$101,285 | $39,744 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$107,182 | $90,787 |
|
Arkansas Heart Hospital, Llc
Little Rock, AR |
$107,694 | $37,541 |
|
Mercy Hospital Northwest Arkansas
Rogers, AR |
$108,578 | $41,937 |
|
Sentara Rmh Medical Center
Harrisonburg, VA |
$108,719 | $54,185 |
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$109,882 | $99,076 |
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 |
|---|---|---|
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$1,003,521 | $64,019 |
|
Riverside Community Hospital
Riverside, CA |
$993,068 | $78,732 |
|
Baptist Health Brookwood Hospital
Birmingham, AL |
$911,947 | $48,270 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$901,555 | $59,180 |
|
Doctors Medical Center
Modesto, CA |
$805,764 | $64,918 |
|
Englewood Hospital And Medical Center
Englewood, NJ |
$786,682 | $63,940 |
|
Hca-Healthone Dba Swedish Medical Center
Englewood, CO |
$767,617 | $48,560 |
|
Sierra Medical Center
El Paso, TX |
$765,916 | $46,709 |
|
Stanford Health Care
Stanford, CA |
$765,836 | $109,863 |
|
Medical City Fort Worth
Fort Worth, TX |
$763,288 | $47,537 |
|
St David's South Austin Medical Center
Austin, TX |
$757,547 | $46,682 |
|
Manatee Memorial Hospital
Bradenton, FL |
$742,756 | $48,463 |
Questions people ask
What do U.S. hospitals charge for Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications?
Across 533 U.S. hospitals, the middle charge for Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications is $240,512. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $182,920 and the dearest quarter over $355,914.
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 Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications, the hospitals in the dearest tenth charge about 3.3x 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. $55,849 is roughly what Medicare actually paid per case, against an average charge of $285,419. 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 266: “ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC”. 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.