Endovascular Cardiac Valve Replacement and Supplement Procedures without Major — what U.S. hospitals charge
MS-DRG 267 · Inpatient stay · 690 U.S. hospitals publish a price
Cheapest quarter
under $148,615
Typical charge
$189,460
Dearest quarter
over $264,353
Actually paid
$42,248
The middle U.S. hospital bills $189,460 for Endovascular Cardiac Valve Replacement and Supplement Procedures without Major. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $42,248 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 without Major 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 | 10 | $69,251 | $54,181 – $111,113 |
| Arkansas | 9 | $113,258 | $73,054 – $179,018 |
| Montana | 5 | $114,915 | $75,996 – $199,759 |
| Mississippi | 8 | $130,747 | $107,444 – $292,505 |
| Nebraska | 6 | $131,685 | $110,907 – $235,369 |
| Delaware | 3 | $133,029 | $113,249 – $236,981 |
| Massachusetts | 12 | $133,299 | $96,104 – $358,072 |
| Wisconsin | 14 | $134,838 | $86,917 – $270,771 |
| North Dakota | 4 | $144,594 | $135,840 – $197,957 |
| Idaho | 5 | $146,085 | $97,062 – $316,937 |
| Minnesota | 13 | $148,094 | $84,962 – $198,872 |
| Connecticut | 6 | $148,647 | $112,703 – $180,073 |
| Alabama | 9 | $151,168 | $120,858 – $698,413 |
| Utah | 6 | $153,565 | $133,603 – $220,495 |
| Oregon | 8 | $156,560 | $112,284 – $197,462 |
| Iowa | 10 | $157,358 | $106,370 – $233,663 |
| Virginia | 15 | $158,140 | $105,057 – $654,855 |
| Washington | 14 | $166,903 | $116,909 – $346,151 |
| Michigan | 26 | $168,114 | $95,985 – $286,077 |
| Missouri | 18 | $169,102 | $104,654 – $602,992 |
| Ohio | 25 | $173,573 | $117,478 – $377,476 |
| Louisiana | 15 | $176,208 | $99,149 – $337,009 |
| Indiana | 19 | $182,882 | $122,018 – $470,579 |
| North Carolina | 17 | $183,209 | $88,539 – $262,179 |
| Kansas | 9 | $185,086 | $111,893 – $379,213 |
| Illinois | 30 | $186,734 | $132,875 – $465,429 |
| New Hampshire | 4 | $195,250 | $126,230 – $569,329 |
| New York | 29 | $195,658 | $98,794 – $441,341 |
| South Dakota | 3 | $197,251 | $154,424 – $203,883 |
| New Jersey | 14 | $198,489 | $140,753 – $750,413 |
| Pennsylvania | 38 | $201,730 | $96,761 – $539,336 |
| Tennessee | 11 | $204,875 | $95,421 – $367,855 |
| Kentucky | 11 | $205,168 | $98,797 – $498,644 |
| West Virginia | 4 | $205,268 | $124,668 – $346,800 |
| Georgia | 15 | $218,744 | $123,201 – $414,786 |
| South Carolina | 13 | $219,298 | $160,573 – $439,197 |
| Arizona | 17 | $229,235 | $145,654 – $540,137 |
| Oklahoma | 9 | $234,084 | $161,075 – $383,964 |
| California | 73 | $243,039 | $75,150 – $892,045 |
| Florida | 57 | $269,775 | $108,623 – $612,163 |
| Texas | 49 | $313,981 | $129,952 – $734,937 |
| Colorado | 9 | $341,356 | $152,939 – $690,415 |
| Nevada | 6 | $409,711 | $165,446 – $574,214 |
Where Endovascular Cardiac Valve Replacement and Supplement Procedures without Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Medstar Union Memorial Hospital
Baltimore, MD |
$54,181 | $48,240 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$57,447 | $52,621 |
|
Suburban Hospital
Bethesda, MD |
$58,580 | $53,331 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$64,014 | $57,193 |
|
Sinai Hospital Of Baltimore
Baltimore, MD |
$66,841 | $58,696 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$71,661 | $64,239 |
|
St Bernards Medical Center
Jonesboro, AR |
$73,054 | $30,772 |
|
Kaiser Foundation Hospital - San Francisco
San Francisco, CA |
$75,150 | $103,642 |
|
St. Patrick Hospital
Missoula, MT |
$75,996 | $38,828 |
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$76,754 | $68,762 |
|
North Memorial Health Hospital
Robbinsdale, MN |
$84,962 | $37,362 |
|
Arkansas Heart Hospital, Llc
Little Rock, AR |
$86,094 | $29,929 |
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 |
$892,045 | $50,268 |
|
Englewood Hospital And Medical Center
Englewood, NJ |
$750,413 | $51,256 |
|
Riverside Community Hospital
Riverside, CA |
$747,186 | $57,576 |
|
Medical City Fort Worth
Fort Worth, TX |
$734,937 | $45,807 |
|
Doctors Medical Center
Modesto, CA |
$708,553 | $52,698 |
|
Baptist Health Brookwood Hospital
Birmingham, AL |
$698,413 | $30,672 |
|
St David's South Austin Medical Center
Austin, TX |
$694,889 | $36,193 |
|
Hca-Healthone Dba Swedish Medical Center
Englewood, CO |
$690,415 | $40,496 |
|
Good Samaritan Hospital
San Jose, CA |
$675,079 | $53,421 |
|
Cjw Medical Center
Richmond, VA |
$654,855 | $32,688 |
|
Methodist Hospital
San Antonio, TX |
$619,624 | $37,638 |
|
Manatee Memorial Hospital
Bradenton, FL |
$612,163 | $37,822 |
Questions people ask
What do U.S. hospitals charge for Endovascular Cardiac Valve Replacement and Supplement Procedures without Major?
Across 690 U.S. hospitals, the middle charge for Endovascular Cardiac Valve Replacement and Supplement Procedures without Major is $189,460. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $148,615 and the dearest quarter over $264,353.
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 without Major, 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. $42,248 is roughly what Medicare actually paid per case, against an average charge of $220,616. 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 267: “ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT 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.