Other Endovascular Cardiac Valve Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 319 · Inpatient stay · 14 U.S. hospitals publish a price
Cheapest quarter
under $130,814
Typical charge
$193,496
Dearest quarter
over $256,660
Actually paid
$49,383
The middle U.S. hospital bills $193,496 for Other Endovascular Cardiac Valve Procedures with Major Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $49,383 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.
Other Endovascular Cardiac Valve 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 |
|---|---|---|---|
| New York | 4 | $401,149 | $216,609 – $438,102 |
Where Other Endovascular Cardiac Valve 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 |
|---|---|---|
|
Chi-St Vincent Infirmary
Little Rock, AR |
$80,024 | $31,422 |
|
Sentara Virginia Beach General Hospital
Virginia Beach, VA |
$107,195 | $27,401 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$121,366 | $36,762 |
|
Henry Ford Health Hospital
Detroit, MI |
$127,763 | $54,400 |
|
Providence St Peter Hospital
Olympia, WA |
$139,969 | $37,363 |
|
Sentara Norfolk General Hospital
Norfolk, VA |
$144,545 | $41,727 |
|
Cleveland Clinic
Cleveland, OH |
$185,397 | $45,492 |
|
West Virginia University Hospitals, Inc
Morgantown, WV |
$201,596 | $41,675 |
|
Mount Sinai Hospital
New York, NY |
$216,609 | $63,970 |
|
Medstar Washington Hospital Center
Washington, DC |
$220,157 | $50,031 |
|
Jersey Shore University Medical Center
Neptune, NJ |
$268,828 | $40,448 |
|
Nyu Langone Hospitals
New York, NY |
$378,159 | $62,723 |
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 |
|---|---|---|
|
New York-Presbyterian Hospital
New York, NY |
$438,102 | $73,603 |
|
Lenox Hill Hospital
New York, NY |
$424,139 | $84,351 |
|
Nyu Langone Hospitals
New York, NY |
$378,159 | $62,723 |
|
Jersey Shore University Medical Center
Neptune, NJ |
$268,828 | $40,448 |
|
Medstar Washington Hospital Center
Washington, DC |
$220,157 | $50,031 |
|
Mount Sinai Hospital
New York, NY |
$216,609 | $63,970 |
|
West Virginia University Hospitals, Inc
Morgantown, WV |
$201,596 | $41,675 |
|
Cleveland Clinic
Cleveland, OH |
$185,397 | $45,492 |
|
Sentara Norfolk General Hospital
Norfolk, VA |
$144,545 | $41,727 |
|
Providence St Peter Hospital
Olympia, WA |
$139,969 | $37,363 |
|
Henry Ford Health Hospital
Detroit, MI |
$127,763 | $54,400 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$121,366 | $36,762 |
Questions people ask
What do U.S. hospitals charge for Other Endovascular Cardiac Valve Procedures with Major Complications?
Across 14 U.S. hospitals, the middle charge for Other Endovascular Cardiac Valve Procedures with Major Complications is $193,496. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $130,814 and the dearest quarter over $256,660.
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 Other Endovascular Cardiac Valve Procedures with Major Complications, the hospitals in the dearest tenth charge about 3.7x 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. $49,383 is roughly what Medicare actually paid per case, against an average charge of $216,242. 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 319: “OTHER ENDOVASCULAR CARDIAC VALVE 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.