Price AtlasInteractive atlas · All states · techysurgeon.comHeart valve surgery (open): what insurers pay
Open aortic valve replacement on the heart-lung machine. Stays group to cardiac valve DRGs 216-221. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
MS-DRG 220: Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc
120 hospitals in 38 markets. National Medicare rate $38,806.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $90,303–$119,417 |
| Austin TX | 2 | — | — | — | $71,512–$76,790 |
| Boston MA | 7 | $47,398 | $49,328 | $69,604 | $40,060–$91,454 |
| California (statewide) | 1 | — | — | — | $121,948–$121,948 |
| Charlotte NC | 2 | — | — | — | $87,854–$104,251 |
| Chicago IL | 7 | $61,227 | $73,926 | $80,032 | $50,303–$99,190 |
| Cleveland OH | 5 | $64,018 | $90,924 | $95,776 | $36,500–$118,424 |
| Columbus OH | 1 | — | — | — | $118,282–$118,282 |
| Dallas-Fort Worth TX | 4 | — | — | — | $79,267–$149,308 |
| Denver CO | 7 | $67,824 | $69,153 | $122,124 | $65,822–$131,997 |
| Detroit MI | 8 | $74,702 | $82,796 | $99,812 | $74,702–$111,460 |
| Florida (statewide) | 1 | — | — | — | $158,230–$158,230 |
| Georgia (statewide) | 1 | — | — | — | $103,312–$103,312 |
| Houston TX | 1 | — | — | — | $94,127–$94,127 |
| Illinois (statewide) | 1 | — | — | — | $42,488–$42,488 |
| Indianapolis IN | 2 | — | — | — | $24,983–$77,454 |
| Kansas (statewide) | 1 | — | — | — | $65,448–$65,448 |
| Las Vegas NV | 2 | — | — | — | $48,144–$93,144 |
| Los Angeles CA | 2 | — | — | — | $98,178–$163,237 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $70,041–$73,943 |
| Minneapolis-St. Paul MN | 5 | $85,616 | $85,616 | $90,358 | $79,757–$100,595 |
| Nashville TN | 4 | — | — | — | $50,902–$110,989 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $52,069–$171,146 |
| Ohio (statewide) | 1 | — | — | — | $93,281–$93,281 |
| Pennsylvania (statewide) | 1 | — | — | — | $104,099–$104,099 |
| Philadelphia PA | 5 | $97,956 | $100,017 | $130,699 | $91,262–$145,063 |
| Phoenix AZ | 3 | — | — | — | $88,764–$94,417 |
| Pittsburgh PA | 1 | — | — | — | $108,593–$108,593 |
| Portland OR | 6 | $113,038 | $113,038 | $131,688 | $113,038–$137,905 |
| Research Triangle NC | 4 | — | — | — | $51,992–$90,782 |
| Richmond VA | 4 | — | — | — | $85,501–$153,006 |
| Salt Lake City UT | 3 | — | — | — | $118,020–$122,738 |
| San Antonio TX | 1 | — | — | — | $68,470–$68,470 |
| Seattle-Tacoma WA | 6 | $119,220 | $119,582 | $119,944 | $104,686–$147,981 |
| St. Louis MO | 2 | — | — | — | $88,182–$100,283 |
| Tampa FL | 4 | — | — | — | $108,370–$125,561 |
| Washington DC | 6 | $82,370 | $100,404 | $110,177 | $72,430–$126,270 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St Vincent Carmel | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 0.7× | 1 | 2026-06-10 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $36,500 | 1.0× | 3 | 2026-06-15 |
| Anna Jaques Hospital | Boston MA | $40,060 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $42,488 | 1.0× | 1 | 2026-06-03 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $45,467 | 1.0× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $48,144 | 1.2× | 7 | 2026-07-01 |
| Beverly Hospital Corporation | Boston MA | $49,328 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $49,328 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $50,303 | 1.2× | 3 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $50,902 | 1.4× | 6 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $51,992 | 1.4× | 2 | 2026-02-25 |
| Montefiore Medical Center | New York City | $52,069 | 1.1× | 1 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $56,848 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $58,064 | 1.4× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $64,018 | 1.8× | 4 | 2026-07-14 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $64,390 | 1.6× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $65,448 | 1.8× | 6 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $65,822 | 1.6× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $67,625 | 1.7× | 5 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $68,022 | 1.7× | 5 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $68,470 | 1.8× | 6 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $69,035 | 1.9× | 3 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $69,035 | 1.9× | 3 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $69,153 | 1.7× | 5 | 2026-09-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $70,041 | 1.8× | 5 | 2026-03-13 |
| St David's Medical Center | Austin TX | $71,512 | 1.9× | 6 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $72,430 | 1.8× | 5 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $73,278 | 1.9× | 4 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $73,926 | 1.8× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $73,943 | 1.9× | 4 | 2026-06-15 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $74,702 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $74,702 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $74,702 | 2.0× | 3 | 2026-05-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $76,314 | 2.0× | 2 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $76,790 | 2.0× | 2 | 2026-01-01 |
| Hendricks Regional Health | Indianapolis IN | $77,454 | 1.9× | 3 | 2026-05-20 |
| Stonesprings Hospital Center | Washington DC | $77,507 | 2.0× | 5 | 2026-09-01 |
| Loyola University Medical Center | Chicago IL | $78,399 | 1.9× | 4 | 2026-03-31 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $79,267 | 2.1× | 6 | 2026-06-29 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $79,757 | 2.0× | 3 | 2026-03-31 |
| Rush University Medical Center | Chicago IL | $81,664 | 2.0× | 4 | 2026-09-25 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $82,360 | 1.8× | 6 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $85,501 | 2.3× | 5 | 2026-09-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $85,616 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $85,616 | 2.1× | 4 | 2026-06-16 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $87,398 | 2.3× | 4 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $87,854 | 2.4× | 2 | 2025-12-05 |
| Missouri Baptist Medical Center | St. Louis MO | $88,182 | 2.3× | 3 | 2025-12-15 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $88,764 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $88,764 | 2.2× | 5 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $89,278 | 2.4× | 2 | 2026-05-01 |
| Emory University Hospital | Atlanta GA | $90,303 | 2.4× | 5 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $90,358 | 2.3× | 3 | 2026-06-16 |
| Duke University Hospital | Research Triangle NC | $90,782 | 2.4× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $90,924 | 2.5× | 3 | 2026-06-15 |
| Riddle Memorial Hospital | Philadelphia PA | $91,262 | 2.3× | 4 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $91,454 | 2.0× | 4 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $92,407 | 2.5× | 5 | 2026-09-01 |
| Henderson Hospital | Las Vegas NV | $93,144 | 2.3× | 1 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $93,281 | 2.5× | 5 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $94,127 | 2.5× | 6 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $94,417 | 2.3× | 4 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $95,776 | 2.7× | 2 | 2026-06-15 |
| Mclaren Port Huron | Detroit MI | $96,446 | 2.5× | 1 | 2025-12-31 |
| George Washington Univ Hospital | Washington DC | $96,961 | 2.1× | 3 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $97,956 | 2.5× | 4 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $98,178 | 2.0× | 4 | 2025-11-26 |
| University of Chicago Medical Center | Chicago IL | $99,190 | 2.4× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $99,960 | 2.6× | 6 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $100,017 | 2.3× | 5 | 2026-09-15 |
| Barnes Jewish Hospital | St. Louis MO | $100,283 | 2.6× | 3 | 2025-12-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $100,595 | 2.5× | 5 | 2026-06-16 |
| Medical City Mckinney | Dallas-Fort Worth TX | $101,544 | 2.7× | 6 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $103,312 | 3.1× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $103,847 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $104,099 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $104,251 | 2.8× | 3 | 2026-03-30 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $104,686 | 2.4× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $108,370 | 2.7× | 5 | 2026-01-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $108,593 | 2.9× | 1 | 2026-03-06 |
| Trinity Health Oakland Hospital | Detroit MI | $109,911 | 2.9× | 16 | 2026-03-31 |
| Piedmont Atlanta Hospital | Atlanta GA | $110,062 | 2.9× | 4 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $110,372 | 2.8× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $110,989 | 3.0× | 6 | 2025-10-01 |
| Adventhealth Tampa | Tampa FL | $111,300 | 2.8× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $111,460 | 3.0× | 2 | 2026-09-02 |
| UCHealth University of Colorado Hospital | Denver CO | $112,250 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $112,287 | 2.5× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $113,038 | 2.7× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $113,038 | 2.7× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $113,038 | 2.7× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $113,038 | 2.7× | 4 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $118,020 | 3.1× | 1 | 2026-08-05 |
| Ohio State University Hospitals | Columbus OH | $118,282 | 3.2× | 3 | 2026-07-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $118,424 | 3.3× | 4 | 2026-06-16 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $119,220 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $119,220 | 2.7× | 6 | 2026-08-27 |
| Piedmont Fayette Hospital | Atlanta GA | $119,417 | 3.1× | 3 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $119,417 | 3.1× | 3 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $119,944 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $119,944 | 2.7× | 6 | 2026-02-28 |
| Los Robles Hospital & Medical Center | California (statewide) | $121,948 | 2.5× | 5 | 2026-09-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $122,738 | 3.2× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $122,738 | 3.2× | 1 | 2026-08-05 |
| Adventhealth Carrollwood | Tampa FL | $125,561 | 3.2× | 4 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $126,270 | 2.8× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $128,309 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $130,699 | 3.4× | 5 | 2026-09-15 |
| Adventhealth Porter | Denver CO | $131,997 | 3.3× | 1 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $131,997 | 3.3× | 1 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $137,905 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $137,905 | 3.2× | 3 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $145,063 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $147,981 | 3.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $149,308 | 3.9× | 4 | 2026-04-21 |
| VCU Medical Center | Richmond VA | $153,006 | 4.1× | 3 | 2026-01-02 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $158,230 | 4.0× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $163,237 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $171,146 | 3.5× | 7 | 2026-01-01 |
MS-DRG 219: Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC
116 hospitals in 36 markets. National Medicare rate $55,873.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 3 | — | — | — | $131,917–$171,940 |
| Austin TX | 2 | — | — | — | $77,094–$77,526 |
| Boston MA | 7 | $68,244 | $71,024 | $96,881 | $57,679–$112,224 |
| California (statewide) | 1 | — | — | — | $132,708–$132,708 |
| Charlotte NC | 2 | — | — | — | $128,338–$150,103 |
| Chicago IL | 7 | $89,442 | $107,994 | $116,053 | $73,483–$142,816 |
| Cleveland OH | 5 | $78,922 | $105,523 | $118,219 | $70,188–$153,502 |
| Columbus OH | 1 | — | — | — | $170,305–$170,305 |
| Dallas-Fort Worth TX | 4 | — | — | — | $114,130–$218,114 |
| Denver CO | 7 | $68,734 | $71,101 | $175,837 | $65,822–$190,053 |
| Detroit MI | 8 | $107,558 | $115,614 | $134,343 | $96,080–$154,300 |
| Florida (statewide) | 1 | — | — | — | $231,147–$231,147 |
| Georgia (statewide) | 1 | — | — | — | $150,922–$150,922 |
| Houston TX | 1 | — | — | — | $106,631–$106,631 |
| Indianapolis IN | 1 | — | — | — | $111,520–$111,520 |
| Kansas (statewide) | 1 | — | — | — | $83,540–$83,540 |
| Las Vegas NV | 2 | — | — | — | $61,652–$111,951 |
| Los Angeles CA | 2 | — | — | — | $103,738–$235,033 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $85,392–$106,465 |
| Minneapolis-St. Paul MN | 5 | $123,273 | $123,273 | $130,100 | $119,476–$144,840 |
| Nashville TN | 4 | — | — | — | $70,666–$159,805 |
| New York City | 2 | — | — | — | $76,064–$246,420 |
| Ohio (statewide) | 1 | — | — | — | $134,309–$134,309 |
| Pennsylvania (statewide) | 1 | — | — | — | $148,832–$148,832 |
| Philadelphia PA | 5 | $143,078 | $144,007 | $188,184 | $133,889–$208,865 |
| Phoenix AZ | 3 | — | — | — | $127,805–$135,944 |
| Pittsburgh PA | 1 | — | — | — | $138,228–$138,228 |
| Portland OR | 6 | $163,874 | $163,874 | $193,892 | $163,874–$203,898 |
| Research Triangle NC | 4 | — | — | — | $76,882–$204,643 |
| Richmond VA | 4 | — | — | — | $97,734–$203,881 |
| Salt Lake City UT | 3 | — | — | — | $174,387–$181,358 |
| San Antonio TX | 1 | — | — | — | $79,930–$79,930 |
| Seattle-Tacoma WA | 6 | $173,483 | $174,350 | $175,216 | $151,824–$216,176 |
| St. Louis MO | 2 | — | — | — | $123,883–$147,312 |
| Tampa FL | 4 | — | — | — | $156,361–$183,050 |
| Washington DC | 6 | $115,439 | $145,654 | $159,181 | $104,287–$181,807 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Anna Jaques Hospital | Boston MA | $57,679 | 0.9× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $61,652 | 1.1× | 7 | 2026-07-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $65,465 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $65,822 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $67,625 | 1.2× | 5 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $69,844 | 1.2× | 5 | 2026-09-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $70,188 | 1.4× | 2 | 2026-06-15 |
| TriStar StoneCrest Medical Center | Nashville TN | $70,666 | 1.4× | 6 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $71,024 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $71,024 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $71,101 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $73,483 | 1.3× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $76,064 | 1.1× | 1 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $76,882 | 1.4× | 2 | 2026-02-25 |
| St David's Medical Center | Austin TX | $77,094 | 1.4× | 6 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $77,526 | 1.4× | 2 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $78,858 | 1.5× | 3 | 2026-01-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $78,922 | 1.5× | 4 | 2026-07-14 |
| Methodist Hospital | San Antonio TX | $79,930 | 1.5× | 6 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $81,851 | 1.2× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $82,302 | 1.6× | 3 | 2026-01-01 |
| Menorah Medical Center | Kansas (statewide) | $83,540 | 1.6× | 6 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $84,821 | 1.4× | 3 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $85,392 | 1.5× | 5 | 2026-03-13 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $94,063 | 1.6× | 3 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $96,080 | 1.8× | 2 | 2026-01-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $97,734 | 1.8× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $97,734 | 1.8× | 5 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $103,738 | 1.4× | 4 | 2025-11-26 |
| Reston Hospital Center | Washington DC | $104,287 | 1.8× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $105,523 | 2.0× | 3 | 2026-06-15 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $106,465 | 1.9× | 4 | 2026-06-15 |
| Houston Methodist Hospital | Houston TX | $106,631 | 1.9× | 6 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $107,383 | 1.9× | 5 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $107,558 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $107,558 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $107,558 | 2.0× | 3 | 2026-05-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $107,994 | 1.8× | 3 | 2026-04-01 |
| Hendricks Regional Health | Indianapolis IN | $111,520 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $111,911 | 1.7× | 6 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $111,951 | 1.9× | 1 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $112,224 | 1.7× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $114,130 | 2.1× | 6 | 2026-06-29 |
| Loyola University Medical Center | Chicago IL | $114,526 | 1.9× | 4 | 2026-03-31 |
| UNC Rex Hospital | Research Triangle NC | $116,372 | 2.1× | 4 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $117,580 | 2.0× | 4 | 2026-09-25 |
| Medina Hospital | Cleveland OH | $118,219 | 2.3× | 2 | 2026-06-15 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $119,476 | 2.1× | 2 | 2026-03-31 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $123,273 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $123,273 | 2.1× | 4 | 2026-06-16 |
| Corewell Health Dearborn Hospital | Detroit MI | $123,670 | 2.3× | 2 | 2026-05-01 |
| Missouri Baptist Medical Center | St. Louis MO | $123,883 | 2.3× | 3 | 2025-12-15 |
| Medical City Plano | Dallas-Fort Worth TX | $125,748 | 2.3× | 6 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $127,332 | 2.3× | 6 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $127,805 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $127,805 | 2.2× | 5 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $128,338 | 2.4× | 2 | 2025-12-05 |
| Mclaren Port Huron | Detroit MI | $129,812 | 2.4× | 1 | 2025-12-31 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $130,100 | 2.3× | 3 | 2026-06-16 |
| Emory University Hospital | Atlanta GA | $131,917 | 2.4× | 5 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $132,304 | 2.4× | 3 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $132,708 | 1.9× | 5 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $133,889 | 2.4× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $134,309 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $135,944 | 2.3× | 4 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $138,228 | 2.6× | 1 | 2026-03-06 |
| George Washington Univ Hospital | Washington DC | $139,607 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $142,816 | 2.4× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $143,078 | 2.5× | 4 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $144,007 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $144,840 | 2.5× | 5 | 2026-06-16 |
| Barnes Jewish Hospital | St. Louis MO | $147,312 | 2.7× | 2 | 2025-12-15 |
| Trinity Health Oakland Hospital | Detroit MI | $147,935 | 2.7× | 16 | 2026-03-31 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $148,832 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $150,103 | 2.8× | 3 | 2026-03-30 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $150,922 | 3.2× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $151,701 | 2.7× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $151,824 | 2.4× | 5 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $153,502 | 3.0× | 3 | 2026-06-16 |
| Harper University Hospital | Detroit MI | $154,300 | 2.8× | 2 | 2026-09-02 |
| Tampa General Hospital | Tampa FL | $156,361 | 2.7× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $158,309 | 2.8× | 5 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $159,805 | 3.0× | 6 | 2025-10-01 |
| UCHealth University of Colorado Hospital | Denver CO | $161,621 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $161,674 | 2.5× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $163,874 | 2.7× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $163,874 | 2.7× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $163,874 | 2.7× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $163,874 | 2.7× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $163,908 | 2.9× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $170,305 | 3.2× | 3 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $171,940 | 3.1× | 3 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $171,940 | 3.1× | 3 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $173,483 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $173,483 | 2.7× | 6 | 2026-08-27 |
| Mckay-Dee Hospital | Salt Lake City UT | $174,387 | 3.1× | 1 | 2026-08-05 |
| St Clare Hospital | Seattle-Tacoma WA | $175,216 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $175,216 | 2.7× | 6 | 2026-02-28 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $181,358 | 3.3× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $181,358 | 3.3× | 1 | 2026-08-05 |
| Medstar Georgetown University Hospital | Washington DC | $181,807 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $183,050 | 3.2× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $188,184 | 3.4× | 5 | 2026-09-15 |
| Adventhealth Porter | Denver CO | $190,053 | 3.3× | 1 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $190,053 | 3.3× | 1 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $195,487 | 3.7× | 4 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $203,881 | 3.8× | 3 | 2026-01-02 |
| Providence St Vincent Medical Center | Portland OR | $203,898 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $203,898 | 3.3× | 3 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $204,643 | 3.8× | 1 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $208,865 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $216,176 | 3.4× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $218,114 | 4.0× | 4 | 2026-04-21 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $231,147 | 4.0× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $235,033 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $246,420 | 3.5× | 7 | 2026-01-01 |
MS-DRG 216: Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC
116 hospitals in 36 markets. National Medicare rate $71,187.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $164,541–$219,066 |
| Austin TX | 2 | — | — | — | $83,659–$97,620 |
| Boston MA | 7 | $86,950 | $90,491 | $119,106 | $73,488–$142,584 |
| California (statewide) | 1 | — | — | — | $132,708–$132,708 |
| Charlotte NC | 2 | — | — | — | $160,079–$191,244 |
| Chicago IL | 7 | $111,562 | $134,701 | $146,330 | $91,656–$181,960 |
| Cleveland OH | 5 | $94,943 | $134,445 | $150,621 | $88,676–$209,456 |
| Columbus OH | 1 | — | — | — | $216,982–$216,982 |
| Dallas-Fort Worth TX | 4 | — | — | — | $145,412–$272,054 |
| Denver CO | 7 | $82,712 | $124,613 | $183,682 | $78,861–$205,918 |
| Detroit MI | 8 | $137,037 | $150,896 | $184,984 | $132,567–$205,710 |
| Florida (statewide) | 1 | — | — | — | $288,310–$288,310 |
| Georgia (statewide) | 1 | — | — | — | $188,246–$188,246 |
| Houston TX | 1 | — | — | — | $115,463–$115,463 |
| Indianapolis IN | 1 | — | — | — | $142,085–$142,085 |
| Kansas (statewide) | 1 | — | — | — | $106,437–$106,437 |
| Las Vegas NV | 2 | — | — | — | $84,040–$168,798 |
| Los Angeles CA | 2 | — | — | — | $103,738–$299,452 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $110,985–$122,853 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $157,060–$184,538 |
| Nashville TN | 4 | — | — | — | $76,241–$203,605 |
| New York City | 2 | — | — | — | $94,876–$313,959 |
| Ohio (statewide) | 1 | — | — | — | $171,121–$171,121 |
| Pennsylvania (statewide) | 1 | — | — | — | $190,966–$190,966 |
| Philadelphia PA | 5 | $179,451 | $183,477 | $239,762 | $166,648–$266,112 |
| Phoenix AZ | 3 | — | — | — | $162,835–$172,686 |
| Pittsburgh PA | 1 | — | — | — | $200,035–$200,035 |
| Portland OR | 6 | $206,706 | $206,706 | $240,134 | $206,706–$251,277 |
| Research Triangle NC | 4 | — | — | — | $95,654–$166,009 |
| Richmond VA | 4 | — | — | — | $113,070–$263,995 |
| Salt Lake City UT | 3 | — | — | — | $178,955–$186,109 |
| San Antonio TX | 1 | — | — | — | $90,422–$90,422 |
| Seattle-Tacoma WA | 6 | $218,549 | $219,108 | $219,668 | $191,396–$273,849 |
| St. Louis MO | 2 | — | — | — | $148,476–$179,987 |
| Tampa FL | 4 | — | — | — | $195,030–$231,876 |
| Washington DC | 6 | $115,424 | $183,545 | $201,795 | $93,946–$231,637 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Anna Jaques Hospital | Boston MA | $73,488 | 0.9× | 1 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $76,241 | 1.1× | 6 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $78,861 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $82,623 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $82,802 | 1.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $83,408 | 1.0× | 1 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $83,659 | 1.2× | 2 | 2026-01-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $84,040 | 1.1× | 4 | 2026-07-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $88,676 | 1.4× | 2 | 2026-06-15 |
| Methodist Hospital | San Antonio TX | $90,422 | 1.3× | 6 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $90,491 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $90,491 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $91,656 | 1.2× | 3 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $93,946 | 1.3× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $94,608 | 1.3× | 5 | 2026-09-01 |
| Montefiore Medical Center | New York City | $94,876 | 1.1× | 1 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $94,943 | 1.4× | 4 | 2026-07-14 |
| North Carolina Specialty Hospital | Research Triangle NC | $95,654 | 1.4× | 2 | 2026-02-25 |
| St David's Medical Center | Austin TX | $97,620 | 1.4× | 6 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $98,826 | 1.5× | 3 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $103,115 | 1.6× | 3 | 2026-01-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $103,738 | 1.1× | 4 | 2025-11-26 |
| New England Baptist Hospital | Boston MA | $104,285 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $105,798 | 1.4× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $106,437 | 1.6× | 6 | 2026-09-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $110,985 | 1.5× | 5 | 2026-03-13 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $113,070 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $113,070 | 1.7× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $115,463 | 1.6× | 6 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $117,325 | 1.6× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $122,853 | 1.7× | 4 | 2026-06-15 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $124,613 | 1.7× | 5 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $132,567 | 1.9× | 2 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $132,708 | 1.4× | 5 | 2026-09-01 |
| Duke University Hospital | Research Triangle NC | $133,692 | 1.9× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $133,926 | 1.6× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $134,445 | 2.0× | 3 | 2026-06-15 |
| Endeavor Health Evanston Hospital | Chicago IL | $134,701 | 1.8× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $137,037 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $137,037 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $137,037 | 2.0× | 3 | 2026-05-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $141,196 | 2.0× | 3 | 2026-04-01 |
| Hendricks Regional Health | Indianapolis IN | $142,085 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $142,584 | 1.7× | 6 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $142,851 | 1.9× | 4 | 2026-03-31 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $145,412 | 2.1× | 6 | 2026-06-29 |
| Missouri Baptist Medical Center | St. Louis MO | $148,476 | 2.1× | 3 | 2025-12-15 |
| Rush University Medical Center | Chicago IL | $149,808 | 2.0× | 4 | 2026-09-25 |
| Medina Hospital | Cleveland OH | $150,621 | 2.3× | 2 | 2026-06-15 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $157,060 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $157,060 | 2.1× | 4 | 2026-06-16 |
| Atrium Health Pineville | Charlotte NC | $160,079 | 2.4× | 2 | 2025-12-05 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $162,835 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $162,835 | 2.2× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $163,166 | 2.3× | 6 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $164,541 | 2.4× | 5 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $164,755 | 2.4× | 2 | 2026-05-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $165,476 | 2.4× | 6 | 2026-09-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $165,759 | 2.3× | 3 | 2026-06-16 |
| UNC Rex Hospital | Research Triangle NC | $166,009 | 2.4× | 3 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $166,648 | 2.3× | 4 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $168,798 | 2.3× | 1 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $171,121 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $172,686 | 2.3× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $177,871 | 2.1× | 3 | 2026-09-01 |
| Mclaren Port Huron | Detroit MI | $178,745 | 2.6× | 1 | 2025-12-31 |
| Mckay-Dee Hospital | Salt Lake City UT | $178,955 | 2.5× | 1 | 2026-08-05 |
| Bryn Mawr Hospital | Philadelphia PA | $179,451 | 2.5× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $179,987 | 2.6× | 2 | 2025-12-15 |
| University of Chicago Medical Center | Chicago IL | $181,960 | 2.4× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $183,477 | 2.3× | 5 | 2026-09-15 |
| Adventhealth Porter | Denver CO | $183,682 | 2.5× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $183,682 | 2.5× | 2 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $184,538 | 2.5× | 5 | 2026-06-16 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $186,109 | 2.6× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $186,109 | 2.6× | 1 | 2026-08-05 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $188,246 | 3.1× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $189,219 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $190,966 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $191,244 | 2.8× | 3 | 2026-03-30 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $191,396 | 2.3× | 5 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $195,030 | 2.7× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $197,462 | 2.7× | 5 | 2026-01-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $200,035 | 3.0× | 1 | 2026-03-06 |
| Vanderbilt University Medical Center | Nashville TN | $203,605 | 3.0× | 6 | 2025-10-01 |
| Trinity Health Oakland Hospital | Detroit MI | $203,700 | 2.9× | 16 | 2026-03-31 |
| Harper University Hospital | Detroit MI | $205,710 | 3.0× | 2 | 2026-09-02 |
| UCHealth University of Colorado Hospital | Denver CO | $205,918 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $205,987 | 2.5× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $206,706 | 2.6× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $206,706 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $206,706 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $206,706 | 2.6× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $207,336 | 2.8× | 4 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $209,456 | 3.2× | 3 | 2026-06-16 |
| Ohio State University Hospitals | Columbus OH | $216,982 | 3.2× | 3 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $218,549 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $218,549 | 2.6× | 6 | 2026-02-28 |
| Piedmont Atlanta Hospital | Atlanta GA | $219,066 | 3.1× | 3 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $219,066 | 3.1× | 3 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $219,066 | 3.1× | 3 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $219,668 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $219,668 | 2.7× | 6 | 2026-08-27 |
| Medstar Georgetown University Hospital | Washington DC | $231,637 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $231,876 | 3.2× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $239,762 | 3.4× | 5 | 2026-09-15 |
| Bon Secours St. Mary's Hospital | Richmond VA | $249,067 | 3.7× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $251,277 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $251,277 | 3.2× | 3 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $263,995 | 3.9× | 3 | 2026-01-02 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $266,112 | 3.4× | 5 | 2026-03-24 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $272,054 | 3.9× | 4 | 2026-04-21 |
| Swedish Medical Center | Seattle-Tacoma WA | $273,849 | 3.3× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $288,310 | 4.0× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $299,452 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $313,959 | 3.5× | 7 | 2026-01-01 |
MS-DRG 217: Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc
115 hospitals in 36 markets. National Medicare rate $47,847.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 2 | — | — | — | $110,100–$147,241 |
| Austin TX | 2 | — | — | — | $83,659–$97,620 |
| Boston MA | 7 | $58,442 | $60,822 | $80,338 | $49,394–$104,183 |
| California (statewide) | 1 | — | — | — | $132,708–$132,708 |
| Charlotte NC | 2 | — | — | — | $107,114–$128,541 |
| Chicago IL | 7 | $74,650 | $90,133 | $98,138 | $61,330–$122,301 |
| Cleveland OH | 5 | $89,020 | $90,364 | $101,236 | $59,552–$137,258 |
| Columbus OH | 1 | — | — | — | $145,840–$145,840 |
| Dallas-Fort Worth TX | 4 | — | — | — | $97,735–$182,040 |
| Denver CO | 7 | $123,458 | $124,306 | $126,709 | $120,994–$138,403 |
| Detroit MI | 8 | $92,107 | $103,832 | $123,948 | $92,107–$138,010 |
| Florida (statewide) | 1 | — | — | — | $192,918–$192,918 |
| Georgia (statewide) | 1 | — | — | — | $125,962–$125,962 |
| Houston TX | 1 | — | — | — | $114,900–$114,900 |
| Indianapolis IN | 1 | — | — | — | $95,500–$95,500 |
| Kansas (statewide) | 1 | — | — | — | $81,226–$81,226 |
| Las Vegas NV | 2 | — | — | — | $54,570–$97,420 |
| Los Angeles CA | 2 | — | — | — | $103,738–$201,270 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $73,664–$91,171 |
| Minneapolis-St. Paul MN | 5 | $105,564 | $105,564 | $111,411 | $98,340–$124,033 |
| Nashville TN | 4 | — | — | — | $62,494–$136,848 |
| New York City | 2 | — | — | — | $63,484–$211,021 |
| Ohio (statewide) | 1 | — | — | — | $115,015–$115,015 |
| Pennsylvania (statewide) | 1 | — | — | — | $128,353–$128,353 |
| Philadelphia PA | 5 | $119,920 | $123,320 | $161,151 | $111,103–$178,861 |
| Phoenix AZ | 3 | — | — | — | $109,446–$116,416 |
| Pittsburgh PA | 1 | — | — | — | $131,227–$131,227 |
| Portland OR | 6 | $138,642 | $138,642 | $160,764 | $138,642–$168,138 |
| Research Triangle NC | 4 | — | — | — | $64,404–$111,082 |
| Richmond VA | 4 | — | — | — | $96,297–$186,549 |
| Salt Lake City UT | 3 | — | — | — | $138,129–$143,651 |
| San Antonio TX | 1 | — | — | — | $74,690–$74,690 |
| Seattle-Tacoma WA | 6 | $145,841 | $146,040 | $146,239 | $128,358–$183,242 |
| St. Louis MO | 2 | — | — | — | $101,267–$116,767 |
| Tampa FL | 4 | — | — | — | $132,129–$154,544 |
| Washington DC | 6 | $101,287 | $123,083 | $135,491 | $89,306–$155,690 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Anna Jaques Hospital | Boston MA | $49,394 | 0.9× | 1 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $54,570 | 1.1× | 7 | 2026-07-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $56,061 | 1.0× | 1 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $59,552 | 1.4× | 2 | 2026-06-15 |
| Beverly Hospital Corporation | Boston MA | $60,822 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $60,822 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $61,330 | 1.2× | 3 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $62,494 | 1.4× | 6 | 2026-09-01 |
| Montefiore Medical Center | New York City | $63,484 | 1.1× | 1 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $64,404 | 1.4× | 2 | 2026-02-25 |
| New England Baptist Hospital | Boston MA | $70,093 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $70,793 | 1.4× | 3 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $73,664 | 1.5× | 5 | 2026-03-13 |
| Methodist Hospital | San Antonio TX | $74,690 | 1.6× | 6 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $77,039 | 1.7× | 3 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $77,039 | 1.7× | 3 | 2026-01-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $78,506 | 1.6× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $81,226 | 1.8× | 6 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $83,659 | 1.8× | 2 | 2026-01-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $89,020 | 2.0× | 4 | 2026-07-14 |
| Duke University Hospital | Research Triangle NC | $89,182 | 1.9× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $89,306 | 1.8× | 5 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $90,133 | 1.8× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $90,364 | 2.0× | 3 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $90,582 | 1.6× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $91,171 | 1.9× | 4 | 2026-06-15 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $92,107 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $92,107 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $92,107 | 2.0× | 3 | 2026-05-01 |
| Stonesprings Hospital Center | Washington DC | $95,199 | 2.0× | 5 | 2026-09-01 |
| Hendricks Regional Health | Indianapolis IN | $95,500 | 1.9× | 3 | 2026-05-20 |
| Loyola University Medical Center | Chicago IL | $95,587 | 1.9× | 4 | 2026-03-31 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $96,297 | 2.1× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $96,297 | 2.1× | 5 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $97,128 | 2.1× | 2 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $97,420 | 2.0× | 1 | 2026-09-01 |
| St David's Medical Center | Austin TX | $97,620 | 2.1× | 6 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $97,735 | 2.1× | 6 | 2026-06-29 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $98,340 | 2.0× | 3 | 2026-03-31 |
| Rush University Medical Center | Chicago IL | $100,690 | 2.0× | 4 | 2026-09-25 |
| Medina Hospital | Cleveland OH | $101,236 | 2.3× | 2 | 2026-06-15 |
| Missouri Baptist Medical Center | St. Louis MO | $101,267 | 2.2× | 4 | 2025-12-15 |
| Cedars-Sinai Medical Center | Los Angeles CA | $103,738 | 1.7× | 4 | 2025-11-26 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $104,183 | 1.8× | 6 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $105,564 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $105,564 | 2.1× | 4 | 2026-06-16 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $106,558 | 2.3× | 4 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $107,114 | 2.4× | 2 | 2025-12-05 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $109,446 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $109,446 | 2.2× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $110,100 | 2.4× | 5 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $110,537 | 2.4× | 2 | 2026-05-01 |
| UNC Rex Hospital | Research Triangle NC | $111,082 | 2.3× | 3 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $111,103 | 2.3× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $111,411 | 2.3× | 3 | 2026-06-16 |
| Houston Methodist Hospital | Houston TX | $114,900 | 2.4× | 6 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $115,015 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $116,416 | 2.3× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $116,767 | 2.5× | 2 | 2025-12-15 |
| George Washington Univ Hospital | Washington DC | $119,552 | 2.1× | 3 | 2026-09-01 |
| Mclaren Port Huron | Detroit MI | $119,768 | 2.6× | 1 | 2025-12-31 |
| Bryn Mawr Hospital | Philadelphia PA | $119,920 | 2.5× | 4 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $120,994 | 2.4× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $122,301 | 2.4× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $123,320 | 2.3× | 5 | 2026-09-15 |
| Adventhealth Porter | Denver CO | $123,458 | 2.5× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $123,458 | 2.5× | 2 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $124,033 | 2.5× | 5 | 2026-06-16 |
| HCA HealthONE Sky Ridge | Denver CO | $124,306 | 2.5× | 5 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $125,034 | 2.5× | 5 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $125,962 | 3.1× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $126,614 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $128,353 | 2.7× | 5 | 2026-07-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $128,358 | 2.3× | 5 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $128,384 | 2.6× | 5 | 2026-09-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $128,541 | 2.8× | 3 | 2026-03-30 |
| Medical City Plano | Dallas-Fort Worth TX | $130,678 | 2.8× | 6 | 2026-09-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $131,227 | 2.9× | 1 | 2026-03-06 |
| Morton Plant Hospital | Tampa FL | $132,129 | 2.7× | 5 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $132,708 | 2.2× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $132,988 | 2.8× | 6 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $134,569 | 2.8× | 4 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $136,489 | 2.9× | 16 | 2026-03-31 |
| Adventhealth Tampa | Tampa FL | $136,698 | 2.8× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $136,848 | 3.0× | 6 | 2025-10-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $137,258 | 3.1× | 3 | 2026-06-16 |
| Harper University Hospital | Detroit MI | $138,010 | 3.0× | 2 | 2026-09-02 |
| Mckay-Dee Hospital | Salt Lake City UT | $138,129 | 2.9× | 1 | 2026-08-05 |
| UCHealth University of Colorado Hospital | Denver CO | $138,403 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $138,450 | 2.5× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $138,642 | 2.6× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $138,642 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $138,642 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $138,642 | 2.6× | 4 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $143,651 | 3.0× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $143,651 | 3.0× | 1 | 2026-08-05 |
| Ohio State University Hospitals | Columbus OH | $145,840 | 3.2× | 3 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $145,841 | 2.6× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $145,841 | 2.6× | 6 | 2026-08-27 |
| St Clare Hospital | Seattle-Tacoma WA | $146,239 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $146,239 | 2.6× | 6 | 2026-02-28 |
| Piedmont Atlanta Hospital | Atlanta GA | $147,241 | 3.1× | 3 | 2026-07-01 |
| Adventhealth Carrollwood | Tampa FL | $154,544 | 3.1× | 4 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $155,690 | 2.8× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $158,204 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $161,151 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $168,138 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $168,138 | 3.2× | 3 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $178,861 | 3.4× | 5 | 2026-03-24 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $182,040 | 3.9× | 4 | 2026-04-21 |
| Swedish Medical Center | Seattle-Tacoma WA | $183,242 | 3.3× | 5 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $186,549 | 4.1× | 3 | 2026-01-02 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $192,918 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $201,270 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $211,021 | 3.5× | 7 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for heart valve surgery (open)?
Across 120 hospitals in 38 metro areas that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 220) is $93,213, 2.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $73,939 to $113,038. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for heart valve surgery (open)?
Medicare's national inpatient base rate for MS-DRG 220 is $38,806, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for heart valve surgery (open)?
Lowest medians: Ascension St Vincent Carmel ($24,983), Stony Brook University Hospital ($33,011), Cleveland Clinic Hillcrest Hospital ($36,500). Highest: NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($171,146), Keck Hospital Of Usc ($163,237), Orlando Health Orlando Regional Medical Center ($158,230). Coverage is limited to the markets listed on this page.