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
1382 hospitals in 82 markets. National Medicare rate $38,806.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 23 | $43,740 | $50,088 | $60,330 | $30,000–$126,112 |
| Alaska (statewide) | 4 | — | — | — | $46,142–$175,122 |
| Arizona (statewide) | 27 | $71,924 | $94,417 | $120,407 | $33,738–$167,418 |
| Arkansas (statewide) | 9 | $44,741 | $51,444 | $54,630 | $40,806–$62,607 |
| Atlanta GA | 10 | $90,303 | $114,740 | $119,417 | $90,303–$148,545 |
| Austin TX | 13 | $35,591 | $64,762 | $73,043 | $34,678–$76,790 |
| Boston MA | 15 | $46,350 | $49,328 | $69,776 | $37,818–$91,454 |
| California (statewide) | 54 | $58,630 | $73,666 | $99,050 | $32,400–$165,471 |
| Charlotte NC | 8 | $80,646 | $87,339 | $104,251 | $59,823–$104,251 |
| Chicago IL | 11 | $61,227 | $73,926 | $85,603 | $49,510–$99,190 |
| Cleveland OH | 11 | $66,116 | $68,146 | $79,653 | $39,936–$122,077 |
| Colorado (statewide) | 16 | $65,927 | $96,992 | $123,312 | $32,673–$167,669 |
| Columbus OH | 2 | — | — | — | $108,394–$142,903 |
| Connecticut (statewide) | 2 | — | — | — | $101,659–$113,101 |
| Dallas-Fort Worth TX | 15 | $49,104 | $75,729 | $77,126 | $48,002–$135,617 |
| Delaware (statewide) | 1 | — | — | — | $108,246–$108,246 |
| Denver CO | 15 | $54,293 | $57,338 | $105,922 | $52,718–$139,628 |
| Detroit MI | 14 | $73,050 | $73,147 | $105,152 | $36,199–$111,460 |
| Florida (statewide) | 91 | $52,123 | $61,354 | $103,842 | $39,538–$160,182 |
| Georgia (statewide) | 44 | $72,658 | $108,728 | $127,902 | $39,184–$148,545 |
| Hawaii (statewide) | 11 | $117,858 | $125,763 | $136,587 | $91,991–$142,860 |
| Houston TX | 19 | $59,218 | $62,204 | $79,576 | $51,308–$103,639 |
| Idaho (statewide) | 14 | $84,804 | $102,317 | $132,470 | $55,025–$145,549 |
| Illinois (statewide) | 37 | $50,233 | $59,256 | $81,794 | $42,488–$109,020 |
| Indiana (statewide) | 34 | $56,958 | $75,318 | $103,296 | $26,213–$155,584 |
| Indianapolis IN | 4 | — | — | — | $24,983–$135,496 |
| Iowa (statewide) | 16 | $50,013 | $59,808 | $72,116 | $44,715–$89,885 |
| Kansas (statewide) | 19 | $44,982 | $48,661 | $68,358 | $23,903–$175,122 |
| Kentucky (statewide) | 18 | $52,881 | $57,576 | $69,354 | $46,529–$141,721 |
| Las Vegas NV | 1 | — | — | — | $37,781–$37,781 |
| Los Angeles CA | 18 | $85,526 | $94,712 | $100,738 | $71,321–$119,844 |
| Louisiana (statewide) | 23 | $42,239 | $49,138 | $56,435 | $30,438–$70,462 |
| Maine (statewide) | 13 | $107,508 | $144,615 | $161,243 | $40,518–$161,243 |
| Massachusetts (statewide) | 7 | $56,593 | $63,002 | $72,782 | $38,020–$136,167 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $53,656–$79,942 |
| Michigan (statewide) | 35 | $65,069 | $71,670 | $89,672 | $42,023–$127,485 |
| Minneapolis-St. Paul MN | 14 | $81,222 | $90,358 | $90,959 | $56,008–$100,595 |
| Minnesota (statewide) | 20 | $68,050 | $71,435 | $90,066 | $29,277–$112,301 |
| Mississippi (statewide) | 17 | $53,656 | $56,361 | $60,964 | $38,777–$88,348 |
| Missouri (statewide) | 25 | $49,203 | $58,021 | $68,756 | $24,363–$135,617 |
| Montana (statewide) | 7 | $54,376 | $86,920 | $116,097 | $25,284–$183,619 |
| Nashville TN | 8 | $44,020 | $52,990 | $72,521 | $41,967–$101,697 |
| Nebraska (statewide) | 14 | $88,770 | $93,172 | $97,455 | $59,920–$127,363 |
| Nevada (statewide) | 6 | $76,004 | $93,144 | $94,804 | $68,346–$105,912 |
| New Hampshire (statewide) | 8 | $67,164 | $71,534 | $88,826 | $64,249–$125,427 |
| New Jersey (statewide) | 21 | $91,739 | $98,809 | $121,551 | $50,052–$155,864 |
| New Mexico (statewide) | 9 | $52,795 | $71,760 | $84,809 | $37,167–$159,486 |
| New York (statewide) | 46 | $56,897 | $69,418 | $93,836 | $33,011–$174,024 |
| New York City | 8 | $97,439 | $100,011 | $117,372 | $47,201–$164,197 |
| North Carolina (statewide) | 24 | $48,564 | $74,576 | $104,362 | $35,053–$124,073 |
| North Dakota (statewide) | 7 | $59,592 | $67,314 | $69,926 | $54,137–$95,631 |
| Ohio (statewide) | 43 | $66,888 | $90,738 | $100,222 | $34,255–$146,600 |
| Oklahoma (statewide) | 15 | $45,346 | $54,643 | $59,643 | $41,764–$98,362 |
| Oregon (statewide) | 11 | $86,638 | $87,239 | $107,533 | $85,152–$141,828 |
| Pennsylvania (statewide) | 57 | $60,869 | $79,989 | $94,025 | $39,682–$122,557 |
| Philadelphia PA | 11 | $92,206 | $97,956 | $111,706 | $88,348–$155,864 |
| Phoenix AZ | 11 | $88,764 | $94,417 | $106,360 | $88,764–$118,168 |
| Pittsburgh PA | 7 | $64,394 | $67,780 | $83,342 | $51,872–$91,234 |
| Portland OR | 9 | $106,521 | $112,970 | $137,905 | $104,226–$137,905 |
| Research Triangle NC | 7 | $64,654 | $80,499 | $85,640 | $51,992–$90,782 |
| Rhode Island (statewide) | 5 | $67,146 | $97,394 | $102,064 | $52,717–$112,397 |
| Richmond VA | 6 | $68,085 | $100,188 | $126,904 | $61,636–$153,006 |
| Rio Grande Valley TX | 6 | $56,907 | $65,148 | $68,568 | $52,089–$70,133 |
| Salt Lake City UT | 9 | $106,935 | $106,935 | $106,935 | $105,873–$106,935 |
| San Antonio TX | 3 | — | — | — | $66,684–$77,391 |
| San Diego CA | 5 | $57,619 | $72,076 | $85,131 | $51,350–$87,182 |
| San Francisco Bay Area CA | 3 | — | — | — | $64,657–$143,195 |
| Seattle-Tacoma WA | 16 | $105,335 | $116,437 | $123,444 | $102,975–$147,981 |
| South Carolina (statewide) | 25 | $86,499 | $120,579 | $146,925 | $47,225–$227,638 |
| South Dakota (statewide) | 3 | — | — | — | $68,606–$86,738 |
| St. Louis MO | 3 | — | — | — | $77,432–$90,420 |
| Tampa FL | 11 | $102,664 | $103,842 | $110,086 | $82,445–$115,893 |
| Tennessee (statewide) | 29 | $45,597 | $52,432 | $64,542 | $39,403–$101,697 |
| Texas (statewide) | 87 | $54,172 | $67,392 | $77,779 | $29,974–$141,721 |
| Utah (statewide) | 4 | — | — | — | $106,935–$150,715 |
| Vermont (statewide) | 3 | — | — | — | $66,219–$146,374 |
| Virginia (statewide) | 21 | $76,217 | $100,637 | $106,146 | $52,388–$168,996 |
| Washington (statewide) | 11 | $93,218 | $102,014 | $123,353 | $80,317–$221,732 |
| Washington DC | 11 | $83,360 | $103,847 | $107,046 | $50,011–$112,287 |
| West Virginia (statewide) | 12 | $38,447 | $40,052 | $96,646 | $33,556–$128,446 |
| Wisconsin (statewide) | 45 | $88,354 | $101,982 | $110,922 | $48,775–$128,270 |
| Wyoming (statewide) | 1 | — | — | — | $116,535–$116,535 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $23,903 | 0.7× | 3 | 2025-12-19 |
| Lafayette Regional Health Center | Missouri (statewide) | $24,363 | 0.6× | 4 | 2026-09-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Mccone County Health Center | Montana (statewide) | $25,284 | 0.7× | 1 | 2026-01-01 |
| Ascension Via Christi Hospitals Wichita, Inc. | Kansas (statewide) | $25,665 | 0.7× | 5 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $26,213 | 0.7× | 1 | 2026-01-01 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $29,277 | 0.8× | 1 | 2026-01-28 |
| Peterson Regional Medical Center | Texas (statewide) | $29,974 | 0.8× | 1 | 2026-08-17 |
| East Alabama Medical Center | Alabama (statewide) | $30,000 | 0.9× | 1 | 2026-01-01 |
| St Charles Parish Hospital | Louisiana (statewide) | $30,438 | 0.9× | 2 | 2026-04-01 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Kansas (statewide) | $30,730 | 0.9× | 7 | 2026-01-01 |
| Page Hospital | Arizona (statewide) | $167,418 | 4.1× | 1 | 2026-03-02 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $167,669 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $168,996 | 4.6× | 1 | 2025-12-15 |
| Garnet Health Medical Center | New York (statewide) | $169,386 | 3.5× | 10 | 2026-04-01 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $169,832 | 3.5× | 10 | 2026-04-01 |
| Albany Medical Center Hospital | New York (statewide) | $174,024 | 3.6× | 4 | 2025-12-31 |
| Providence Alaska Medical Center | Alaska (statewide) | $175,122 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $175,122 | 4.9× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $183,619 | 4.7× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $221,732 | 5.2× | 2 | 2026-04-01 |
| Prisma Health Richland Hospital | South Carolina (statewide) | $227,638 | 6.2× | 3 | 2026-03-01 |
| Prisma Health Baptist Parkridge | South Carolina (statewide) | $227,638 | 6.2× | 3 | 2026-03-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 219: Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC
1371 hospitals in 82 markets. National Medicare rate $55,873.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 23 | $62,238 | $69,121 | $86,864 | $30,000–$184,226 |
| Alaska (statewide) | 4 | — | — | — | $66,222–$255,824 |
| Arizona (statewide) | 27 | $97,376 | $135,944 | $167,759 | $43,953–$218,108 |
| Arkansas (statewide) | 8 | $65,336 | $73,352 | $75,247 | $59,610–$79,656 |
| Atlanta GA | 9 | $131,917 | $171,940 | $171,940 | $131,917–$217,000 |
| Austin TX | 13 | $52,495 | $84,707 | $89,449 | $49,642–$94,938 |
| Boston MA | 14 | $66,100 | $76,438 | $104,579 | $54,451–$159,302 |
| California (statewide) | 53 | $87,227 | $104,456 | $132,708 | $49,053–$233,506 |
| Charlotte NC | 8 | $117,808 | $127,586 | $150,103 | $86,135–$150,103 |
| Chicago IL | 11 | $89,442 | $107,994 | $124,192 | $46,305–$142,816 |
| Cleveland OH | 11 | $83,379 | $95,756 | $102,561 | $60,059–$174,100 |
| Colorado (statewide) | 16 | $94,924 | $139,924 | $177,548 | $47,044–$241,413 |
| Columbus OH | 2 | — | — | — | $156,069–$205,755 |
| Connecticut (statewide) | 2 | — | — | — | $145,745–$168,714 |
| Dallas-Fort Worth TX | 15 | $69,956 | $99,184 | $102,568 | $67,920–$214,244 |
| Delaware (statewide) | 1 | — | — | — | $139,478–$139,478 |
| Denver CO | 15 | $72,733 | $75,904 | $152,510 | $65,756–$202,291 |
| Detroit MI | 14 | $105,179 | $105,352 | $143,404 | $51,972–$155,578 |
| Florida (statewide) | 91 | $73,299 | $81,523 | $151,694 | $60,592–$231,147 |
| Georgia (statewide) | 43 | $101,177 | $150,922 | $181,088 | $55,349–$217,000 |
| Hawaii (statewide) | 11 | $125,763 | $132,451 | $150,824 | $109,721–$178,976 |
| Houston TX | 19 | $81,408 | $90,950 | $111,058 | $76,021–$144,273 |
| Idaho (statewide) | 14 | $122,355 | $141,308 | $193,515 | $79,226–$193,569 |
| Illinois (statewide) | 35 | $75,763 | $85,030 | $117,033 | $61,419–$136,204 |
| Indiana (statewide) | 33 | $86,878 | $108,684 | $155,201 | $56,871–$224,014 |
| Indianapolis IN | 2 | — | — | — | $140,551–$195,090 |
| Iowa (statewide) | 16 | $73,060 | $86,614 | $103,496 | $65,275–$131,305 |
| Kansas (statewide) | 19 | $68,487 | $82,443 | $98,423 | $30,801–$148,130 |
| Kentucky (statewide) | 19 | $70,186 | $77,594 | $99,271 | $53,060–$185,831 |
| Las Vegas NV | 1 | — | — | — | $37,781–$37,781 |
| Los Angeles CA | 18 | $112,221 | $131,027 | $146,465 | $89,431–$168,923 |
| Louisiana (statewide) | 23 | $61,310 | $67,983 | $73,582 | $43,938–$102,178 |
| Maine (statewide) | 13 | $157,049 | $208,220 | $232,161 | $58,338–$232,161 |
| Massachusetts (statewide) | 7 | $87,178 | $104,793 | $104,884 | $54,742–$136,167 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $70,041–$102,306 |
| Michigan (statewide) | 34 | $90,524 | $100,612 | $126,622 | $60,506–$171,589 |
| Minneapolis-St. Paul MN | 14 | $120,425 | $130,100 | $132,875 | $81,633–$144,840 |
| Minnesota (statewide) | 20 | $97,980 | $102,854 | $131,570 | $42,154–$164,050 |
| Mississippi (statewide) | 17 | $77,168 | $80,755 | $87,778 | $60,352–$127,206 |
| Missouri (statewide) | 24 | $72,940 | $83,540 | $94,906 | $56,871–$198,114 |
| Montana (statewide) | 7 | $78,292 | $124,810 | $166,832 | $36,936–$274,606 |
| Nashville TN | 8 | $62,646 | $68,674 | $98,560 | $59,715–$148,560 |
| Nebraska (statewide) | 14 | $126,797 | $132,729 | $142,054 | $87,532–$183,381 |
| Nevada (statewide) | 6 | $103,160 | $111,951 | $122,366 | $93,197–$152,495 |
| New Hampshire (statewide) | 8 | $87,832 | $104,500 | $128,397 | $71,015–$180,594 |
| New Jersey (statewide) | 21 | $131,314 | $141,928 | $175,011 | $67,760–$228,598 |
| New Mexico (statewide) | 10 | $76,162 | $92,266 | $123,746 | $53,978–$232,982 |
| New York (statewide) | 45 | $81,981 | $98,447 | $135,162 | $55,706–$248,095 |
| New York City | 8 | $140,768 | $143,892 | $168,996 | $68,952–$236,415 |
| North Carolina (statewide) | 22 | $73,030 | $116,533 | $150,584 | $40,598–$178,643 |
| North Dakota (statewide) | 7 | $87,808 | $98,333 | $101,023 | $79,923–$139,700 |
| Ohio (statewide) | 44 | $84,598 | $130,780 | $143,272 | $49,322–$206,262 |
| Oklahoma (statewide) | 16 | $65,979 | $78,607 | $82,704 | $61,010–$143,689 |
| Oregon (statewide) | 11 | $105,408 | $125,609 | $156,865 | $86,638–$206,262 |
| Pennsylvania (statewide) | 57 | $86,318 | $115,170 | $132,262 | $52,212–$179,045 |
| Philadelphia PA | 11 | $134,004 | $143,078 | $163,850 | $127,206–$228,598 |
| Phoenix AZ | 11 | $127,805 | $127,805 | $147,477 | $126,602–$162,431 |
| Pittsburgh PA | 7 | $86,180 | $90,825 | $98,874 | $74,687–$115,319 |
| Portland OR | 9 | $155,609 | $163,418 | $203,898 | $150,581–$203,898 |
| Research Triangle NC | 7 | $101,098 | $115,904 | $160,274 | $76,882–$204,643 |
| Rhode Island (statewide) | 5 | $96,410 | $146,955 | $161,832 | $75,633–$166,258 |
| Richmond VA | 6 | $89,870 | $136,511 | $191,561 | $88,746–$203,881 |
| Rio Grande Valley TX | 6 | $75,909 | $83,185 | $92,986 | $74,207–$99,237 |
| Salt Lake City UT | 9 | $158,008 | $158,008 | $158,008 | $156,438–$158,008 |
| San Antonio TX | 3 | — | — | — | $79,930–$103,665 |
| San Diego CA | 5 | $82,537 | $103,277 | $121,880 | $73,830–$125,099 |
| San Francisco Bay Area CA | 3 | — | — | — | $92,890–$208,344 |
| Seattle-Tacoma WA | 16 | $155,897 | $170,765 | $180,365 | $151,542–$216,176 |
| South Carolina (statewide) | 25 | $121,061 | $169,744 | $197,963 | $56,968–$232,691 |
| South Dakota (statewide) | 3 | — | — | — | $98,781–$124,888 |
| St. Louis MO | 3 | — | — | — | $100,874–$119,507 |
| Tampa FL | 11 | $148,908 | $151,694 | $158,505 | $118,706–$171,395 |
| Tennessee (statewide) | 29 | $64,348 | $77,658 | $87,398 | $58,467–$148,560 |
| Texas (statewide) | 87 | $77,110 | $90,522 | $108,111 | $44,833–$201,162 |
| Utah (statewide) | 4 | — | — | — | $158,008–$222,697 |
| Vermont (statewide) | 3 | — | — | — | $96,734–$213,826 |
| Virginia (statewide) | 21 | $129,165 | $147,012 | $158,280 | $71,896–$264,349 |
| Washington (statewide) | 11 | $136,219 | $149,258 | $180,974 | $115,229–$324,660 |
| Washington DC | 11 | $119,130 | $151,701 | $156,375 | $74,793–$161,674 |
| West Virginia (statewide) | 12 | $46,928 | $48,886 | $121,142 | $40,958–$184,940 |
| Wisconsin (statewide) | 45 | $129,069 | $146,836 | $159,709 | $70,227–$184,686 |
| Wyoming (statewide) | 1 | — | — | — | $171,343–$171,343 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| East Alabama Medical Center | Alabama (statewide) | $30,000 | 0.6× | 1 | 2026-01-01 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $30,801 | 0.6× | 3 | 2025-12-19 |
| Mccone County Health Center | Montana (statewide) | $36,936 | 0.7× | 1 | 2026-01-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $37,781 | 0.7× | 67 | 2026-07-01 |
| Frye Regional Medical Center | North Carolina (statewide) | $40,598 | 0.8× | 2 | 2026-07-08 |
| Wetzel County Hospital | West Virginia (statewide) | $40,958 | 0.8× | 2 | 2026-07-10 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $42,154 | 0.8× | 1 | 2026-01-28 |
| St Charles Parish Hospital | Louisiana (statewide) | $43,938 | 0.9× | 2 | 2026-04-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $43,953 | 0.8× | 1 | 2026-07-29 |
| Peterson Regional Medical Center | Texas (statewide) | $44,833 | 0.8× | 1 | 2026-08-17 |
| University of Illinois Hospital and Clinics | Chicago IL | $46,305 | 0.8× | 1 | 2026-04-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $46,799 | 0.9× | 2 | 2026-07-10 |
| Presbyterian Espanola Hospital | New Mexico (statewide) | $232,982 | 4.3× | 2 | 2026-04-01 |
| Providence Santa Rosa Memorial Hospital | California (statewide) | $233,506 | 3.1× | 4 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $236,415 | 3.4× | 9 | 2026-01-01 |
| Albany Medical Center Hospital | New York (statewide) | $240,447 | 3.5× | 4 | 2025-12-31 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $241,413 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $243,325 | 4.6× | 1 | 2025-12-15 |
| Garnet Health Medical Center | New York (statewide) | $246,525 | 3.5× | 10 | 2026-04-01 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $248,095 | 3.6× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $255,824 | 4.2× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $264,349 | 5.0× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $274,606 | 4.9× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $324,660 | 5.3× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 216: Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC
1376 hospitals in 82 markets. National Medicare rate $71,187.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $79,689 | $89,132 | $106,280 | $65,545–$229,788 |
| Alaska (statewide) | 3 | — | — | — | $84,238–$319,090 |
| Arizona (statewide) | 27 | $116,576 | $172,686 | $201,404 | $50,877–$252,467 |
| Arkansas (statewide) | 9 | $83,154 | $93,736 | $95,871 | $74,352–$114,850 |
| Atlanta GA | 10 | $164,541 | $219,066 | $219,066 | $164,541–$284,112 |
| Austin TX | 13 | $66,883 | $106,755 | $110,720 | $62,825–$120,959 |
| Boston MA | 13 | $83,408 | $90,491 | $133,926 | $69,375–$207,206 |
| California (statewide) | 51 | $107,154 | $129,655 | $171,092 | $61,184–$291,254 |
| Charlotte NC | 8 | $146,945 | $159,140 | $191,244 | $109,743–$191,244 |
| Chicago IL | 11 | $111,562 | $134,701 | $156,481 | $58,192–$181,960 |
| Cleveland OH | 11 | $106,044 | $122,001 | $130,672 | $76,408–$228,050 |
| Colorado (statewide) | 16 | $128,503 | $175,558 | $226,210 | $59,938–$307,581 |
| Columbus OH | 2 | — | — | — | $198,845–$262,150 |
| Connecticut (statewide) | 2 | — | — | — | $180,738–$218,458 |
| Dallas-Fort Worth TX | 15 | $90,575 | $126,369 | $130,664 | $86,045–$267,229 |
| Delaware (statewide) | 1 | — | — | — | $198,115–$198,115 |
| Denver CO | 15 | $115,984 | $127,660 | $194,311 | $80,794–$255,404 |
| Detroit MI | 14 | $134,007 | $134,007 | $189,853 | $66,216–$205,710 |
| Florida (statewide) | 91 | $90,014 | $101,206 | $189,210 | $64,448–$293,846 |
| Georgia (statewide) | 44 | $131,416 | $198,820 | $234,631 | $69,853–$284,112 |
| Hawaii (statewide) | 12 | $179,220 | $193,361 | $213,768 | $103,421–$244,039 |
| Houston TX | 19 | $95,110 | $111,194 | $138,808 | $91,563–$180,731 |
| Idaho (statewide) | 14 | $151,286 | $166,722 | $222,810 | $100,941–$235,340 |
| Illinois (statewide) | 36 | $96,738 | $107,748 | $143,927 | $78,253–$173,204 |
| Indiana (statewide) | 33 | $110,540 | $138,322 | $192,037 | $70,936–$285,413 |
| Indianapolis IN | 2 | — | — | — | $179,074–$248,561 |
| Iowa (statewide) | 15 | $90,992 | $107,706 | $129,938 | $81,394–$163,779 |
| Kansas (statewide) | 19 | $85,814 | $102,832 | $125,398 | $39,243–$319,090 |
| Kentucky (statewide) | 20 | $90,332 | $100,044 | $126,901 | $59,671–$222,603 |
| Las Vegas NV | 1 | — | — | — | $96,937–$96,937 |
| Los Angeles CA | 18 | $131,039 | $164,254 | $182,686 | $111,129–$215,222 |
| Louisiana (statewide) | 23 | $76,040 | $86,616 | $91,894 | $54,522–$128,556 |
| Maine (statewide) | 13 | $195,890 | $265,290 | $295,793 | $74,328–$295,793 |
| Massachusetts (statewide) | 8 | $102,324 | $113,211 | $133,516 | $69,746–$186,381 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $77,566–$110,134 |
| Michigan (statewide) | 34 | $119,963 | $131,398 | $162,103 | $77,090–$236,270 |
| Minneapolis-St. Paul MN | 13 | $157,060 | $165,736 | $165,759 | $74,806–$184,538 |
| Minnesota (statewide) | 20 | $124,835 | $131,045 | $164,109 | $53,708–$204,623 |
| Mississippi (statewide) | 17 | $100,971 | $109,303 | $117,674 | $75,279–$162,072 |
| Missouri (statewide) | 25 | $91,731 | $106,437 | $121,219 | $70,936–$247,108 |
| Montana (statewide) | 7 | $99,750 | $158,806 | $212,353 | $46,070–$329,120 |
| Nashville TN | 8 | $78,582 | $85,112 | $124,010 | $75,640–$185,301 |
| Nebraska (statewide) | 14 | $161,746 | $169,770 | $177,616 | $112,988–$233,643 |
| Nevada (statewide) | 6 | $137,520 | $168,798 | $172,078 | $118,414–$194,292 |
| New Hampshire (statewide) | 8 | $119,960 | $131,366 | $162,650 | $98,710–$230,091 |
| New Jersey (statewide) | 21 | $164,951 | $180,618 | $219,978 | $82,901–$281,686 |
| New Mexico (statewide) | 9 | $96,850 | $130,753 | $154,531 | $67,721–$290,600 |
| New York (statewide) | 44 | $111,543 | $129,537 | $169,256 | $70,974–$312,123 |
| New York City | 8 | $178,469 | $183,330 | $215,315 | $86,006–$301,212 |
| North Carolina (statewide) | 24 | $118,806 | $148,474 | $191,448 | $83,428–$227,607 |
| North Dakota (statewide) | 7 | $110,700 | $122,652 | $128,076 | $99,688–$174,249 |
| Ohio (statewide) | 44 | $107,676 | $166,626 | $182,403 | $62,840–$283,600 |
| Oklahoma (statewide) | 15 | $83,921 | $102,608 | $107,184 | $76,099–$179,226 |
| Oregon (statewide) | 11 | $100,181 | $158,532 | $195,541 | $90,180–$258,971 |
| Pennsylvania (statewide) | 58 | $111,858 | $143,690 | $171,352 | $74,118–$223,315 |
| Philadelphia PA | 11 | $168,763 | $179,453 | $204,358 | $162,072–$281,686 |
| Phoenix AZ | 11 | $162,835 | $162,835 | $181,893 | $153,288–$195,061 |
| Pittsburgh PA | 7 | $118,344 | $124,196 | $137,230 | $95,157–$158,886 |
| Portland OR | 9 | $194,092 | $206,686 | $251,277 | $189,392–$251,277 |
| Research Triangle NC | 7 | $114,673 | $133,692 | $144,434 | $90,674–$147,671 |
| Rhode Island (statewide) | 5 | $122,668 | $187,233 | $206,188 | $96,196–$211,827 |
| Richmond VA | 7 | $95,796 | $218,592 | $237,068 | $90,145–$263,995 |
| Rio Grande Valley TX | 6 | $94,710 | $103,803 | $117,610 | $90,554–$125,350 |
| Salt Lake City UT | 9 | $162,148 | $162,148 | $162,148 | $160,537–$162,148 |
| San Antonio TX | 3 | — | — | — | $90,422–$127,178 |
| San Diego CA | 6 | $97,338 | $118,084 | $148,958 | $94,000–$159,120 |
| San Francisco Bay Area CA | 3 | — | — | — | $118,222–$181,292 |
| Seattle-Tacoma WA | 16 | $195,190 | $212,160 | $224,971 | $190,226–$273,849 |
| South Carolina (statewide) | 26 | $135,381 | $183,969 | $253,808 | $81,014–$296,468 |
| South Dakota (statewide) | 3 | — | — | — | $125,856–$159,117 |
| St. Louis MO | 3 | — | — | — | $127,135–$152,121 |
| Tampa FL | 11 | $187,691 | $189,210 | $201,949 | $151,242–$215,680 |
| Tennessee (statewide) | 29 | $81,985 | $96,186 | $106,522 | $76,730–$185,301 |
| Texas (statewide) | 87 | $90,720 | $114,116 | $138,954 | $56,070–$250,910 |
| Utah (statewide) | 4 | — | — | — | $162,148–$228,531 |
| Vermont (statewide) | 3 | — | — | — | $120,658–$266,708 |
| Virginia (statewide) | 22 | $146,340 | $184,167 | $199,928 | $83,595–$336,802 |
| Washington (statewide) | 12 | $162,134 | $186,102 | $217,035 | $97,748–$406,257 |
| Washington DC | 11 | $139,115 | $189,219 | $195,049 | $89,640–$205,987 |
| West Virginia (statewide) | 12 | $56,609 | $58,972 | $164,766 | $49,408–$235,629 |
| Wisconsin (statewide) | 45 | $160,990 | $187,082 | $203,482 | $89,475–$235,306 |
| Wyoming (statewide) | 1 | — | — | — | $215,652–$215,652 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $39,243 | 0.6× | 3 | 2025-12-19 |
| Mccone County Health Center | Montana (statewide) | $46,070 | 0.7× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $49,408 | 0.7× | 2 | 2026-07-10 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $50,877 | 0.7× | 1 | 2026-07-29 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $53,708 | 0.8× | 1 | 2026-01-28 |
| St Charles Parish Hospital | Louisiana (statewide) | $54,522 | 0.8× | 2 | 2026-04-01 |
| Peterson Regional Medical Center | Texas (statewide) | $56,070 | 0.8× | 1 | 2026-08-17 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $56,454 | 0.8× | 2 | 2026-07-10 |
| Camden Clark Medical Center | West Virginia (statewide) | $56,466 | 0.8× | 2 | 2026-07-09 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $56,657 | 0.8× | 3 | 2026-07-09 |
| University of Illinois Hospital and Clinics | Chicago IL | $58,192 | 0.8× | 2 | 2026-04-01 |
| Thomas Memorial Hospital | West Virginia (statewide) | $58,344 | 0.9× | 3 | 2026-07-10 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $295,793 | 4.3× | 3 | 2026-03-30 |
| Cherokee Medical Center | South Carolina (statewide) | $296,468 | 4.6× | 4 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $301,212 | 3.4× | 9 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $307,581 | 4.2× | 4 | 2026-03-22 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $309,450 | 3.5× | 10 | 2026-04-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $310,017 | 4.6× | 1 | 2025-12-15 |
| Garnet Health Medical Center | New York (statewide) | $312,123 | 3.5× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $319,090 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $319,090 | 4.8× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $329,120 | 4.6× | 1 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $336,802 | 5.0× | 1 | 2025-12-15 |
| Providence Centralia Hospital | Washington (statewide) | $406,257 | 5.2× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 217: Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc
1342 hospitals in 82 markets. National Medicare rate $47,847.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $53,516 | $61,069 | $71,775 | $33,500–$153,759 |
| Alaska (statewide) | 3 | — | — | — | $56,779–$213,514 |
| Arizona (statewide) | 27 | $88,231 | $116,416 | $146,804 | $41,456–$205,716 |
| Arkansas (statewide) | 8 | $54,938 | $61,998 | $64,438 | $49,752–$66,536 |
| Atlanta GA | 7 | $110,100 | $110,100 | $164,176 | $110,100–$181,111 |
| Austin TX | 13 | $43,884 | $80,744 | $81,698 | $42,226–$83,920 |
| Boston MA | 12 | $54,759 | $60,822 | $90,999 | $46,629–$136,418 |
| California (statewide) | 52 | $73,783 | $91,483 | $119,878 | $40,940–$195,927 |
| Charlotte NC | 8 | $98,326 | $106,486 | $128,541 | $73,762–$128,541 |
| Chicago IL | 11 | $74,650 | $90,133 | $104,931 | $58,192–$122,301 |
| Cleveland OH | 11 | $71,500 | $85,292 | $88,219 | $51,490–$155,670 |
| Colorado (statewide) | 16 | $86,371 | $118,202 | $152,042 | $40,286–$206,734 |
| Columbus OH | 2 | — | — | — | $133,650–$176,198 |
| Connecticut (statewide) | 1 | — | — | — | $125,345–$125,345 |
| Dallas-Fort Worth TX | 15 | $60,150 | $84,936 | $87,844 | $58,553–$178,813 |
| Delaware (statewide) | 1 | — | — | — | $129,077–$129,077 |
| Denver CO | 15 | $85,804 | $87,248 | $130,601 | $73,326–$171,338 |
| Detroit MI | 14 | $90,070 | $90,070 | $119,922 | $50,315–$138,010 |
| Florida (statewide) | 90 | $64,251 | $74,832 | $126,608 | $50,572–$197,502 |
| Georgia (statewide) | 32 | $72,288 | $100,196 | $167,331 | $47,748–$181,111 |
| Hawaii (statewide) | 11 | $178,060 | $192,377 | $193,361 | $113,424–$207,996 |
| Houston TX | 19 | $70,055 | $74,253 | $96,698 | $60,980–$125,164 |
| Idaho (statewide) | 14 | $102,107 | $129,694 | $157,474 | $67,845–$186,172 |
| Illinois (statewide) | 35 | $65,280 | $77,014 | $100,695 | $52,596–$142,224 |
| Indiana (statewide) | 32 | $75,076 | $91,305 | $130,032 | $47,466–$191,834 |
| Indianapolis IN | 2 | — | — | — | $120,361–$167,065 |
| Iowa (statewide) | 15 | $60,886 | $70,946 | $87,958 | $54,496–$109,591 |
| Kansas (statewide) | 19 | $57,609 | $73,590 | $91,285 | $37,374–$213,514 |
| Kentucky (statewide) | 19 | $63,067 | $66,991 | $83,953 | $53,060–$172,790 |
| Las Vegas NV | 1 | — | — | — | $37,781–$37,781 |
| Los Angeles CA | 18 | $96,397 | $112,298 | $122,625 | $87,938–$144,657 |
| Louisiana (statewide) | 23 | $52,190 | $58,517 | $62,561 | $36,860–$86,272 |
| Maine (statewide) | 13 | $131,077 | $178,309 | $198,811 | $50,296–$198,811 |
| Massachusetts (statewide) | 7 | $68,724 | $77,681 | $89,740 | $46,878–$186,381 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $65,653–$77,566 |
| Michigan (statewide) | 33 | $80,284 | $89,208 | $112,248 | $51,814–$158,313 |
| Minneapolis-St. Paul MN | 14 | $100,146 | $110,899 | $111,283 | $49,503–$124,033 |
| Minnesota (statewide) | 20 | $83,905 | $88,079 | $109,811 | $36,098–$136,920 |
| Mississippi (statewide) | 17 | $67,274 | $71,940 | $78,800 | $47,278–$108,933 |
| Missouri (statewide) | 23 | $58,494 | $67,393 | $78,984 | $38,103–$165,348 |
| Montana (statewide) | 7 | $67,044 | $106,992 | $142,973 | $30,827–$214,488 |
| Nashville TN | 8 | $53,683 | $62,656 | $85,482 | $51,369–$123,992 |
| Nebraska (statewide) | 14 | $108,230 | $110,779 | $118,979 | $75,604–$157,038 |
| Nevada (statewide) | 6 | $88,968 | $97,420 | $105,850 | $81,313–$130,589 |
| New Hampshire (statewide) | 8 | $81,981 | $90,184 | $109,191 | $78,766–$154,651 |
| New Jersey (statewide) | 21 | $110,038 | $121,651 | $149,871 | $59,108–$186,616 |
| New Mexico (statewide) | 9 | $65,095 | $87,492 | $103,402 | $45,315–$194,450 |
| New York (statewide) | 45 | $67,763 | $84,305 | $115,746 | $47,704–$228,640 |
| New York City | 8 | $119,831 | $123,221 | $144,719 | $57,548–$202,454 |
| North Carolina (statewide) | 24 | $64,227 | $96,056 | $128,678 | $52,032–$152,981 |
| North Dakota (statewide) | 7 | $74,341 | $82,071 | $85,994 | $66,704–$116,596 |
| Ohio (statewide) | 44 | $72,503 | $111,994 | $123,138 | $42,236–$223,200 |
| Oklahoma (statewide) | 15 | $58,100 | $69,000 | $74,188 | $50,921–$119,927 |
| Oregon (statewide) | 12 | $100,181 | $107,042 | $130,670 | $65,567–$173,528 |
| Pennsylvania (statewide) | 55 | $71,567 | $93,458 | $114,076 | $50,989–$149,424 |
| Philadelphia PA | 11 | $112,978 | $120,615 | $136,801 | $108,933–$186,616 |
| Phoenix AZ | 11 | $109,446 | $116,416 | $130,334 | $109,446–$144,688 |
| Pittsburgh PA | 7 | $78,419 | $82,488 | $101,368 | $63,958–$110,250 |
| Portland OR | 9 | $129,873 | $139,137 | $168,138 | $127,456–$168,138 |
| Research Triangle NC | 7 | $89,182 | $90,674 | $96,866 | $64,404–$99,254 |
| Rhode Island (statewide) | 5 | $82,648 | $117,963 | $125,844 | $64,857–$138,584 |
| Richmond VA | 5 | $75,997 | $86,147 | $158,204 | $75,997–$186,549 |
| Rio Grande Valley TX | 6 | $67,692 | $76,544 | $84,299 | $63,806–$85,801 |
| Salt Lake City UT | 9 | $125,156 | $125,156 | $125,156 | $123,912–$125,156 |
| San Antonio TX | 3 | — | — | — | $74,690–$93,945 |
| San Diego CA | 5 | $70,819 | $88,604 | $104,598 | $63,258–$107,268 |
| San Francisco Bay Area CA | 3 | — | — | — | $79,613–$107,703 |
| Seattle-Tacoma WA | 16 | $129,390 | $141,964 | $147,878 | $125,860–$183,242 |
| South Carolina (statewide) | 25 | $101,039 | $145,360 | $182,468 | $51,452–$199,264 |
| South Dakota (statewide) | 3 | — | — | — | $84,591–$106,947 |
| St. Louis MO | 3 | — | — | — | $93,304–$102,664 |
| Tampa FL | 11 | $125,870 | $126,608 | $135,736 | $101,654–$142,353 |
| Tennessee (statewide) | 29 | $55,340 | $64,649 | $74,694 | $50,328–$123,992 |
| Texas (statewide) | 86 | $66,348 | $79,572 | $93,444 | $36,743–$172,790 |
| Utah (statewide) | 4 | — | — | — | $125,156–$176,395 |
| Vermont (statewide) | 3 | — | — | — | $80,737–$178,464 |
| Virginia (statewide) | 20 | $104,660 | $123,510 | $132,044 | $54,655–$208,371 |
| Washington (statewide) | 11 | $113,655 | $125,050 | $151,008 | $98,812–$269,906 |
| Washington DC | 11 | $101,047 | $126,614 | $130,514 | $59,183–$138,450 |
| West Virginia (statewide) | 12 | $39,212 | $40,848 | $110,026 | $34,224–$158,373 |
| Wisconsin (statewide) | 45 | $107,724 | $125,743 | $136,766 | $60,139–$158,156 |
| Wyoming (statewide) | 1 | — | — | — | $141,437–$141,437 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mccone County Health Center | Montana (statewide) | $30,827 | 0.6× | 1 | 2026-01-01 |
| East Alabama Medical Center | Alabama (statewide) | $33,500 | 0.8× | 2 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $34,224 | 0.8× | 2 | 2026-07-10 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $36,098 | 0.8× | 1 | 2026-01-28 |
| Peterson Regional Medical Center | Texas (statewide) | $36,743 | 0.8× | 1 | 2026-08-17 |
| St Charles Parish Hospital | Louisiana (statewide) | $36,860 | 0.8× | 2 | 2026-04-01 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $37,374 | 0.9× | 3 | 2025-12-19 |
| University Medical Center of Southern Nevada | Las Vegas NV | $37,781 | 0.8× | 67 | 2026-07-01 |
| Lafayette Regional Health Center | Missouri (statewide) | $38,103 | 0.8× | 4 | 2026-09-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $39,104 | 0.9× | 2 | 2026-07-10 |
| Camden Clark Medical Center | West Virginia (statewide) | $39,113 | 0.9× | 2 | 2026-07-09 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $39,245 | 0.9× | 3 | 2026-07-09 |
| Page Hospital | Arizona (statewide) | $205,716 | 4.1× | 1 | 2026-03-02 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $206,734 | 4.2× | 4 | 2026-03-22 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $207,063 | 3.5× | 10 | 2026-04-01 |
| Garnet Health Medical Center | New York (statewide) | $207,182 | 3.5× | 10 | 2026-04-01 |
| Kauai Veterans Memorial Hospital | Hawaii (statewide) | $207,996 | 3.7× | 1 | 2026-06-15 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $208,371 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $213,514 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $213,514 | 4.8× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $214,488 | 4.5× | 1 | 2026-04-01 |
| Lodi Community Hospital | Ohio (statewide) | $223,200 | 5.0× | 1 | 2026-06-15 |
| Albany Medical Center Hospital | New York (statewide) | $228,640 | 3.8× | 4 | 2025-12-31 |
| Providence Centralia Hospital | Washington (statewide) | $269,906 | 5.1× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for heart valve surgery (open)?
Across 1382 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 220) is $76,790, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $56,302 to $103,842. 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: Stormont Vail Health Flint Hills, Llc ($23,903), Lafayette Regional Health Center ($24,363), Ascension St Vincent Carmel ($24,983). Highest: Prisma Health Baptist Parkridge ($227,638), Prisma Health Richland Hospital ($227,638), Providence Centralia Hospital ($221,732). Coverage: every hospital whose price file we could read.