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Heart valve surgery (open) in Massachusetts: what insurers pay

Posted commercial rates at 7 Massachusetts hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$40,0600.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$45,4671.0×12026-04-01
Beverly Hospital Corporation Beverly$49,3281.1×12026-04-01
Winchester Hospital Winchester$49,3281.1×12026-04-01
New England Baptist Hospital Boston$56,8481.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$82,3601.8×62026-04-01
Beth Israel Deaconess Medical Center Boston$91,4542.0×42026-04-01

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$57,6790.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$65,4651.0×12026-04-01
Beverly Hospital Corporation Beverly$71,0241.1×12026-04-01
Winchester Hospital Winchester$71,0241.1×12026-04-01
New England Baptist Hospital Boston$81,8511.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$111,9111.7×62026-04-01
Beth Israel Deaconess Medical Center Boston$112,2241.7×42026-04-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$73,4880.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$83,4081.0×12026-04-01
Beverly Hospital Corporation Beverly$90,4911.1×12026-04-01
Winchester Hospital Winchester$90,4911.1×12026-04-01
New England Baptist Hospital Boston$104,2851.2×32026-04-01
Beth Israel Deaconess Medical Center Boston$133,9261.6×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$142,5841.7×62026-04-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$49,3940.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$56,0611.0×12026-04-01
Beverly Hospital Corporation Beverly$60,8221.1×12026-04-01
Winchester Hospital Winchester$60,8221.1×12026-04-01
New England Baptist Hospital Boston$70,0931.2×32026-04-01
Beth Israel Deaconess Medical Center Boston$90,5821.6×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$104,1831.8×62026-04-01

Questions

How much do insurers pay for heart valve surgery (open) in Massachusetts?

7 Massachusetts hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 7 hospitals is $49,328, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.