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

Posted commercial rates at 23 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
Emerson Hospital - W Concord$37,8180.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$38,0200.8×22026-04-01
Anna Jaques Hospital Newburyport$40,0600.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$41,2440.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$45,4671.0×12026-04-01
Mount Auburn Hospital Cambridge$47,2331.0×32026-04-01
Brigham and Women's Faulkner Hospital Boston$48,4561.1×22026-03-27
Massachusetts General Hospital Boston$49,2801.1×52026-03-27
Beverly Hospital Corporation Beverly$49,3281.1×12026-04-01
Winchester Hospital Winchester$49,3281.1×12026-04-01
Holyoke Medical Center Holyoke$52,4141.1×62026-05-01
New England Baptist Hospital Boston$56,8481.2×32026-04-01
Signature Healthcare Brockton Hospital Brockton$60,7721.3×42026-01-28
Berkshire Medical Center Inc - 1 Pittsfield$63,0021.4×32026-03-25
Brigham and Women's Hospital Boston$67,0891.4×52026-03-27
Lowell General Hospital Lowell$72,4641.6×132026-04-01
Fairview Hospital Great Barrington$72,7821.6×12026-03-25
North Adams Regional Hospital North Adams$72,7821.6×12026-03-25
Tufts Medical Center Boston$74,1771.6×142026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$82,3601.8×62026-04-01
Beth Israel Deaconess Medical Center Boston$91,4542.0×42026-04-01
Umass Memorial Medical Center Inc Worcester$136,1673.0×12026-03-26

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$54,4510.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$54,7420.8×22026-04-01
Anna Jaques Hospital Newburyport$57,6790.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$59,3840.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$65,4651.0×12026-04-01
Mount Auburn Hospital Cambridge$68,0071.0×32026-04-01
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
Signature Healthcare Brockton Hospital Brockton$83,6441.3×42026-01-28
Berkshire Medical Center Inc - 1 Pittsfield$90,7111.4×32026-03-25
Brigham and Women's Hospital Boston$95,3481.4×22026-03-27
Massachusetts General Hospital Boston$95,4611.4×22026-03-27
Fairview Hospital Great Barrington$104,7931.6×12026-03-25
North Adams Regional Hospital North Adams$104,7931.6×12026-03-25
Holyoke Medical Center Holyoke$104,9761.6×62026-05-01
Lowell General Hospital Lowell$107,6181.6×42026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$111,9111.7×62026-04-01
Beth Israel Deaconess Medical Center Boston$112,2241.7×42026-04-01
Umass Memorial Medical Center Inc Worcester$136,1672.0×12026-03-26
Tufts Medical Center Boston$159,3022.4×52026-04-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$69,3750.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$69,7460.8×22026-04-01
Anna Jaques Hospital Newburyport$73,4880.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$75,6600.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$83,4081.0×12026-04-01
Mount Auburn Hospital Cambridge$86,6461.0×32026-04-01
Brigham and Women's Hospital Boston$89,6201.1×12026-03-27
Beverly Hospital Corporation Beverly$90,4911.1×12026-04-01
Winchester Hospital Winchester$90,4911.1×12026-04-01
Shriners' Hospital For Children - Boston, The Boston$96,8001.1×22026-03-17
Signature Healthcare Brockton Hospital Brockton$104,1661.2×42026-01-28
New England Baptist Hospital Boston$104,2851.2×32026-04-01
Holyoke Medical Center Holyoke$110,8481.3×62026-05-01
Berkshire Medical Center Inc - 1 Pittsfield$115,5741.4×32026-03-25
Fairview Hospital Great Barrington$133,5161.6×12026-03-25
North Adams Regional Hospital North Adams$133,5161.6×12026-03-25
Beth Israel Deaconess Medical Center Boston$133,9261.6×32026-04-01
Lowell General Hospital Lowell$136,9421.6×42026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$142,5841.7×62026-04-01
Umass Memorial Medical Center Inc Worcester$186,3812.2×12026-03-26
Tufts Medical Center Boston$207,2062.5×42026-04-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$46,6290.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$46,8780.8×22026-04-01
Anna Jaques Hospital Newburyport$49,3940.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$50,8530.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$56,0611.0×12026-04-01
Mount Auburn Hospital Cambridge$58,2371.0×32026-04-01
Beverly Hospital Corporation Beverly$60,8221.1×12026-04-01
Winchester Hospital Winchester$60,8221.1×12026-04-01
Holyoke Medical Center Holyoke$64,5591.1×62026-05-01
New England Baptist Hospital Boston$70,0931.2×32026-04-01
Signature Healthcare Brockton Hospital Brockton$72,8881.3×42026-01-28
Berkshire Medical Center Inc - 1 Pittsfield$77,6811.4×32026-03-25
Fairview Hospital Great Barrington$89,7401.6×12026-03-25
North Adams Regional Hospital North Adams$89,7401.6×12026-03-25
Beth Israel Deaconess Medical Center Boston$90,5821.6×32026-04-01
Lowell General Hospital Lowell$92,2501.6×42026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$104,1831.8×62026-04-01
Tufts Medical Center Boston$136,4182.4×52026-04-01
Umass Memorial Medical Center Inc Worcester$186,3813.3×12026-03-26

Questions

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

23 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 22 hospitals is $54,631, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.