Price Atlas / Surgery rates / Heart valve surgery (open) / PennsylvaniaHeart valve surgery (open) in Pennsylvania: what insurers pay Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.
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MS-DRG 220 Hospital Median across insurers × Medicare Insurers File date Riddle Memorial Hospital Media $91,262 2.3× 4 2026-04-01 Bryn Mawr Hospital Bryn Mawr $97,956 2.5× 4 2026-04-01 Lehigh Valley Hospital Allentown $104,099 2.7× 5 2026-07-01 Upmc Presbyterian Shadyside Pittsburgh $108,593 2.9× 1 2026-03-06 Thomas Jefferson University Hospital Philadelphia $130,699 3.4× 5 2026-09-15
MS-DRG 219 Hospital Median across insurers × Medicare Insurers File date Riddle Memorial Hospital Media $133,889 2.4× 4 2026-04-01 Upmc Presbyterian Shadyside Pittsburgh $138,228 2.6× 1 2026-03-06 Bryn Mawr Hospital Bryn Mawr $143,078 2.5× 4 2026-04-01 Lehigh Valley Hospital Allentown $148,832 2.7× 5 2026-07-01 Thomas Jefferson University Hospital Philadelphia $188,184 3.4× 5 2026-09-15
MS-DRG 216 Hospital Median across insurers × Medicare Insurers File date Riddle Memorial Hospital Media $166,648 2.3× 4 2026-04-01 Bryn Mawr Hospital Bryn Mawr $179,451 2.5× 4 2026-04-01 Lehigh Valley Hospital Allentown $190,966 2.7× 5 2026-07-01 Upmc Presbyterian Shadyside Pittsburgh $200,035 3.0× 1 2026-03-06 Thomas Jefferson University Hospital Philadelphia $239,762 3.4× 5 2026-09-15
MS-DRG 217 Hospital Median across insurers × Medicare Insurers File date Riddle Memorial Hospital Media $111,103 2.3× 4 2026-04-01 Bryn Mawr Hospital Bryn Mawr $119,920 2.5× 4 2026-04-01 Lehigh Valley Hospital Allentown $128,353 2.7× 5 2026-07-01 Upmc Presbyterian Shadyside Pittsburgh $131,227 2.9× 1 2026-03-06 Thomas Jefferson University Hospital Philadelphia $161,151 3.4× 5 2026-09-15
Questions How much do insurers pay for heart valve surgery (open) in Pennsylvania? 5 Pennsylvania 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 5 hospitals is $104,099 , 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.
Techy Surgeon Price Atlas · commercial rates from hospital price-transparency files as of 2026-09-27. Commercial plans only; payer-specific dollar amounts for the exact code and setting (grade A); no professional-fee, percent-of-charges, per-diem, algorithm or unnamed-payer rows; no duplicate campus files; each rate between 0.5x (outpatient) or 0.6x (inpatient) and 8x the same hospital's local Medicare base rate. Median across each insurer's plans. Historical rates the hospitals themselves posted. Percentiles only where the comparison group has 5 or more hospitals. Market transparency, not pricing guidance. Medicare anchor = the same hospital's local Medicare base rate (OPPS or IPPS FY2026, wage-adjusted; inpatient anchors exclude teaching and safety-net add-ons). Rates are posted contract amounts, not what any patient paid. Method . Free to use; cite as Techy Surgeon Price Atlas (2026).
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