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Heart valve surgery (open) in Philadelphia PA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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MS-DRG 220

Hospital · insurer	Rate	× Medicare	Plans
Jefferson Abington Hospital median $88,348 · local Medicare $36,920 · file 2026-09-15
Aetna	$88,348	2.4×	3
Cigna	$92,375	2.5×	2
Geisinger Health Plan	$165,874	4.5×	1
Highmark BCBS	$91,919	2.5×	1
Horizon BCBS NJ	$75,072	2.0×	2
Independence Blue Cross	$59,257	1.6×	6
Point of Comfort Refugee Resettlement	$42,844	1.2×	1
UPMC Commercial	$110,848	3.0×	1
UnitedHealthcare	$79,459	2.2×	1
Paoli Hospital median $90,450 · local Medicare $36,920 · file 2026-04-01
Aetna	$94,322	2.6×	3
BCBS (other)	$99,204	2.7×	1
Cigna	$82,622	2.2×	1
Independence Blue Cross	$86,577	2.3×	5
Riddle Memorial Hospital median $91,262 · local Medicare $39,044 · file 2026-04-01
Aetna	$97,254	2.5×	3
BCBS (other)	$99,620	2.6×	1
Cigna	$85,270	2.2×	1
Independence Blue Cross	$80,783	2.1×	5
Jefferson Stratford Hospital median $93,149 · local Medicare $43,130 · file 2026-09-15
Aetna	$127,758	3.0×	1
AmeriHealth Commercial	$86,281	2.0×	2
Cigna	$102,614	2.4×	2
Geisinger Health Plan	$165,874	3.8×	1
Highmark BCBS	$100,017	2.3×	1
Horizon BCBS NJ	$66,367	1.5×	3
Independence Blue Cross	$63,027	1.5×	2
Point of Comfort Refugee Resettlement	$50,422	1.2×	1
Jefferson Einstein Montgomery Hospital median $97,824 · local Medicare $36,920 · file 2026-09-15
Aetna	$136,200	3.7×	1
Cigna	$108,757	2.9×	2
Geisinger	$165,874	4.5×	1
Highmark BCBS	$86,890	2.4×	1
Independence Blue Cross	$66,450	1.8×	4
UnitedHealthcare	$76,771	2.1×	1
Bryn Mawr Hospital median $97,956 · local Medicare $39,044 · file 2026-04-01
Aetna	$100,192	2.6×	3
BCBS (other)	$106,965	2.7×	1
Cigna	$86,065	2.2×	1
Independence Blue Cross	$95,721	2.5×	5
Jefferson Health-Northeast median $109,854 · local Medicare $39,044 · file 2026-09-15
Aetna	$136,200	3.5×	1
Cigna	$108,757	2.8×	2
Geisinger	$165,874	4.2×	1
Highmark BCBS	$110,950	2.8×	1
Independence Blue Cross	$92,359	2.4×	4
UnitedHealthcare	$90,439	2.3×	1
Temple University Hospital median $110,557 · local Medicare $39,044 · file 2026-04-13
Aetna	$110,557	2.8×	3
Cigna	$119,961	3.1×	1
Geisinger	$201,090	5.2×	1
Highmark BCBS	$107,691	2.8×	1
Horizon BCBS NJ	$118,752	3.0×	3
Independence Blue Cross	$113,943	2.9×	2
Oscar	$94,817	2.4×	1
Prime Health Services (rental network)	$80,120	2.1×	1
UnitedHealthcare	$91,461	2.3×	2
WTC Health Program	$77,431	2.0×	1
Lankenau Medical Center median $112,854 · local Medicare $36,920 · file 2026-04-01
Aetna	$105,450	2.9×	3
BCBS (other)	$121,539	3.3×	1
Cigna	$90,037	2.4×	1
Independence Blue Cross	$120,257	3.3×	5
Thomas Jefferson University Hospital median $141,847 · local Medicare $39,044 · file 2026-09-15
Aetna	$149,330	3.8×	2
Cigna	$141,847	3.6×	2
Geisinger Health Plan	$165,874	4.2×	1
Highmark BCBS	$121,313	3.1×	1
Horizon BCBS NJ	$130,699	3.3×	3
Independence Blue Cross	$70,778	1.8×	5
Point of Comfort Refugee Resettlement	$56,623	1.5×	1
QualCare JCC	$196,294	5.0×	1
UPMC Commercial	$170,218	4.4×	1
Inspira Medical Center Mullica Hill median $155,864 · local Medicare $43,130 · file 2026-03-24
Aetna	$132,440	3.1×	1
AmeriHealth	$166,664	3.9×	1
Cigna	$145,063	3.4×	1
Horizon BCBS NJ	$172,364	4.0×	5
Independence Blue Cross	$166,664	3.9×	1
UnitedHealthcare	$140,653	3.3×	2

MS-DRG 219

Hospital · insurer	Rate	× Medicare	Plans
Jefferson Abington Hospital median $127,206 · local Medicare $53,159 · file 2026-09-15
Aetna	$127,206	2.4×	3
Cigna	$133,004	2.5×	2
Geisinger Health Plan	$248,232	4.7×	1
Highmark BCBS	$132,347	2.5×	1
Horizon BCBS NJ	$108,091	2.0×	2
Independence Blue Cross	$85,320	1.6×	6
Point of Comfort Refugee Resettlement	$61,688	1.2×	1
UPMC Commercial	$159,601	3.0×	1
UnitedHealthcare	$114,407	2.2×	1
Paoli Hospital median $132,149 · local Medicare $53,159 · file 2026-04-01
Aetna	$139,642	2.6×	3
BCBS (other)	$142,837	2.7×	1
Cigna	$120,697	2.3×	1
Independence Blue Cross	$124,656	2.3×	5
Riddle Memorial Hospital median $133,889 · local Medicare $56,217 · file 2026-04-01
Aetna	$143,980	2.6×	3
BCBS (other)	$143,212	2.5×	1
Cigna	$124,566	2.2×	1
Independence Blue Cross	$116,132	2.1×	5
Jefferson Stratford Hospital median $134,118 · local Medicare $62,099 · file 2026-09-15
Aetna	$183,949	3.0×	1
AmeriHealth Commercial	$124,229	2.0×	2
Cigna	$147,746	2.4×	2
Geisinger Health Plan	$248,232	4.0×	1
Highmark BCBS	$144,007	2.3×	1
Horizon BCBS NJ	$95,556	1.5×	3
Independence Blue Cross	$90,748	1.5×	2
Point of Comfort Refugee Resettlement	$72,598	1.2×	1
Jefferson Einstein Montgomery Hospital median $140,849 · local Medicare $53,159 · file 2026-09-15
Aetna	$196,104	3.7×	1
Cigna	$156,592	2.9×	2
Geisinger	$248,232	4.7×	1
Highmark BCBS	$125,106	2.4×	1
Independence Blue Cross	$98,191	1.8×	4
UnitedHealthcare	$110,537	2.1×	1
Bryn Mawr Hospital median $143,078 · local Medicare $56,217 · file 2026-04-01
Aetna	$148,334	2.6×	3
BCBS (other)	$154,010	2.7×	1
Cigna	$125,726	2.2×	1
Independence Blue Cross	$137,821	2.5×	5
Jefferson Health-Northeast median $158,170 · local Medicare $56,217 · file 2026-09-15
Aetna	$196,104	3.5×	1
Cigna	$156,592	2.8×	2
Geisinger	$248,232	4.4×	1
Highmark BCBS	$159,749	2.8×	1
Independence Blue Cross	$136,474	2.4×	4
UnitedHealthcare	$130,216	2.3×	1
Temple University Hospital median $163,236 · local Medicare $56,217 · file 2026-04-13
Aetna	$163,675	2.9×	3
Cigna	$172,723	3.1×	1
Geisinger	$253,028	4.5×	1
Highmark BCBS	$160,534	2.9×	1
Horizon BCBS NJ	$173,475	3.1×	3
Independence Blue Cross	$163,236	2.9×	2
Oscar	$136,520	2.4×	1
Prime Health Services (rental network)	$114,781	2.0×	1
UnitedHealthcare	$131,478	2.3×	2
WTC Health Program	$110,929	2.0×	1
Lankenau Medical Center median $164,465 · local Medicare $53,159 · file 2026-04-01
Aetna	$156,112	2.9×	3
BCBS (other)	$174,660	3.3×	1
Cigna	$131,529	2.5×	1
Independence Blue Cross	$172,818	3.3×	5
Thomas Jefferson University Hospital median $204,235 · local Medicare $56,217 · file 2026-09-15
Aetna	$215,008	3.8×	2
Cigna	$204,235	3.6×	2
Geisinger Health Plan	$248,232	4.4×	1
Highmark BCBS	$174,669	3.1×	1
Horizon BCBS NJ	$188,184	3.3×	3
Independence Blue Cross	$101,909	1.8×	5
Point of Comfort Refugee Resettlement	$81,527	1.5×	1
QualCare JCC	$300,833	5.4×	1
UPMC Commercial	$245,084	4.4×	1
Inspira Medical Center Mullica Hill median $228,598 · local Medicare $62,099 · file 2026-03-24
Aetna	$190,691	3.1×	1
AmeriHealth	$248,330	4.0×	1
Cigna	$208,865	3.4×	1
Horizon BCBS NJ	$256,941	4.1×	5
Independence Blue Cross	$248,330	4.0×	1
UnitedHealthcare	$202,515	3.3×	2

MS-DRG 216

Hospital · insurer	Rate	× Medicare	Plans
Jefferson Abington Hospital median $162,072 · local Medicare $67,728 · file 2026-09-15
Aetna	$162,072	2.4×	3
Cigna	$169,458	2.5×	2
Geisinger Health Plan	$297,163	4.4×	1
Highmark BCBS	$168,621	2.5×	1
Horizon BCBS NJ	$137,717	2.0×	2
Independence Blue Cross	$108,705	1.6×	6
Point of Comfort Refugee Resettlement	$78,595	1.2×	1
UPMC Commercial	$203,345	3.0×	1
UnitedHealthcare	$145,764	2.2×	1
Paoli Hospital median $165,694 · local Medicare $67,728 · file 2026-04-01
Aetna	$172,565	2.5×	3
BCBS (other)	$181,986	2.7×	1
Cigna	$150,546	2.2×	1
Independence Blue Cross	$158,822	2.3×	5
Riddle Memorial Hospital median $166,648 · local Medicare $71,625 · file 2026-04-01
Aetna	$177,926	2.5×	3
BCBS (other)	$182,325	2.5×	1
Cigna	$155,371	2.2×	1
Independence Blue Cross	$147,848	2.1×	5
Jefferson Stratford Hospital median $170,878 · local Medicare $79,120 · file 2026-09-15
Aetna	$234,367	3.0×	1
AmeriHealth Commercial	$158,278	2.0×	2
Cigna	$188,241	2.4×	2
Geisinger Health Plan	$297,163	3.8×	1
Highmark BCBS	$183,477	2.3×	1
Horizon BCBS NJ	$121,747	1.5×	3
Independence Blue Cross	$115,620	1.5×	2
Point of Comfort Refugee Resettlement	$92,496	1.2×	1
Bryn Mawr Hospital median $179,451 · local Medicare $71,625 · file 2026-04-01
Aetna	$183,306	2.6×	3
BCBS (other)	$196,222	2.7×	1
Cigna	$156,819	2.2×	1
Independence Blue Cross	$175,596	2.5×	5
Jefferson Einstein Montgomery Hospital median $179,453 · local Medicare $67,728 · file 2026-09-15
Aetna	$249,853	3.7×	1
Cigna	$199,510	2.9×	2
Geisinger	$297,163	4.4×	1
Highmark BCBS	$159,396	2.4×	1
Independence Blue Cross	$125,374	1.9×	4
UnitedHealthcare	$140,833	2.1×	1
Jefferson Health-Northeast median $201,522 · local Medicare $71,625 · file 2026-09-15
Aetna	$249,853	3.5×	1
Cigna	$199,510	2.8×	2
Geisinger	$297,163	4.1×	1
Highmark BCBS	$203,533	2.8×	1
Independence Blue Cross	$174,254	2.4×	4
UnitedHealthcare	$165,907	2.3×	1
Temple University Hospital median $202,268 · local Medicare $71,625 · file 2026-04-13
Aetna	$202,268	2.8×	3
Cigna	$220,064	3.1×	1
Geisinger	$326,642	4.6×	1
Highmark BCBS	$200,016	2.8×	1
Horizon BCBS NJ	$216,378	3.0×	3
Independence Blue Cross	$207,465	2.9×	2
Oscar	$173,938	2.4×	1
Prime Health Services (rental network)	$145,881	2.0×	1
UnitedHealthcare	$167,383	2.3×	2
WTC Health Program	$140,985	2.0×	1
Lankenau Medical Center median $206,449 · local Medicare $67,728 · file 2026-04-01
Aetna	$192,920	2.8×	3
BCBS (other)	$222,324	3.3×	1
Cigna	$164,057	2.4×	1
Independence Blue Cross	$219,978	3.2×	5
Thomas Jefferson University Hospital median $260,213 · local Medicare $71,625 · file 2026-09-15
Aetna	$273,938	3.8×	2
Cigna	$260,213	3.6×	2
Geisinger Health Plan	$297,163	4.1×	1
Highmark BCBS	$222,543	3.1×	1
Horizon BCBS NJ	$239,762	3.3×	3
Independence Blue Cross	$129,840	1.8×	5
Point of Comfort Refugee Resettlement	$103,872	1.5×	1
QualCare JCC	$386,647	5.4×	1
UPMC Commercial	$312,257	4.4×	1
Inspira Medical Center Mullica Hill median $281,686 · local Medicare $79,120 · file 2026-03-24
Aetna	$242,956	3.1×	1
AmeriHealth	$297,259	3.8×	1
Cigna	$266,112	3.4×	1
Horizon BCBS NJ	$320,133	4.0×	5
Independence Blue Cross	$297,259	3.8×	1
UnitedHealthcare	$258,021	3.3×	2

MS-DRG 217

Hospital · insurer	Rate	× Medicare	Plans
Jefferson Abington Hospital median $108,933 · local Medicare $45,522 · file 2026-09-15
Aetna	$108,933	2.4×	3
Cigna	$113,897	2.5×	2
Geisinger Health Plan	$196,963	4.3×	1
Highmark BCBS	$113,335	2.5×	1
Horizon BCBS NJ	$92,564	2.0×	2
Independence Blue Cross	$73,064	1.6×	6
Point of Comfort Refugee Resettlement	$52,826	1.2×	1
UPMC Commercial	$136,674	3.0×	1
UnitedHealthcare	$97,972	2.2×	1
Paoli Hospital median $110,716 · local Medicare $45,522 · file 2026-04-01
Aetna	$114,682	2.5×	3
BCBS (other)	$122,318	2.7×	1
Cigna	$100,735	2.2×	1
Independence Blue Cross	$106,749	2.3×	5
Riddle Memorial Hospital median $111,103 · local Medicare $48,141 · file 2026-04-01
Aetna	$118,242	2.5×	3
BCBS (other)	$122,713	2.5×	1
Cigna	$103,964	2.2×	1
Independence Blue Cross	$99,508	2.1×	5
Jefferson Stratford Hospital median $114,852 · local Medicare $53,179 · file 2026-09-15
Aetna	$157,524	3.0×	1
AmeriHealth Commercial	$106,383	2.0×	2
Cigna	$126,522	2.4×	2
Geisinger Health Plan	$196,963	3.7×	1
Highmark BCBS	$123,320	2.3×	1
Horizon BCBS NJ	$81,830	1.5×	3
Independence Blue Cross	$77,712	1.5×	2
Point of Comfort Refugee Resettlement	$62,169	1.2×	1
Bryn Mawr Hospital median $119,920 · local Medicare $48,141 · file 2026-04-01
Aetna	$121,818	2.5×	3
BCBS (other)	$131,887	2.7×	1
Cigna	$104,933	2.2×	1
Independence Blue Cross	$118,023	2.5×	5
Jefferson Einstein Montgomery Hospital median $120,615 · local Medicare $45,522 · file 2026-09-15
Aetna	$167,933	3.7×	1
Cigna	$134,096	2.9×	2
Geisinger	$196,963	4.3×	1
Highmark BCBS	$107,134	2.4×	1
Independence Blue Cross	$81,228	1.8×	4
UnitedHealthcare	$94,658	2.1×	1
Temple University Hospital median $134,418 · local Medicare $48,141 · file 2026-04-13
Aetna	$134,418	2.8×	3
Cigna	$147,911	3.1×	1
Geisinger	$266,162	5.5×	1
Highmark BCBS	$129,173	2.7×	1
Horizon BCBS NJ	$144,786	3.0×	3
Independence Blue Cross	$140,055	2.9×	2
Oscar	$116,909	2.4×	1
Prime Health Services (rental network)	$98,481	2.0×	1
UnitedHealthcare	$112,659	2.3×	2
WTC Health Program	$95,176	2.0×	1
Jefferson Health-Northeast median $135,448 · local Medicare $48,141 · file 2026-09-15
Aetna	$167,933	3.5×	1
Cigna	$134,096	2.8×	2
Geisinger	$196,963	4.1×	1
Highmark BCBS	$136,800	2.8×	1
Independence Blue Cross	$112,896	2.3×	4
UnitedHealthcare	$111,511	2.3×	1
Lankenau Medical Center median $138,154 · local Medicare $45,522 · file 2026-04-01
Aetna	$128,208	2.8×	3
BCBS (other)	$149,679	3.3×	1
Cigna	$109,776	2.4×	1
Independence Blue Cross	$148,100	3.3×	5
Thomas Jefferson University Hospital median $174,896 · local Medicare $48,141 · file 2026-09-15
Aetna	$184,122	3.8×	2
Cigna	$174,896	3.6×	2
Geisinger Health Plan	$196,963	4.1×	1
Highmark BCBS	$149,578	3.1×	1
Horizon BCBS NJ	$161,151	3.3×	3
Independence Blue Cross	$87,269	1.8×	5
Point of Comfort Refugee Resettlement	$69,816	1.5×	1
QualCare JCC	$250,006	5.2×	1
UPMC Commercial	$209,877	4.4×	1
Inspira Medical Center Mullica Hill median $186,616 · local Medicare $53,179 · file 2026-03-24
Aetna	$163,298	3.1×	1
AmeriHealth	$194,370	3.7×	1
Cigna	$178,861	3.4×	1
Horizon BCBS NJ	$206,746	3.9×	5
Independence Blue Cross	$194,370	3.7×	1
UnitedHealthcare	$173,424	3.3×	2

Questions

How much does heart valve surgery (open) cost with commercial insurance in Philadelphia PA?

11 Philadelphia PA hospitals post usable commercial rates for inpatient stay (MS-DRG 220). The median across hospitals is $97,956; hospital medians range from $88,348 to $155,864. Your cost depends on your plan's deductible and coinsurance.