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Heart valve surgery (open) in Pittsburgh 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
Upmc Washington median $51,872 · local Medicare $36,920 · file 2026-03-06
Aetna	$44,216	1.2×	2
Cigna	$51,872	1.4×	1
City of Washington	$64,545	1.7×	1
Health Plan of Upper Ohio Valley	$57,682	1.6×	1
Highmark BCBS	$51,223	1.4×	6
UPMC Health Plan	$41,147	1.1×	1
UnitedHealthcare	$63,892	1.7×	1
Upmc East median $62,682 · local Medicare $36,920 · file 2026-03-06
Highmark BCBS	$78,328	2.1×	5
UPMC Health Plan	$47,036	1.3×	2
Upmc St Margaret median $66,106 · local Medicare $36,920 · file 2026-03-06
Highmark BCBS	$77,280	2.1×	5
UPMC Health Plan	$54,931	1.5×	1
Upmc Mercy median $67,780 · local Medicare $36,920 · file 2026-03-06
Highmark BCBS	$78,282	2.1×	4
UPMC Health Plan	$57,279	1.6×	2
Magee Womens Hospital Of Upmc Health System median $80,295 · local Medicare $36,920 · file 2026-03-06
Highmark BCBS	$107,672	2.9×	5
UPMC Health Plan	$52,918	1.4×	2
Upmc Presbyterian Shadyside median $86,388 · local Medicare $36,920 · file 2026-03-06
Highmark BCBS	$108,593	2.9×	5
UPMC Health Plan	$64,182	1.7×	1
Upmc Passavant median $91,234 · local Medicare $36,920 · file 2026-03-07
Health Plan of Upper Ohio Valley	$91,357	2.5×	1
Highmark BCBS	$91,234	2.5×	5
UPMC Health Plan	$49,510	1.3×	2

MS-DRG 219

Hospital · insurer	Rate	× Medicare	Plans
Upmc Washington median $74,687 · local Medicare $53,159 · file 2026-03-06
Aetna	$63,559	1.2×	2
Cigna	$74,687	1.4×	1
City of Washington	$92,601	1.7×	1
Health Plan of Upper Ohio Valley	$83,051	1.6×	1
Highmark BCBS	$65,201	1.2×	6
UPMC Health Plan	$59,033	1.1×	1
UnitedHealthcare	$91,994	1.7×	1
Upmc East median $83,630 · local Medicare $53,159 · file 2026-03-06
Highmark BCBS	$99,703	1.9×	5
UPMC Health Plan	$67,558	1.3×	2
Upmc St Margaret median $88,730 · local Medicare $53,159 · file 2026-03-06
Highmark BCBS	$98,369	1.9×	5
UPMC Health Plan	$79,090	1.5×	1
Upmc Mercy median $90,825 · local Medicare $53,159 · file 2026-03-06
Highmark BCBS	$99,645	1.9×	4
UPMC Health Plan	$82,005	1.5×	2
Upmc Passavant median $91,357 · local Medicare $53,159 · file 2026-03-07
Health Plan of Upper Ohio Valley	$91,357	1.7×	1
Highmark BCBS	$116,131	2.2×	5
UPMC Health Plan	$71,286	1.3×	2
Magee Womens Hospital Of Upmc Health System median $106,390 · local Medicare $53,159 · file 2026-03-06
Highmark BCBS	$137,055	2.6×	5
UPMC Health Plan	$75,724	1.4×	2
Upmc Presbyterian Shadyside median $115,319 · local Medicare $53,159 · file 2026-03-06
Highmark BCBS	$138,228	2.6×	5
UPMC Health Plan	$92,410	1.7×	1

MS-DRG 216

Hospital · insurer	Rate	× Medicare	Plans
Upmc Washington median $95,157 · local Medicare $67,728 · file 2026-03-06
Aetna	$80,915	1.2×	2
Cigna	$95,157	1.4×	1
City of Washington	$117,774	1.7×	1
Health Plan of Upper Ohio Valley	$105,814	1.6×	1
Highmark BCBS	$94,356	1.4×	6
UPMC Health Plan	$75,081	1.1×	1
UnitedHealthcare	$117,208	1.7×	1
Upmc East median $115,128 · local Medicare $67,728 · file 2026-03-06
Highmark BCBS	$144,285	2.1×	5
UPMC Health Plan	$85,970	1.3×	2
Upmc St Margaret median $121,561 · local Medicare $67,728 · file 2026-03-06
Highmark BCBS	$142,354	2.1×	5
UPMC Health Plan	$100,768	1.5×	1
Upmc Mercy median $124,196 · local Medicare $67,728 · file 2026-03-06
Highmark BCBS	$144,201	2.1×	4
UPMC Health Plan	$104,191	1.5×	2
Upmc Passavant median $127,198 · local Medicare $67,728 · file 2026-03-07
Health Plan of Upper Ohio Valley	$127,198	1.9×	1
Highmark BCBS	$168,058	2.5×	5
UPMC Health Plan	$90,825	1.3×	2
Magee Womens Hospital Of Upmc Health System median $147,262 · local Medicare $67,728 · file 2026-03-06
Highmark BCBS	$198,339	2.9×	5
UPMC Health Plan	$96,186	1.4×	2
Upmc Presbyterian Shadyside median $158,886 · local Medicare $67,728 · file 2026-03-06
Highmark BCBS	$200,035	3.0×	5
UPMC Health Plan	$117,738	1.7×	1

MS-DRG 217

Hospital · insurer	Rate	× Medicare	Plans
Upmc Washington median $63,958 · local Medicare $45,522 · file 2026-03-06
Aetna	$54,463	1.2×	2
Cigna	$63,958	1.4×	1
City of Washington	$79,407	1.7×	1
Health Plan of Upper Ohio Valley	$71,121	1.6×	1
Highmark BCBS	$61,899	1.4×	6
UPMC Health Plan	$50,622	1.1×	1
UnitedHealthcare	$78,779	1.7×	1
Upmc East median $76,280 · local Medicare $45,522 · file 2026-03-06
Highmark BCBS	$94,654	2.1×	5
UPMC Health Plan	$57,907	1.3×	2
Upmc St Margaret median $80,558 · local Medicare $45,522 · file 2026-03-06
Highmark BCBS	$93,388	2.1×	5
UPMC Health Plan	$67,729	1.5×	1
Upmc Mercy median $82,488 · local Medicare $45,522 · file 2026-03-06
Highmark BCBS	$94,599	2.1×	4
UPMC Health Plan	$70,378	1.5×	2
Magee Womens Hospital Of Upmc Health System median $97,556 · local Medicare $45,522 · file 2026-03-06
Highmark BCBS	$130,114	2.9×	5
UPMC Health Plan	$64,999	1.4×	2
Upmc Presbyterian Shadyside median $105,181 · local Medicare $45,522 · file 2026-03-06
Highmark BCBS	$131,227	2.9×	5
UPMC Health Plan	$79,135	1.7×	1
Upmc Passavant median $110,250 · local Medicare $45,522 · file 2026-03-07
Health Plan of Upper Ohio Valley	$127,198	2.8×	1
Highmark BCBS	$110,250	2.4×	5
UPMC Health Plan	$61,046	1.3×	2

Questions

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

7 Pittsburgh PA hospitals post usable commercial rates for inpatient stay (MS-DRG 220). The median across hospitals is $67,780; hospital medians range from $51,872 to $91,234. Your cost depends on your plan's deductible and coinsurance.