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TAVR (catheter heart valve): what insurers pay

Transcatheter aortic valve replacement through the groin artery. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

MS-DRG 267: Endovascular Cardiac Valve Replacement and Supplement Procedures Without McC

1357 hospitals in 82 markets. National Medicare rate $34,643.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)20$39,454$45,968$52,790$31,897–$112,016
Alaska (statewide)3———$41,245–$155,551
Arizona (statewide)27$77,225$89,547$106,950$38,089–$219,450
Arkansas (statewide)6$39,922$42,416$45,362$36,245–$48,560
Atlanta GA10$84,896$91,104$94,054$84,896–$138,500
Austin TX13$31,774$57,772$65,209$29,828–$82,538
Boston MA13$40,591$44,037$57,404$33,761–$98,772
California (statewide)51$55,412$67,550$93,413$29,826–$149,006
Charlotte NC8$71,632$77,578$93,069$53,407–$93,069
Chicago IL11$58,614$65,665$76,219$44,681–$88,551
Cleveland OH11$37,068$58,953$62,778$34,615–$100,362
Colorado (statewide)16$62,536$86,579$110,085$29,169–$149,684
Columbus OH2———$96,768–$127,575
Connecticut (statewide)3———$26,810–$117,311
Dallas-Fort Worth TX15$45,120$67,630$69,749$43,243–$120,461
Delaware (statewide)1———$118,939–$118,939
Denver CO15$63,242$63,314$94,561$53,220–$124,382
Detroit MI14$65,214$66,860$89,419$65,214–$102,777
Florida (statewide)91$46,451$54,130$95,678$24,166–$143,000
Georgia (statewide)44$65,064$89,574$106,692$35,242–$138,500
Hawaii (statewide)11$80,445$82,124$104,981$70,189–$127,172
Houston TX19$51,418$59,316$71,126$47,232–$93,730
Idaho (statewide)14$84,840$102,092$111,900$49,123–$177,583
Illinois (statewide)35$46,536$56,063$73,130$38,082–$148,769
Indiana (statewide)31$54,866$67,600$90,978$26,213–$104,070
Indianapolis IN4———$24,983–$107,923
Iowa (statewide)16$44,379$52,095$64,446$39,728–$79,839
Kansas (statewide)19$47,038$52,498$65,616$21,866–$155,551
Kentucky (statewide)18$47,022$53,588$62,048$41,538–$125,881
Las Vegas NV2———$52,071–$87,292
Los Angeles CA18$76,808$86,468$93,180$64,144–$109,509
Louisiana (statewide)23$39,528$46,542$51,282$27,164–$62,752
Maine (statewide)13$95,492$129,104$143,948$36,706–$143,948
Massachusetts (statewide)6$48,916$55,719$62,792$33,942–$64,975
Miami-Fort Lauderdale FL4———$45,052–$78,853
Michigan (statewide)34$60,826$66,716$85,638$37,516–$135,023
Minneapolis-St. Paul MN14$72,511$80,667$80,793$49,792–$89,806
Minnesota (statewide)20$60,751$63,774$80,000$26,137–$99,749
Mississippi (statewide)17$47,941$50,660$55,124$36,697–$78,872
Missouri (statewide)24$38,398$47,354$61,061$22,296–$120,461
Montana (statewide)7$48,544$77,680$96,220$22,458–$174,346
Nashville TN8$37,923$41,892$65,598$36,098–$90,330
Nebraska (statewide)14$78,848$82,759$87,265$55,080–$113,702
Nevada (statewide)6$69,065$90,446$93,600$59,208–$94,552
New Hampshire (statewide)7$63,540$75,342$81,219$57,358–$111,974
New Jersey (statewide)21$81,614$95,009$108,513$46,400–$143,922
New Mexico (statewide)9$47,132$63,739$75,331$33,013–$141,662
New York (statewide)45$52,075$61,272$83,805$33,011–$154,488
New York City8$86,886$89,284$104,783$41,926–$146,585
North Carolina (statewide)24$43,347$66,578$93,168$31,584–$110,765
North Dakota (statewide)7$53,077$59,790$62,353$48,144–$84,942
Ohio (statewide)42$46,714$79,732$88,816$30,581–$159,600
Oklahoma (statewide)15$40,482$50,276$53,174$37,097–$93,102
Oregon (statewide)8$78,098$86,923$100,573$77,432–$126,176
Pennsylvania (statewide)56$57,682$75,718$86,438$36,918–$129,499
Philadelphia PA11$83,043$90,473$105,856$78,872–$143,922
Phoenix AZ11$79,244$84,290$96,897$79,244–$106,950
Pittsburgh PA7$64,638$67,752$76,408$51,495–$87,087
Portland OR9$94,616$100,924$129,454$92,955–$129,454
Research Triangle NC8$60,168$72,092$78,470$45,466–$93,606
Rhode Island (statewide)5$60,009$88,572$91,117$43,302–$100,341
Richmond VA6$57,057$85,774$113,009$53,237–$141,764
Rio Grande Valley TX6$51,152$58,796$59,886$46,695–$64,634
Salt Lake City UT9$96,788$96,788$96,788$95,826–$96,788
San Antonio TX3———$52,464–$69,600
San Diego CA5$52,462$66,653$76,169$47,747–$77,936
San Francisco Bay Area CA3———$57,772–$139,568
Seattle-Tacoma WA16$105,880$108,523$114,737$93,764–$146,629
South Carolina (statewide)25$74,754$92,836$134,053$36,124–$144,276
South Dakota (statewide)3———$61,248–$77,434
St. Louis MO3———$70,773–$95,218
Tampa FL11$93,139$95,678$98,278$78,264–$109,427
Tennessee (statewide)29$41,304$47,219$60,725$37,134–$90,330
Texas (statewide)86$49,173$60,406$81,348$30,691–$125,881
Utah (statewide)4———$96,788–$136,414
Vermont (statewide)3———$58,818–$130,014
Virginia (statewide)20$75,942$89,700$95,606$37,329–$150,870
Washington (statewide)11$84,430$96,637$112,984$71,803–$200,280
Washington DC11$74,562$92,240$95,082$43,623–$100,243
West Virginia (statewide)12$21,933$22,998$85,583$19,486–$114,669
Wisconsin (statewide)46$77,704$89,971$99,025$21,788–$114,512
Wyoming (statewide)1———$108,438–$108,438

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Wetzel County HospitalWest Virginia (statewide)$19,4860.6×12026-07-10
Ascension Columbia St Mary'S Hospital Milwaukee CaWisconsin (statewide)$21,7880.7×12026-01-01
Stormont Vail Health Flint Hills, LlcKansas (statewide)$21,8660.7×32025-12-19
Weirton Medical Center, IncWest Virginia (statewide)$21,8720.7×22026-07-10
Camden Clark Medical CenterWest Virginia (statewide)$21,8780.7×22026-07-09
Reynolds Memorial Hospital, IncWest Virginia (statewide)$21,9510.7×32026-07-09
Lafayette Regional Health CenterMissouri (statewide)$22,2960.7×42026-09-01
Mccone County Health CenterMontana (statewide)$22,4580.7×12026-01-01
Thomas Memorial HospitalWest Virginia (statewide)$22,6050.7×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$22,7060.7×32026-07-10
Wheeling Hospital, IncWest Virginia (statewide)$23,2890.7×32026-07-09
Ascension St Vincent'S St Johns CountyFlorida (statewide)$24,1660.7×22026-01-01
Montefiore Mount Vernon HospitalNew York (statewide)$150,8523.5×102026-04-01
Carilion Roanoke Memorial HospitalVirginia (statewide)$150,8704.6×12025-12-15
Garnet Health Medical CenterNew York (statewide)$154,4883.6×102026-04-01
Providence Alaska Medical CenterAlaska (statewide)$155,5514.1×42026-04-01
Providence Medical CenterKansas (statewide)$155,5514.9×42026-04-01
Lodi Community HospitalOhio (statewide)$159,6005.0×12026-06-15
Providence St Joseph Medical CenterMontana (statewide)$174,3465.0×12026-04-01
St Luke'S Wood River Medical CenterIdaho (statewide)$177,5835.3×22026-03-25
Flagstaff Medical CenterArizona (statewide)$193,4915.3×12026-02-28
Banner Payson Medical CenterArizona (statewide)$199,2275.5×12026-03-02
Providence Centralia HospitalWashington (statewide)$200,2805.3×22026-04-01
Page HospitalArizona (statewide)$219,4506.0×12026-03-02

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 266: Endovascular Cardiac Valve Replacement and Supplement Procedures With McC

1349 hospitals in 82 markets. National Medicare rate $44,595.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)20$50,061$58,822$67,955$41,060–$142,638
Alaska (statewide)3———$52,953–$198,072
Arizona (statewide)27$92,636$108,503$136,186$48,037–$238,371
Arkansas (statewide)6$50,976$54,601$57,917$46,153–$61,747
Atlanta GA10$108,103$117,274$121,072$108,103–$176,360
Austin TX13$39,903$73,923$77,779$38,397–$109,926
Boston MA14$52,758$58,858$76,232$43,460–$127,146
California (statewide)51$70,144$85,198$112,563$37,979–$185,789
Charlotte NC8$91,215$98,784$119,804$68,748–$119,804
Chicago IL11$76,390$83,615$97,561$56,895–$113,988
Cleveland OH11$50,574$75,888$79,856$45,836–$141,846
Colorado (statewide)16$80,501$110,006$141,709$37,548–$192,683
Columbus OH2———$124,566–$164,223
Connecticut (statewide)2———$119,418–$148,651
Dallas-Fort Worth TX15$57,498$79,164$81,866$54,899–$165,879
Delaware (statewide)1———$130,305–$130,305
Denver CO15$74,496$81,502$121,726$50,956–$159,376
Detroit MI14$83,948$84,423$110,548$83,334–$125,786
Florida (statewide)90$60,005$71,805$121,095$44,720–$184,078
Georgia (statewide)44$81,859$118,786$137,341$44,668–$176,360
Hawaii (statewide)11$92,367$99,830$118,509$80,596–$138,985
Houston TX19$65,140$74,680$90,358$60,603–$117,422
Idaho (statewide)14$103,538$130,000$146,669$63,234–$254,181
Illinois (statewide)34$58,194$71,806$94,194$49,021–$108,954
Indiana (statewide)30$70,692$87,140$118,707$44,032–$133,964
Indianapolis IN2———$112,180–$138,925
Iowa (statewide)16$56,568$65,558$72,378$50,562–$101,664
Kansas (statewide)19$58,392$66,677$83,469$24,584–$198,072
Kentucky (statewide)18$59,810$68,535$80,176$53,060–$160,292
Las Vegas NV2———$66,306–$111,869
Los Angeles CA18$95,096$109,740$118,584$82,527–$139,445
Louisiana (statewide)23$50,414$58,424$65,300$34,276–$80,213
Maine (statewide)13$121,596$166,190$185,298$47,250–$185,298
Massachusetts (statewide)6$62,275$70,466$80,830$43,692–$83,640
Miami-Fort Lauderdale FL4———$57,412–$99,575
Michigan (statewide)34$75,100$83,332$105,004$48,293–$202,756
Minneapolis-St. Paul MN14$93,340$102,879$103,599$63,295–$115,603
Minnesota (statewide)20$78,203$82,093$101,869$33,645–$127,471
Mississippi (statewide)17$61,713$65,212$70,720$46,728–$101,529
Missouri (statewide)24$59,827$66,677$80,367$44,032–$172,348
Montana (statewide)7$62,488$99,772$133,306$28,598–$222,998
Nashville TN8$50,530$57,674$85,896$47,987–$115,023
Nebraska (statewide)14$100,402$105,382$111,656$70,136–$146,365
Nevada (statewide)6$88,302$112,086$112,302$75,869–$121,713
New Hampshire (statewide)8$76,138$91,987$101,642$57,362–$144,140
New Jersey (statewide)21$104,182$119,617$139,685$60,244–$184,356
New Mexico (statewide)9$60,671$81,163$95,924$42,037–$180,387
New York (statewide)44$69,238$79,394$107,879$44,462–$198,272
New York City8$111,566$114,932$134,884$53,387–$188,694
North Carolina (statewide)24$69,226$86,794$119,932$35,644–$142,583
North Dakota (statewide)7$69,157$76,134$80,064$61,880–$108,163
Ohio (statewide)42$59,736$99,896$112,276$39,366–$188,129
Oklahoma (statewide)15$54,021$64,678$70,402$47,237–$119,847
Oregon (statewide)8$99,869$110,564$128,175$99,407–$161,216
Pennsylvania (statewide)56$72,615$93,441$108,460$47,523–$165,944
Philadelphia PA11$106,898$116,462$135,655$101,529–$184,356
Phoenix AZ11$102,007$108,503$123,385$102,007–$136,186
Pittsburgh PA7$75,769$79,608$88,811$61,211–$101,763
Portland OR9$120,481$129,726$165,579$118,604–$165,579
Research Triangle NC7$86,882$94,515$102,632$67,426–$110,748
Rhode Island (statewide)5$77,072$114,414$117,292$60,490–$129,165
Richmond VA6$73,846$111,208$145,472$70,041–$179,637
Rio Grande Valley TX6$65,127$75,686$76,299$59,591–$81,972
Salt Lake City UT9$125,648$125,648$125,648$124,399–$125,648
San Antonio TX3———$66,724–$83,930
San Diego CA5$66,071$83,536$97,596$58,975–$100,044
San Francisco Bay Area CA3———$74,234–$185,878
Seattle-Tacoma WA16$136,296$138,190$145,680$120,699–$186,712
South Carolina (statewide)25$93,732$126,392$170,066$37,606–$185,722
South Dakota (statewide)3———$78,842–$99,678
St. Louis MO3———$82,240–$106,866
Tampa FL11$118,861$121,095$126,510$102,396–$140,861
Tennessee (statewide)29$53,169$60,255$78,488$48,216–$137,371
Texas (statewide)86$63,004$77,160$103,976$38,631–$160,292
Utah (statewide)4———$125,648–$177,088
Vermont (statewide)3———$74,897–$165,556
Virginia (statewide)20$97,387$114,848$123,069$47,757–$194,209
Washington (statewide)10$112,354$123,785$152,666$99,914–$255,508
Washington DC11$96,106$117,456$121,074$56,155–$129,040
West Virginia (statewide)12$49,911$51,994$119,194$43,563–$147,609
Wisconsin (statewide)45$99,933$117,197$127,471$56,051–$147,406
Wyoming (statewide)1———$138,788–$138,788

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stormont Vail Health Flint Hills, LlcKansas (statewide)$24,5840.6×32025-12-19
Mccone County Health CenterMontana (statewide)$28,5980.6×12026-01-01
Grand Itasca Clinic And HospitalMinnesota (statewide)$33,6450.8×12026-01-28
St Charles Parish HospitalLouisiana (statewide)$34,2760.8×22026-04-01
Frye Regional Medical CenterNorth Carolina (statewide)$35,6440.9×32026-07-08
Mt San Rafael HospitalColorado (statewide)$37,5480.8×12026-07-23
Musc Health Marion Medical CenterSouth Carolina (statewide)$37,6060.9×12026-04-01
Northbay Medical CenterCalifornia (statewide)$37,9790.6×12026-04-01
Ascension Seton SouthwestAustin TX$38,3970.9×92026-01-01
Hill Regional HospitalTexas (statewide)$38,6310.9×42026-04-10
Ascension Seton HaysAustin TX$38,6560.9×92026-01-01
Fisher-Titus HospitalOhio (statewide)$39,3661.0×32026-04-29
Carilion Roanoke Memorial HospitalVirginia (statewide)$194,2094.6×12025-12-15
Providence Alaska Medical CenterAlaska (statewide)$198,0724.1×42026-04-01
Providence Medical CenterKansas (statewide)$198,0724.8×42026-04-01
Garnet Health Medical CenterNew York (statewide)$198,2723.6×102026-04-01
Henry Ford Health Providence Southfield HospitalMichigan (statewide)$202,7564.7×12026-01-01
Intermountain Health Cassia Regional HospitalIdaho (statewide)$205,4744.8×12026-08-05
Flagstaff Medical CenterArizona (statewide)$210,1744.5×12026-02-28
Banner Payson Medical CenterArizona (statewide)$216,4054.6×12026-03-02
Providence St Joseph Medical CenterMontana (statewide)$222,9985.0×12026-04-01
Page HospitalArizona (statewide)$238,3715.1×12026-03-02
St Luke'S Wood River Medical CenterIdaho (statewide)$254,1815.9×22026-03-25
Providence Centralia HospitalWashington (statewide)$255,5085.2×22026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for tavr (catheter heart valve)?

Across 1357 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 267) is $70,682, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $50,949 to $93,455. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for tavr (catheter heart valve)?

Medicare's national inpatient base rate for MS-DRG 267 is $34,643, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for tavr (catheter heart valve)?

Lowest medians: Wetzel County Hospital ($19,486), Ascension Columbia St Mary'S Hospital Milwaukee Ca ($21,788), Stormont Vail Health Flint Hills, Llc ($21,866). Highest: Page Hospital ($219,450), Providence Centralia Hospital ($200,280), Banner Payson Medical Center ($199,227). Coverage: every hospital whose price file we could read.