Inpatient stay · MS-DRG 219 · Surgery or procedure

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

In 2024, Medicare and patients paid an average of $83,705 per stay at 350 hospitals. Half of hospitals averaged between $64,189 and $90,292.

Also known as: Heart valve surgery, open-heart surgery

National figures, 2024

Average payment per case: $83,705
Typical range (middle half of hospitals): $64,189–$90,292
Medicare’s share: $69,38783% of the payment
Average billed charge: $393,302
Hospitals reporting: 35012,333 stays

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350 hospitals reported at least 11 Medicare stays for this in 2024; showing 251–300. Download as CSV

Medicare payments per case for Cardiac valve and other major cardiothoracic procedures without cardiac catheterization by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
MUSC Medical CenterCharleston, SC · CCN 420004	51	$87,744	About average	$69,355	$362,783
Northwestern Memorial HospitalChicago, IL · CCN 140281	201	$87,941	About average	$71,450	$431,072
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	42	$88,014	About average	$73,695	$333,800
Hartford HospitalHartford, CT · CCN 070025	72	$88,427	About average	$65,224	$175,082
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	44	$88,666	About average	$64,550	$334,366
Vanderbilt University Medical CenterNashville, TN · CCN 440039	53	$88,913	About average	$61,726	$383,525
Duke University HospitalDurham, NC · CCN 340030	48	$88,938	About average	$75,058	$281,421
Community Regional Medical CenterFresno, CA · CCN 050060	19	$88,948	About average	$87,110	$508,244
Peninsula Medical CenterBurlingame, CA · CCN 050007	12	$89,053	About average	$87,819	$358,179
Spectrum HealthGrand Rapids, MI · CCN 230038	32	$89,585	About average	$59,024	$260,587
University Of Washington Medical CenterSeattle, WA · CCN 500008	52	$89,610	About average	$63,577	$285,466
Boston Medical Center-BrightonBrighton, MA · CCN 220036	23	$89,983	About average	$76,286	$159,956
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	108	$90,395	About average	$75,698	$354,558
Adventist Health St HelenaSaint Helena, CA · CCN 050013	17	$90,695	About average	$89,543	$848,636
Baystate Medical CenterSpringfield, MA · CCN 220077	35	$90,955	About average	$78,258	$211,832
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	11	$91,102	About average	$43,412	$429,163
Indiana University HealthIndianapolis, IN · CCN 150056	27	$91,180	About average	$84,492	$507,643
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	59	$91,211	About average	$72,538	$286,152
Albany Medical Center HospitalAlbany, NY · CCN 330013	26	$91,246	About average	$67,405	$240,391
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	32	$91,259	About average	$80,728	$247,026
Straub Clinic And HospitalHonolulu, HI · CCN 120022	18	$91,274	About average	$70,406	$271,941
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	47	$91,416	About average	$68,107	$504,485
University Of Kentucky HospitalLexington, KY · CCN 180067	25	$91,439	About average	$63,813	$378,981
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	139	$91,466	About average	$86,987	$898,892
Sequoia HospitalRedwood City, CA · CCN 050197	32	$91,776	About average	$90,094	$555,660
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	72	$91,779	About average	$72,806	$531,275
North Shore University HospitalManhasset, NY · CCN 330106	35	$91,805	About average	$83,666	$611,888
Wellspan York HospitalYork, PA · CCN 390046	17	$91,826	About average	$76,827	$439,727
Hackensack University Medical CenterHackensack, NJ · CCN 310001	55	$91,910	About average	$76,978	$381,440
Loyola University Medical CenterMaywood, IL · CCN 140276	46	$92,512	11% above the national average	$74,313	$263,233
Tampa General HospitalTampa, FL · CCN 100128	33	$93,207	11% above the national average	$73,303	$637,862
Scripps Mercy HospitalSan Diego, CA · CCN 050077	18	$93,336	12% above the national average	$73,994	$663,215
Lenox Hill HospitalNew York, NY · CCN 330119	24	$93,631	12% above the national average	$88,474	$498,713
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	35	$93,639	12% above the national average	$79,626	$414,230
Brigham And Women's HospitalBoston, MA · CCN 220110	158	$93,788	12% above the national average	$78,856	$327,057
Inova Fairfax HospitalFalls Church, VA · CCN 490063	134	$94,075	12% above the national average	$77,017	$281,707
MedStar Washington Hospital CenterWashington, DC · CCN 090011	131	$94,091	12% above the national average	$74,401	$308,597
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	16	$94,555	13% above the national average	$63,515	$516,037
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	29	$94,913	13% above the national average	$83,405	$448,671
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	53	$95,190	14% above the national average	$88,255	$399,608
University Of Alabama HospitalBirmingham, AL · CCN 010033	78	$95,770	14% above the national average	$72,333	$477,875
Massachusetts General HospitalBoston, MA · CCN 220071	263	$95,850	15% above the national average	$80,983	$337,937
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	22	$95,888	15% above the national average	$94,701	$568,546
University Health SystemSan Antonio, TX · CCN 450213	12	$95,897	15% above the national average	$86,740	$295,456
Emory University HospitalAtlanta, GA · CCN 110010	45	$95,918	15% above the national average	$82,024	$358,050
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	54	$96,046	15% above the national average	$68,002	$477,772
The Queens Medical CenterHonolulu, HI · CCN 120001	14	$96,251	15% above the national average	$75,331	$369,385
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	14	$96,470	15% above the national average	$77,064	$269,650
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	11	$97,269	16% above the national average	$83,443	$285,241
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	22	$97,301	16% above the national average	$69,321	$630,974

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 10,057 stays at 322 hospitals · 2021: 10,681 stays at 328 hospitals · 2022: 10,797 stays at 325 hospitals · 2023: 11,687 stays at 336 hospitals · 2024: 12,333 stays at 350 hospitals

View data as a table

National average payment and billed charge for Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Year of care	Average payment	Average billed charge
2020	$75K	$337K
2021	$79K	$344K
2022	$82K	$361K
2023	$84K	$382K
2024	$84K	$393K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 49 states

Average payment by state for Cardiac valve and other major cardiothoracic procedures without cardiac catheterization, 2024
State	Hospitals	Cases	Average payment	Typical range
South Dakota	2	34	$54,288	$53,558–$55,814
Arkansas	4	139	$58,815	$52,335–$72,329
Oklahoma	4	104	$59,290	$54,756–$64,081
Indiana	5	209	$60,785	$59,312–$70,142
Mississippi	4	60	$61,300	$56,934–$68,060
Louisiana	2	23	$62,171	$56,366–$69,082
Montana	2	76	$63,563	$63,085–$64,901
Iowa	3	140	$64,460	$58,185–$65,127
Kansas	3	123	$65,336	$61,740–$69,051
Nebraska	4	117	$66,212	$59,393–$67,552
Florida	24	694	$67,295	$54,221–$74,631
Tennessee	9	247	$68,492	$57,509–$68,000
Colorado	8	201	$68,504	$60,507–$72,410
North Dakota	3	35	$68,919	$66,146–$72,042
Kentucky	6	130	$70,818	$65,196–$75,489
Idaho	3	42	$71,624	$69,372–$75,109
Nevada	5	70	$72,105	$65,325–$71,699
North Carolina	12	287	$74,303	$62,950–$83,503
Texas	25	949	$74,398	$61,756–$77,378
Missouri	9	301	$74,855	$62,713–$69,866
New Hampshire	3	75	$75,136	$69,647–$78,619
Maine	2	53	$75,317	$63,877–$76,641
Wisconsin	7	235	$75,431	$61,003–$79,009
South Carolina	5	122	$78,445	$56,865–$87,647
Arizona	10	247	$78,607	$65,046–$81,099
Pennsylvania	20	742	$79,198	$63,977–$93,371
Ohio	12	789	$80,295	$65,577–$80,996
New Mexico	2	24	$81,592	$71,047–$89,124
Alabama	3	131	$82,014	$61,942–$80,375
Vermont	1	22	$82,034	$82,034–$82,034
Georgia	9	274	$84,279	$70,415–$95,918
Rhode Island	1	32	$84,305	$84,305–$84,305
New Jersey	10	317	$85,322	$79,404–$90,436
Michigan	8	265	$85,570	$66,166–$91,660
Minnesota	10	432	$86,335	$61,860–$74,765
Utah	2	61	$86,920	$84,413–$88,977
West Virginia	2	56	$87,710	$85,321–$87,551
Oregon	5	191	$88,045	$85,963–$97,269
Washington	7	263	$88,089	$77,165–$87,807
Illinois	15	546	$89,234	$68,635–$99,627
Connecticut	5	172	$89,971	$77,285–$88,427
Virginia	8	392	$90,582	$73,360–$96,519
Massachusetts	10	662	$92,925	$81,826–$96,315
Hawaii	2	32	$93,452	$92,518–$95,007
District of Columbia	1	131	$94,091	$94,091–$94,091
New York	18	866	$99,995	$74,462–$108,101
Delaware	1	26	$100,476	$100,476–$100,476
California	30	1,058	$110,926	$88,974–$119,407
Maryland	4	136	$133,090	$93,729–$159,605

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.