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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

Hospitals in Pennsylvania

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Pennsylvania
Specific hospitals up to 10
Average payment across these 20 hospitals
$79,198National $83,705 · Pennsylvania $79,198
Median hospital
$69,349
Lowest to highest
$48,367–$112,921
Medicare stays
742

20 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Cardiac valve and other major cardiothoracic procedures without cardiac catheterization by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 39014512$48,36742% below the national average$47,143$142,562
Chester County HospitalWest Chester, PA · CCN 39017911$53,03437% below the national average$43,861$208,133
Doylestown HospitalDoylestown, PA · CCN 39020325$57,28732% below the national average$51,292$149,006
Jefferson Abington HospitalAbington, PA · CCN 39023120$60,59328% below the national average$54,033$208,693
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 39032920$61,33127% below the national average$58,602$240,161
Lancaster General HospitalLancaster, PA · CCN 39010037$64,85923% below the national average$51,745$210,894
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 39006729$65,41222% below the national average$57,222$232,737
St Lukes HospitalBethlehem, PA · CCN 39004932$66,25821% below the national average$57,353$511,761
Main Line Hospital LankenauWynnewood, PA · CCN 39019550$66,67020% below the national average$58,643$296,342
Lehigh Valley HospitalAllentown, PA · CCN 390133113$68,42718% below the national average$58,542$474,354
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 39027017$70,27116% below the national average$54,842$470,945
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 39016460$71,43915% below the national average$62,945$842,515
Allegheny General HospitalPittsburgh, PA · CCN 39005032$78,276About average$61,629$280,099
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 39022387$83,244About average$71,131$523,823
Wellspan York HospitalYork, PA · CCN 39004617$91,826About average$76,827$439,727
Milton S Hershey Medical CenterHershey, PA · CCN 39025629$98,00817% above the national average$77,294$397,158
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 39017425$107,18028% above the national average$92,237$505,431
Geisinger Medical CenterDanville, PA · CCN 39000612$109,77331% above the national average$63,749$470,238
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 39011195$110,25132% above the national average$94,988$751,390
Temple University HospitalPhiladelphia, PA · CCN 39002719$112,92135% above the national average$96,064$1,211,132

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
South Dakota234$54,288$53,558–$55,814
Arkansas4139$58,815$52,335–$72,329
Oklahoma4104$59,290$54,756–$64,081
Indiana5209$60,785$59,312–$70,142
Mississippi460$61,300$56,934–$68,060
Louisiana223$62,171$56,366–$69,082
Montana276$63,563$63,085–$64,901
Iowa3140$64,460$58,185–$65,127
Kansas3123$65,336$61,740–$69,051
Nebraska4117$66,212$59,393–$67,552
Florida24694$67,295$54,221–$74,631
Tennessee9247$68,492$57,509–$68,000
Colorado8201$68,504$60,507–$72,410
North Dakota335$68,919$66,146–$72,042
Kentucky6130$70,818$65,196–$75,489
Idaho342$71,624$69,372–$75,109
Nevada570$72,105$65,325–$71,699
North Carolina12287$74,303$62,950–$83,503
Texas25949$74,398$61,756–$77,378
Missouri9301$74,855$62,713–$69,866
New Hampshire375$75,136$69,647–$78,619
Maine253$75,317$63,877–$76,641
Wisconsin7235$75,431$61,003–$79,009
South Carolina5122$78,445$56,865–$87,647
Arizona10247$78,607$65,046–$81,099
Pennsylvania20742$79,198$63,977–$93,371
Ohio12789$80,295$65,577–$80,996
New Mexico224$81,592$71,047–$89,124
Alabama3131$82,014$61,942–$80,375
Vermont122$82,034$82,034–$82,034
Georgia9274$84,279$70,415–$95,918
Rhode Island132$84,305$84,305–$84,305
New Jersey10317$85,322$79,404–$90,436
Michigan8265$85,570$66,166–$91,660
Minnesota10432$86,335$61,860–$74,765
Utah261$86,920$84,413–$88,977
West Virginia256$87,710$85,321–$87,551
Oregon5191$88,045$85,963–$97,269
Washington7263$88,089$77,165–$87,807
Illinois15546$89,234$68,635–$99,627
Connecticut5172$89,971$77,285–$88,427
Virginia8392$90,582$73,360–$96,519
Massachusetts10662$92,925$81,826–$96,315
Hawaii232$93,452$92,518–$95,007
District of Columbia1131$94,091$94,091–$94,091
New York18866$99,995$74,462–$108,101
Delaware126$100,476$100,476–$100,476
California301,058$110,926$88,974–$119,407
Maryland4136$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.