Inpatient stay · MS-DRG 220 · Surgery or procedure

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

In 2024, Medicare and patients paid an average of $55,508 per stay at 291 hospitals. Half of hospitals averaged between $41,926 and $59,591.

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

National figures, 2024

Average payment per case: $55,508
Typical range (middle half of hospitals): $41,926–$59,591
Medicare’s share: $43,81679% of the payment
Average billed charge: $270,500
Hospitals reporting: 2918,116 stays

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291 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. 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
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	57	$40,075	28% below the national average	$37,377	$192,288
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	18	$40,414	27% below the national average	$39,166	$259,967
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	39	$40,594	27% below the national average	$39,101	$360,823
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	21	$40,941	26% below the national average	$39,062	$655,331
Billings Clinic HospitalBillings, MT · CCN 270004	21	$40,943	26% below the national average	$39,236	$139,093
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	13	$41,019	26% below the national average	$29,485	$159,120
St David's Medical CenterAustin, TX · CCN 450431	28	$41,036	26% below the national average	$35,304	$535,122
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	42	$41,100	26% below the national average	$38,890	$207,589
East Jefferson General HospitalMetairie, LA · CCN 190176	13	$41,282	26% below the national average	$37,707	$376,917
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	30	$41,474	25% below the national average	$34,721	$295,505
Washington Regional Medical CenterFayetteville, AR · CCN 040004	13	$41,540	25% below the national average	$25,551	$205,747
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	14	$41,557	25% below the national average	$38,262	$480,995
Catholic Medical CenterManchester, NH · CCN 300034	25	$41,558	25% below the national average	$36,767	$213,769
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	14	$41,590	25% below the national average	$40,075	$249,333
St Lukes HospitalChesterfield, MO · CCN 260179	25	$41,627	25% below the national average	$29,474	$133,008
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	12	$41,647	25% below the national average	$40,067	$157,923
Atrium Health PinevilleCharlotte, NC · CCN 340098	14	$41,680	25% below the national average	$32,900	$276,362
Northwest Medical CenterTucson, AZ · CCN 030085	14	$41,689	25% below the national average	$35,042	$460,721
Wesley Medical CenterWichita, KS · CCN 170123	25	$41,760	25% below the national average	$35,931	$708,575
Baptist Health LouisvilleLouisville, KY · CCN 180130	20	$41,797	25% below the national average	$25,421	$271,210
St Josephs HospitalTampa, FL · CCN 100075	13	$41,815	25% below the national average	$40,106	$305,573
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	12	$41,849	25% below the national average	$30,699	$136,992
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	26	$41,888	25% below the national average	$40,263	$415,608
St Johns HospitalSpringfield, IL · CCN 140053	17	$41,965	24% below the national average	$39,647	$265,462
Norton Hospitals, IncLouisville, KY · CCN 180088	17	$42,009	24% below the national average	$38,167	$274,748
St. George Regional HospitalSt George, UT · CCN 460021	23	$42,359	24% below the national average	$40,798	$169,345
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	21	$42,393	24% below the national average	$39,799	$358,697
Baptist Health PaducahPaducah, KY · CCN 180104	20	$42,419	24% below the national average	$40,830	$479,116
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	14	$42,573	23% below the national average	$33,131	$159,893
St. Patrick HospitalMissoula, MT · CCN 270014	30	$42,699	23% below the national average	$37,237	$114,515
Orlando HealthOrlando, FL · CCN 100006	22	$42,771	23% below the national average	$41,179	$534,935
Aspirus Wausau HospitalWausau, WI · CCN 520030	23	$42,771	23% below the national average	$31,935	$141,286
Lee Memorial HospitalFort Myers, FL · CCN 100012	17	$42,813	23% below the national average	$41,349	$341,822
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	41	$42,916	23% below the national average	$35,528	$278,719
Carilion Medical CenterRoanoke, VA · CCN 490024	21	$42,919	23% below the national average	$33,866	$224,731
Sanford Medical Center FargoFargo, ND · CCN 350011	25	$43,083	22% below the national average	$36,557	$137,316
Fairview HospitalCleveland, OH · CCN 360077	12	$43,096	22% below the national average	$32,530	$166,413
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	37	$43,132	22% below the national average	$38,512	$166,317
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	19	$43,294	22% below the national average	$27,050	$216,991
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	41	$43,301	22% below the national average	$30,849	$191,058
Medical Center Of The RockiesLoveland, CO · CCN 060119	20	$43,374	22% below the national average	$41,905	$352,282
Baylor Scott & White The Heart Hospital PlanoPlano, TX · CCN 670025	165	$43,395	22% below the national average	$34,311	$172,441
Community Hospital EastIndianapolis, IN · CCN 150074	15	$43,445	22% below the national average	$41,873	$242,670
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	24	$43,483	22% below the national average	$41,202	$251,868
Tucson Medical CenterTucson, AZ · CCN 030006	20	$43,586	21% below the national average	$38,415	$176,303
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	18	$43,645	21% below the national average	$41,843	$224,493
Southcoast Hospitals GroupFall River, MA · CCN 220074	11	$43,670	21% below the national average	$42,187	$186,635
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	21	$43,700	21% below the national average	$35,742	$188,128
Tristar Centennial Medical CenterNashville, TN · CCN 440161	16	$43,938	21% below the national average	$32,925	$551,383
AdventHealth OrlandoOrlando, FL · CCN 100007	42	$44,103	21% below the national average	$38,247	$380,402

National trend

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

Average payment
Average billed charge

2020: 7,912 stays at 299 hospitals · 2021: 8,477 stays at 309 hospitals · 2022: 8,223 stays at 293 hospitals · 2023: 8,365 stays at 300 hospitals · 2024: 8,116 stays at 291 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	$47K	$213K
2021	$50K	$226K
2022	$52K	$239K
2023	$54K	$253K
2024	$56K	$270K

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
Iowa	2	41	$36,196	$35,498–$36,305
Mississippi	4	63	$37,016	$33,289–$38,306
Arkansas	4	95	$38,921	$36,396–$43,977
Kansas	2	36	$39,132	$35,309–$39,610
South Dakota	2	44	$40,249	$38,748–$42,050
Montana	3	63	$41,375	$39,883–$41,821
Oklahoma	2	50	$42,212	$41,437–$46,976
Louisiana	8	122	$42,499	$35,855–$42,274
North Dakota	2	40	$43,657	$43,466–$44,231
Florida	18	498	$44,435	$39,087–$49,080
South Carolina	6	153	$44,643	$38,259–$53,821
Nebraska	3	73	$45,649	$37,259–$46,261
Texas	13	440	$45,846	$39,531–$53,289
Indiana	6	178	$46,335	$43,048–$46,417
Wisconsin	6	189	$46,473	$40,749–$46,432
Tennessee	8	192	$46,480	$40,789–$44,930
Idaho	2	55	$46,686	$46,518–$48,568
Kentucky	6	105	$47,356	$42,111–$50,465
Vermont	1	11	$47,630	$47,630–$47,630
Missouri	8	245	$47,653	$38,593–$45,091
Delaware	1	25	$49,501	$49,501–$49,501
West Virginia	2	47	$49,651	$47,949–$49,925
Colorado	3	89	$49,942	$47,481–$51,781
Utah	5	83	$49,991	$42,359–$54,111
Alabama	4	159	$50,219	$38,879–$47,440
Arizona	9	266	$50,269	$39,758–$46,902
North Carolina	13	334	$51,475	$41,680–$58,372
Alaska	1	18	$51,734	$51,734–$51,734
Georgia	7	196	$51,809	$44,235–$59,137
Nevada	1	22	$52,001	$52,001–$52,001
New Hampshire	2	51	$52,587	$46,966–$57,783
Ohio	9	447	$53,844	$44,266–$59,046
Pennsylvania	14	465	$54,245	$45,585–$59,743
Virginia	8	236	$55,439	$44,157–$57,749
New Jersey	9	288	$55,974	$52,221–$59,309
Michigan	6	279	$56,122	$49,744–$56,550
Oregon	6	125	$56,459	$53,791–$59,054
Hawaii	1	13	$56,725	$56,725–$56,725
Illinois	10	191	$57,456	$48,189–$65,321
Minnesota	8	247	$58,045	$41,079–$54,880
Washington	10	286	$61,129	$48,305–$64,983
Massachusetts	7	186	$62,437	$58,719–$66,116
District of Columbia	1	48	$63,587	$63,587–$63,587
New York	12	309	$67,171	$52,292–$77,486
Connecticut	3	104	$67,763	$62,167–$69,589
Maine	2	50	$68,670	$61,629–$68,813
Rhode Island	1	15	$69,059	$69,059–$69,059
California	23	554	$80,791	$57,860–$86,675
Maryland	7	290	$96,342	$68,870–$90,278

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.