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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

Hospitals in California

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
California
Specific hospitals up to 10
Average payment across these 23 hospitals
$80,791National $55,508 · California $80,791
Median hospital
$63,764
Lowest to highest
$50,685–$229,463
Medicare stays
554

23 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
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 05022425$50,685About average$49,070$318,107
Huntington HospitalPasadena, CA · CCN 05043811$51,437About average$45,116$300,956
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032426$54,228About average$47,797$580,170
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039616$55,425About average$53,577$269,610
Community Regional Medical CenterFresno, CA · CCN 05006019$55,436About average$53,707$343,594
Eisenhower Medical CenterRancho Mirage, CA · CCN 05057313$56,275About average$54,242$280,184
Sequoia HospitalRedwood City, CA · CCN 05019712$59,444About average$57,741$491,623
Scripps Mercy HospitalSan Diego, CA · CCN 05007720$59,986About average$58,065$584,458
El Camino HealthMountain View, CA · CCN 05030819$60,445About average$54,909$444,016
Dominican HospitalSanta Cruz, CA · CCN 05024218$60,615About average$50,606$532,220
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017411$61,34111% above the national average$59,857$586,051
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062562$63,76415% above the national average$60,027$687,298
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010848$72,33430% above the national average$57,504$291,300
Loma Linda University Medical CenterLoma Linda, CA · CCN 05032716$74,73035% above the national average$69,449$460,504
Mercy General HospitalSacramento, CA · CCN 05001721$76,94139% above the national average$50,584$652,400
John Muir Medical Center - Concord CampusConcord, CA · CCN 05049627$83,00550% above the national average$54,929$690,334
Keck Hospital Of USCLos Angeles, CA · CCN 05069623$83,79851% above the national average$66,869$401,122
UCSF Medical CenterSan Francisco, CA · CCN 05045415$89,55161% above the national average$75,617$374,873
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 05026215$89,57061% above the national average$74,691$311,487
Stanford Health CareStanford, CA · CCN 05044199$103,64987% above the national average$82,797$897,454
University Of California Davis Medical CenterSacramento, CA · CCN 05059912$104,80889% above the national average$89,253$671,448
Kaiser Foundation Hospital - Los AngelesLos Angeles, CA · CCN 05013813$186,335236% above the national average$16,711$128,908
Kaiser Foundation Hospital - San FranciscoSan Francisco, CA · CCN 05007613$229,463313% above the national average$14,053$198,991

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Iowa241$36,196$35,498–$36,305
Mississippi463$37,016$33,289–$38,306
Arkansas495$38,921$36,396–$43,977
Kansas236$39,132$35,309–$39,610
South Dakota244$40,249$38,748–$42,050
Montana363$41,375$39,883–$41,821
Oklahoma250$42,212$41,437–$46,976
Louisiana8122$42,499$35,855–$42,274
North Dakota240$43,657$43,466–$44,231
Florida18498$44,435$39,087–$49,080
South Carolina6153$44,643$38,259–$53,821
Nebraska373$45,649$37,259–$46,261
Texas13440$45,846$39,531–$53,289
Indiana6178$46,335$43,048–$46,417
Wisconsin6189$46,473$40,749–$46,432
Tennessee8192$46,480$40,789–$44,930
Idaho255$46,686$46,518–$48,568
Kentucky6105$47,356$42,111–$50,465
Vermont111$47,630$47,630–$47,630
Missouri8245$47,653$38,593–$45,091
Delaware125$49,501$49,501–$49,501
West Virginia247$49,651$47,949–$49,925
Colorado389$49,942$47,481–$51,781
Utah583$49,991$42,359–$54,111
Alabama4159$50,219$38,879–$47,440
Arizona9266$50,269$39,758–$46,902
North Carolina13334$51,475$41,680–$58,372
Alaska118$51,734$51,734–$51,734
Georgia7196$51,809$44,235–$59,137
Nevada122$52,001$52,001–$52,001
New Hampshire251$52,587$46,966–$57,783
Ohio9447$53,844$44,266–$59,046
Pennsylvania14465$54,245$45,585–$59,743
Virginia8236$55,439$44,157–$57,749
New Jersey9288$55,974$52,221–$59,309
Michigan6279$56,122$49,744–$56,550
Oregon6125$56,459$53,791–$59,054
Hawaii113$56,725$56,725–$56,725
Illinois10191$57,456$48,189–$65,321
Minnesota8247$58,045$41,079–$54,880
Washington10286$61,129$48,305–$64,983
Massachusetts7186$62,437$58,719–$66,116
District of Columbia148$63,587$63,587–$63,587
New York12309$67,171$52,292–$77,486
Connecticut3104$67,763$62,167–$69,589
Maine250$68,670$61,629–$68,813
Rhode Island115$69,059$69,059–$69,059
California23554$80,791$57,860–$86,675
Maryland7290$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.