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Procedure price report · Heart valve procedures

Aortic valve replacement by catheter through the aorta

CPT 33365the billing code this page is about

A replacement aortic valve is delivered directly through an incision in the aorta, reached through the chest wall or upper breastbone.

Hospitals typically charge $12,590 cash for this outpatient procedure — the median across 609 hospitals that filed a usable cash price; the average of the middle 60% is $12,799. Most fall between $2,923 and $31,309 (20th–80th percentile).

Hospitals
609
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 609 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$2,258$3,542$12,590$26,534$41,384

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($2,258 vs $41,384).

How the prices are spread

$1,666 – $2,369: 44 hospitals$1,666$2,369 – $3,369: 70 hospitals$3,369 – $4,792: 49 hospitals$3,369$4,792 – $6,816: 45 hospitals$6,816 – $9,693: 43 hospitals$6,816$9,693 – $13,786: 44 hospitals$13,786 – $19,607: 88 hospitals$13,786$19,607 – $27,886: 53 hospitals$27,886 – $39,660: 74 hospitals$27,886$39,660 – $56,405: 39 hospitals$39,660median $12,590price bands are equal on a log scale
Hospitals per price band (549 of 609 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,666$2,36944
$2,369$3,36970
$3,369$4,79249
$4,792$6,81645
$6,816$9,69343
$9,693$13,78644
$13,786$19,60788
$19,607$27,88653
$27,886$39,66074
$39,660$56,40539

By state

The median cash price in each state, against the national median of $12,590.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $14,783 across 33 hospitalsIL$14,783Wisconsin: median $14,303 across 29 hospitalsWI$14,303Michigan: median $2,258 across 32 hospitalsMI$2,258New York: median $4,548 across 20 hospitalsNY$4,548Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,289 across 17 hospitalsOR$3,289Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $3,542 across 16 hospitalsIA$3,542Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $32,452 across 49 hospitalsOH$32,452Pennsylvania: median $4,563 across 29 hospitalsPA$4,563New Jersey: median $5,741 across 19 hospitalsNJ$5,741Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,271 across 65 hospitalsCA$3,271Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $21,485 across 13 hospitalsCO$21,485Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $12,235 across 13 hospitalsMO$12,235Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $6,179 across 12 hospitalsAZ$6,179New Mexico: no hospital in the corpus filed a usable priceNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $3,496 across 10 hospitalsNC$3,496South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,307 across 16 hospitalsOK$2,307Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $17,649 across 35 hospitalsGA$17,649Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $19,678 across 54 hospitalsTX$19,678Florida: median $33,168 across 31 hospitalsFL$33,168
Cash price by state, most expensive first. National median $12,590. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL31$33,168+163%$16,644 – $62,239
Ohio OH49$32,452+158%$23,855 – $35,196
Colorado CO13$21,485+71%$21,485 – $48,029
Texas TX54$19,678+56%$3,740 – $38,715
Georgia GA35$17,649+40%$13,308 – $17,649
Illinois IL33$14,783+17%$2,565 – $47,107
Wisconsin WI29$14,303+14%$7,923 – $15,570
Missouri MO13$12,235−3%$3,080 – $14,024
Arizona AZ12$6,179−51%$5,044 – $8,126
New Jersey NJ19$5,741−54%$4,553 – $12,702
Pennsylvania PA29$4,563−64%$683 – $7,420
New York NY20$4,548−64%$1,759 – $29,056
Iowa IA16$3,542−72%$3,542 – $26,921
North Carolina NC10$3,496−72%$664 – $19,237
Oregon OR17$3,289−74%$2,540 – $30,382
California CA65$3,271−74%$2,834 – $25,665
Oklahoma OK16$2,307−82%$2,307 – $18,326
Michigan MI32$2,258−82%$2,258 – $6,371
Nebraska NE9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $12,590.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care552$12,590$3,105 – $31,476
Children’s5fewer than 20 hospitals
Critical access48$7,923$2,923 – $15,570
Ownership
For-profit56$16,586$4,898 – $55,988
Government58$12,016$2,923 – $26,921
Non-profit491$11,345$2,923 – $28,961
System affiliation
Part of a system548$13,308$3,271 – $31,476
Independent61$7,280$2,608 – $24,554

Cash price vs list price

Median list price (chargemaster)$21,118
Median cash price$12,590
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

482 hospitals filed a usable inpatient cash price for this code. The median is $12,325 and the average of the middle 60% is $12,954; most fall between $2,923 and $30,382.

Cash price percentiles, inpatient, across 482 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$2,307$3,496$12,325$26,534$41,138

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($2,307 vs $41,138).

Of the 525 hospitals that filed this code inpatient, 482 gave a usable cash price; 23 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

609 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 665 hospitals that filed this code at all gave us
Usable cash price — counted609
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code665

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Heart valve procedures family.

Hospitals file this code under descriptions such as Replace Aortic Valve Open Transaortic Approach.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Aortic valve replacement by catheter through the aorta (CPT 33365) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33365-aortic-valve-replacement-by-catheter-through-the-aorta