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Procedure price report · Heart valve procedures

Aortic valve replacement through the heart's apex

CPT 33366the billing code this page is about

Replacement of the aortic valve with a catheter-delivered prosthetic valve, reaching the heart through a small chest incision and the tip of the left ventricle rather than through a leg artery.

Hospitals typically charge $12,744 cash for this outpatient procedure — the median across 583 hospitals that filed a usable cash price; the average of the middle 60% is $13,405. Most fall between $3,854 and $27,888 (20th–80th percentile).

Hospitals
583
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 583 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
$2,476$5,127$12,744$25,253$41,928

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($2,476 vs $41,928).

How the prices are spread

$1,756 – $2,515: 30 hospitals$1,756$2,515 – $3,602: 32 hospitals$3,602 – $5,159: 63 hospitals$3,602$5,159 – $7,390: 59 hospitals$7,390 – $10,584: 43 hospitals$7,390$10,584 – $15,160: 77 hospitals$15,160 – $21,713: 67 hospitals$15,160$21,713 – $31,099: 84 hospitals$31,099 – $44,542: 45 hospitals$31,099$44,542 – $63,797: 28 hospitals$44,542median $12,744price bands are equal on a log scale
Hospitals per price band (528 of 583 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,756$2,51530
$2,515$3,60232
$3,602$5,15963
$5,159$7,39059
$7,390$10,58443
$10,584$15,16077
$15,160$21,71367
$21,713$31,09984
$31,099$44,54245
$44,542$63,79728

By state

The median cash price in each state, against the national median of $12,744.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 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: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $22,570 across 35 hospitalsIL$22,570Wisconsin: median $12,689 across 30 hospitalsWI$12,689Michigan: median $4,668 across 21 hospitalsMI$4,668New York: median $4,934 across 19 hospitalsNY$4,934Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,625 across 18 hospitalsOR$3,625Nevada: 2 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 $3,854 across 16 hospitalsIA$3,854Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $19,362 across 46 hospitalsOH$19,362Pennsylvania: median $5,660 across 26 hospitalsPA$5,660New Jersey: median $5,855 across 19 hospitalsNJ$5,855Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,026 across 62 hospitalsCA$6,026Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $22,497 across 10 hospitalsCO$22,497Nebraska: median $8,371 across 10 hospitalsNE$8,371Missouri: median $13,563 across 10 hospitalsMO$13,563Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $5,831 across 11 hospitalsVA$5,831Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $97,540 across 14 hospitalsAZ$97,540New Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,263 across 12 hospitalsTN$2,263North Carolina: median $3,496 across 11 hospitalsNC$3,496South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,540 across 18 hospitalsOK$2,540Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $17,649 across 42 hospitalsGA$17,649Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $19,678 across 49 hospitalsTX$19,678Florida: median $24,202 across 24 hospitalsFL$24,202
Cash price by state, most expensive first. National median $12,744. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ14$97,540+665%$8,070 – $97,540
Florida FL24$24,202+90%$12,744 – $55,231
Illinois IL35$22,570+77%$3,105 – $37,601
Colorado CO10$22,497+77%$13,869 – $22,497
Texas TX49$19,678+54%$5,523 – $25,539
Ohio OH46$19,362+52%$15,960 – $31,747
Georgia GA42$17,649+38%$13,308 – $31,476
Missouri MO10$13,563+6%$2,528 – $15,383
Wisconsin WI30$12,6890%$8,728 – $14,875
Nebraska NE10$8,371−34%$3,902 – $11,345
California CA62$6,026−53%$5,127 – $63,797
New Jersey NJ19$5,855−54%$4,627 – $12,702
Virginia VA11$5,831−54%$4,554 – $17,924
Pennsylvania PA26$5,660−56%$994 – $19,699
New York NY19$4,934−61%$1,903 – $35,419
Michigan MI21$4,668−63%$2,139 – $12,689
Iowa IA16$3,854−70%$3,854 – $17,364
Oregon OR18$3,625−72%$2,802 – $48,736
North Carolina NC11$3,496−73%$664 – $19,745
Oklahoma OK18$2,540−80%$2,540 – $19,371
Tennessee TN12$2,263−82%$1,756 – $6,365
Washington WA9not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not 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
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not 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 $12,744.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care528$13,060$3,986 – $28,564
Children’s8fewer than 20 hospitals
Critical access43$12,689$3,854 – $18,946
Ownership
For-profit53$17,649$3,902 – $31,476
Government58$12,702$3,028 – $27,506
Non-profit468$12,689$3,854 – $27,888
System affiliation
Part of a system534$13,308$4,443 – $28,655
Independent49$9,317$2,363 – $19,678

Cash price vs list price

Median list price (chargemaster)$23,170
Median cash price$12,744
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

474 hospitals filed a usable inpatient cash price for this code. The median is $13,278 and the average of the middle 60% is $13,998; most fall between $3,963 and $30,338.

Cash price percentiles, inpatient, across 474 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
$2,540$5,127$13,278$25,539$48,468

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($2,540 vs $48,468).

Of the 505 hospitals that filed this code inpatient, 474 gave a usable cash price; 15 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

583 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 636 hospitals that filed this code at all gave us
Usable cash price — counted583
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded4
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded23
Hospitals that filed this code636

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 Transcatheter Transapical Replacemt Aortic Valve.

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 through the heart's apex (CPT 33366) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33366-aortic-valve-replacement-through-the-heart-s-apex