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Procedure price report · Heart valve procedures

Heart-lung bypass support via opened vessels, add-on

CPT 33368the billing code this page is about

Add-on charge for running a heart-lung bypass machine during a catheter-based aortic valve replacement, with the arm or leg artery and vein reached through a surgical incision.

Hospitals typically charge $4,563 cash for this outpatient procedure — the median across 365 hospitals that filed a usable cash price; the average of the middle 60% is $6,534. Most fall between $1,314 and $17,649 (20th–80th percentile).

Hospitals
365
States
43
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 365 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
$937$1,456$4,563$15,200$30,557

The most expensive tenth of hospitals charges at least 33× what the cheapest tenth charges ($937 vs $30,557).

How the prices are spread

$594 – $906: 17 hospitals$594$906 – $1,383: 45 hospitals$1,383 – $2,112: 56 hospitals$1,383$2,112 – $3,223: 14 hospitals$3,223 – $4,918: 41 hospitals$3,223$4,918 – $7,506: 19 hospitals$7,506 – $11,456: 57 hospitals$7,506$11,456 – $17,485: 22 hospitals$17,485 – $26,685: 29 hospitals$17,485$26,685 – $40,728: 33 hospitals$26,685median $4,563price bands are equal on a log scale
Hospitals per price band (333 of 365 — the bands cover the 5th to 95th percentile)
FromToHospitals
$594$90617
$906$1,38345
$1,383$2,11256
$2,112$3,22314
$3,223$4,91841
$4,918$7,50619
$7,506$11,45657
$11,456$17,48522
$17,485$26,68529
$26,685$40,72833

By state

The median cash price in each state, against the national median of $4,563.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,818 across 18 hospitalsIL$1,818Wisconsin: median $9,322 across 22 hospitalsWI$9,322Michigan: median $1,830 across 17 hospitalsMI$1,830New York: median $1,928 across 17 hospitalsNY$1,928Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,702 across 13 hospitalsOR$1,702Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,818 across 13 hospitalsIA$1,818Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $4,730 across 19 hospitalsOH$4,730Pennsylvania: median $3,041 across 23 hospitalsPA$3,041New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,456 across 42 hospitalsCA$1,456Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $8,638 across 16 hospitalsCO$8,638Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,196 across 14 hospitalsOK$1,196Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $17,649 across 26 hospitalsGA$17,649Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,251 across 18 hospitalsTX$8,251Florida: median $16,924 across 18 hospitalsFL$16,924
Cash price by state, most expensive first. National median $4,563. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA26$17,649+287%$16,800 – $31,476
Florida FL18$16,924+271%$9,136 – $38,680
Wisconsin WI22$9,322+104%$4,096 – $9,322
Colorado CO16$8,638+89%$7,590 – $19,309
Texas TX18$8,251+81%$1,178 – $87,799
New Jersey NJ13$5,110+12%$3,986 – $5,855
Ohio OH19$4,730+4%$2,732 – $31,039
Pennsylvania PA23$3,041−33%$467 – $4,563
New York NY17$1,928−58%$861 – $18,386
Michigan MI17$1,830−60%$1,035 – $4,643
Iowa IA13$1,818−60%$1,818 – $1,818
Illinois IL18$1,818−60%$594 – $27,355
Oregon OR13$1,702−63%$1,314 – $56,702
California CA42$1,456−68%$1,456 – $25,533
Oklahoma OK14$1,196−74%$1,196 – $8,506
Nebraska NE7not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $4,563.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care325$4,712$1,314 – $17,649
Children’s4fewer than 20 hospitals
Critical access36$4,096$1,365 – $9,322
Ownership
For-profit37$12,780$656 – $30,557
Government36$9,440$1,568 – $18,386
Non-profit292$4,096$1,314 – $16,924
System affiliation
Part of a system323$4,881$1,334 – $17,649
Independent42$2,135$1,145 – $10,792

Cash price vs list price

Median list price (chargemaster)$8,493
Median cash price$4,563
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

288 hospitals filed a usable inpatient cash price for this code. The median is $4,563 and the average of the middle 60% is $6,326; most fall between $1,296 and $17,649.

Cash price percentiles, inpatient, across 288 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
$861$1,456$4,563$12,789$30,557

The most expensive tenth of hospitals charges at least 35× what the cheapest tenth charges ($861 vs $30,557).

Of the 306 hospitals that filed this code inpatient, 288 gave a usable cash price; 8 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

365 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 392 hospitals that filed this code at all gave us
Usable cash price — counted365
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
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 — excluded8
Hospitals that filed this code392

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 23, 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 W/Byp Open Art/Venous Aprch.

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, “Heart-lung bypass support via opened vessels, add-on (CPT 33368) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33368-heart-lung-bypass-support-via-opened-vessels-add-on