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Procedure price report · Heart valve procedures

Open aortic valve repair, complex

CPT 33391the billing code this page is about

Open-chest repair of the aortic valve using the heart-lung machine involving more than one repair maneuver, such as reshaping the valve ring or reinforcing the valve edges.

Hospitals typically charge $4,990 cash for this outpatient procedure — the median across 178 hospitals that filed a usable cash price; the average of the middle 60% is $5,421. Most fall between $2,929 and $10,854 (20th–80th percentile).

Hospitals
178
States
32
Filings dated
Jun 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 178 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
$2,422$3,411$4,990$7,511$13,154

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($2,422 vs $13,154).

How the prices are spread

$572 – $848: 2 hospitals$572$848 – $1,255: 1 hospitals$1,255 – $1,858: 0 hospitals$1,255$1,858 – $2,751: 24 hospitals$2,751 – $4,074: 29 hospitals$2,751$4,074 – $6,032: 39 hospitals$6,032 – $8,932: 34 hospitals$6,032$8,932 – $13,226: 29 hospitals$13,226 – $19,583: 1 hospitals$13,226$19,583 – $28,997: 4 hospitals$19,583median $4,990price bands are equal on a log scale
Hospitals per price band (163 of 178 — the bands cover the 5th to 95th percentile)
FromToHospitals
$572$8482
$848$1,2551
$1,255$1,8580
$1,858$2,75124
$2,751$4,07429
$4,074$6,03239
$6,032$8,93234
$8,932$13,22629
$13,226$19,5831
$19,583$28,9974

By state

The median cash price in each state, against the national median of $4,990.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 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: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 5 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $13,154 across 19 hospitalsWI$13,154Michigan: median $2,562 across 20 hospitalsMI$2,562New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,093 across 10 hospitalsOR$4,093Nevada: 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: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $10,790 across 14 hospitalsOH$10,790Pennsylvania: median $527 across 15 hospitalsPA$527New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,625 across 23 hospitalsCA$6,625Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $3,694 across 10 hospitalsOK$3,694Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,990. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI19$13,154+164%$12,729 – $13,154
Ohio OH14$10,790+116%$4,849 – $38,645
California CA23$6,625+33%$6,625 – $6,625
New Jersey NJ12$5,110+2%$4,350 – $5,855
Oregon OR10$4,093−18%$4,093 – $5,284
Oklahoma OK10$3,694−26%$3,694 – $3,694
Michigan MI20$2,562−49%$2,562 – $3,210
Pennsylvania PA15$527−89%$429 – $5,660
New York NY9not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Illinois IL5not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not 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 $4,990.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care147$4,738$2,615 – $7,162
Children’s7fewer than 20 hospitals
Critical access24$12,729$3,649 – $13,154
Ownership
For-profit7fewer than 20 hospitals
Government8fewer than 20 hospitals
Non-profit163$5,110$2,676 – $12,729
System affiliation
Part of a system158$5,082$3,210 – $12,729
Independent20$4,763$2,422 – $6,937

Cash price vs list price

Median list price (chargemaster)$7,327
Median cash price$4,990
Cash as a share of list, median hospital58%

At the typical hospital, asking for the cash price cuts the list price by about 42%. 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

126 hospitals filed a usable inpatient cash price for this code. The median is $4,985 and the average of the middle 60% is $6,681; most fall between $3,217 and $13,154.

Cash price percentiles, inpatient, across 126 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
$2,006$3,610$4,985$7,511$13,154

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($2,006 vs $13,154).

Of the 136 hospitals that filed this code inpatient, 126 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

178 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 196 hospitals that filed this code at all gave us
Usable cash price — counted178
Cash price carrying a plausibility flag — shown on the compare tool, excluded here17
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded0
Hospitals that filed this code196

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 23, 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 Valvuloplasty Aortic Valve Open Card Byp Complex.

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, “Open aortic valve repair, complex (CPT 33391) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33391-open-aortic-valve-repair-complex