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Procedure price report · Heart valve procedures

Open aortic valve replacement with an artificial valve

CPT 33405the billing code this page is about

Open-heart surgery on the heart-lung machine to remove the diseased aortic valve and put in a manufactured replacement valve, other than a donor valve or a stentless tissue valve.

Hospitals typically charge $5,305 cash for this outpatient procedure — the median across 274 hospitals that filed a usable cash price; the average of the middle 60% is $6,563. Most fall between $3,306 and $12,474 (20th–80th percentile).

Hospitals
274
States
44
Filings dated
Jun 2024 – 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 274 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
$2,350$3,683$5,305$10,166$15,640

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($2,350 vs $15,640).

How the prices are spread

$1,175 – $1,605: 6 hospitals$1,175$1,605 – $2,193: 4 hospitals$2,193 – $2,997: 13 hospitals$2,193$2,997 – $4,094: 50 hospitals$4,094 – $5,594: 69 hospitals$4,094$5,594 – $7,643: 24 hospitals$7,643 – $10,442: 29 hospitals$7,643$10,442 – $14,266: 36 hospitals$14,266 – $19,491: 6 hospitals$14,266$19,491 – $26,629: 11 hospitals$19,491median $5,305price bands are equal on a log scale
Hospitals per price band (248 of 274 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,175$1,6056
$1,605$2,1934
$2,193$2,99713
$2,997$4,09450
$4,094$5,59469
$5,594$7,64324
$7,643$10,44229
$10,442$14,26636
$14,266$19,4916
$19,491$26,62911

By state

The median cash price in each state, against the national median of $5,305.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $4,188 across 16 hospitalsIL$4,188Wisconsin: median $12,644 across 25 hospitalsWI$12,644Michigan: median $4,978 across 27 hospitalsMI$4,978New York: median $4,681 across 15 hospitalsNY$4,681Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $801 across 10 hospitalsOR$801Nevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $5,542 across 17 hospitalsIA$5,542Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,797 across 12 hospitalsOH$5,797Pennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,339 across 13 hospitalsNJ$5,339Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 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: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $3,683 across 10 hospitalsOK$3,683Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $8,136 across 16 hospitalsTX$8,136Florida: median $11,818 across 10 hospitalsFL$11,818
Cash price by state, most expensive first. National median $5,305. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI25$12,644+138%$12,474 – $19,070
Florida FL10$11,818+123%$4,041 – $69,663
Texas TX16$8,136+53%$8,136 – $24,500
Ohio OH12$5,797+9%$3,489 – $11,818
Iowa IA17$5,542+4%$5,542 – $5,542
New Jersey NJ13$5,339+1%$4,350 – $6,311
Michigan MI27$4,978−6%$3,228 – $4,978
New York NY15$4,681−12%$2,005 – $6,611
Illinois IL16$4,188−21%$3,181 – $12,117
Oklahoma OK10$3,683−31%$3,683 – $3,683
Oregon OR10$801−85%$801 – $5,251
Pennsylvania PA8not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Tennessee TN1not 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 $5,305.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care222$5,215$3,241 – $11,506
Children’s9fewer than 20 hospitals
Critical access42$6,570$3,647 – $12,644
Ownership
For-profit17fewer than 20 hospitals
Government25$4,747$2,642 – $7,785
Non-profit231$5,542$3,443 – $12,474
System affiliation
Part of a system226$5,339$3,441 – $12,474
Independent48$4,747$2,642 – $9,013

Cash price vs list price

Median list price (chargemaster)$6,928
Median cash price$5,305
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

196 hospitals filed a usable inpatient cash price for this code. The median is $5,153 and the average of the middle 60% is $6,231; most fall between $3,181 and $12,474.

Cash price percentiles, inpatient, across 196 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
$1,862$3,306$5,153$8,737$18,541

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($1,862 vs $18,541).

Of the 235 hospitals that filed this code inpatient, 196 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

274 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 330 hospitals that filed this code at all gave us
Usable cash price — counted274
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
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 — excluded17
Hospitals that filed this code330

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 Rplcmt Prost Aortic Valve Open Xcp Homogrf/Stent.

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 replacement with an artificial valve (CPT 33405) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33405-open-aortic-valve-replacement-with-an-artificial-valve