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Procedure price report · Heart valve procedures

Aortic valve replacement with enlargement of the valve ring

CPT 33411the billing code this page is about

Open-heart surgery that replaces the aortic valve and widens the ring of tissue the valve sits in so a larger valve will fit.

Hospitals typically charge $6,839 cash for this outpatient procedure — the median across 210 hospitals that filed a usable cash price; the average of the middle 60% is $7,081. Most fall between $4,230 and $14,279 (20th–80th percentile).

Hospitals
210
States
39
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 210 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
$3,735$4,710$6,839$10,367$20,680

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($3,735 vs $20,680).

How the prices are spread

$3,192 – $3,848: 13 hospitals$3,192$3,848 – $4,638: 28 hospitals$4,638 – $5,591: 33 hospitals$4,638$5,591 – $6,740: 20 hospitals$6,740 – $8,125: 22 hospitals$6,740$8,125 – $9,794: 25 hospitals$9,794 – $11,806: 12 hospitals$9,794$11,806 – $14,232: 4 hospitals$14,232 – $17,156: 9 hospitals$14,232$17,156 – $20,680: 24 hospitals$17,156median $6,839price bands are equal on a log scale
Hospitals per price band (190 of 210 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,192$3,84813
$3,848$4,63828
$4,638$5,59133
$5,591$6,74020
$6,740$8,12522
$8,125$9,79425
$9,794$11,80612
$11,806$14,2324
$14,232$17,1569
$17,156$20,68024

By state

The median cash price in each state, against the national median of $6,839.

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: 2 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 $4,230 across 11 hospitalsIL$4,230Wisconsin: median $20,680 across 25 hospitalsWI$20,680Michigan: median $4,319 across 27 hospitalsMI$4,319New York: median $4,978 across 14 hospitalsNY$4,978Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $6,000 across 10 hospitalsOR$6,000Nevada: 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 $8,202 across 16 hospitalsIA$8,202Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 6 hospitals filed a usable price — fewer than 10, so no figurePANew 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: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals 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: 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: 3 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $5,434 across 10 hospitalsOK$5,434Louisiana: 1 hospital 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: 5 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: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $6,839. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI25$20,680+202%$18,638 – $20,680
Iowa IA16$8,202+20%$8,202 – $8,202
Oregon OR10$6,000−12%$6,000 – $7,742
Oklahoma OK10$5,434−21%$5,434 – $5,434
New Jersey NJ13$5,110−25%$3,986 – $5,855
New York NY14$4,978−27%$2,940 – $9,750
Michigan MI27$4,319−37%$4,123 – $7,985
Illinois IL11$4,230−38%$4,230 – $6,523
Ohio OH9not enough hospitals filed a usable price
Pennsylvania PA6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not 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 $6,839.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care168$6,116$4,230 – $10,028
Children’s6fewer than 20 hospitals
Critical access36$8,202$4,230 – $20,680
Ownership
For-profit15fewer than 20 hospitals
Government21$7,320$5,495 – $11,079
Non-profit174$6,623$4,230 – $16,138
System affiliation
Part of a system173$7,424$4,230 – $16,138
Independent37$6,346$3,403 – $10,285

Cash price vs list price

Median list price (chargemaster)$9,981
Median cash price$6,839
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

142 hospitals filed a usable inpatient cash price for this code. The median is $6,617 and the average of the middle 60% is $6,751; most fall between $4,230 and $10,835.

Cash price percentiles, inpatient, across 142 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
$3,693$4,978$6,617$9,750$20,680

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($3,693 vs $20,680).

Of the 171 hospitals that filed this code inpatient, 142 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

210 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 252 hospitals that filed this code at all gave us
Usable cash price — counted210
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 — excluded7
Hospitals that filed this code252

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 Aortic Valve Annulus Enlgment Nonc Sinus.

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 with enlargement of the valve ring (CPT 33411) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33411-aortic-valve-replacement-with-enlargement-of-the-valve-ring