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Procedure price report · Heart valve procedures

Aortic valve replacement using own valve, outflow widened

CPT 33440the billing code this page is about

Open-heart surgery that moves the patient's own pulmonary valve into the aortic position, enlarges the outflow passage from the left ventricle, and replaces the pulmonary valve with a valved tube.

Hospitals typically charge $6,695 cash for this outpatient procedure — the median across 132 hospitals that filed a usable cash price; the average of the middle 60% is $6,918. Most fall between $4,817 and $8,887 (20th–80th percentile).

Hospitals
132
States
31
Filings dated
Nov 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 132 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
$4,038$5,077$6,695$8,546$13,056

The most expensive tenth of hospitals charges at least 3.2× what the cheapest tenth charges ($4,038 vs $13,056).

How the prices are spread

$3,066 – $3,631: 3 hospitals$3,066$3,631 – $4,300: 7 hospitals$4,300 – $5,092: 18 hospitals$4,300$5,092 – $6,031: 22 hospitals$6,031 – $7,142: 13 hospitals$6,031$7,142 – $8,459: 17 hospitals$8,459 – $10,018: 27 hospitals$8,459$10,018 – $11,864: 5 hospitals$11,864 – $14,050: 3 hospitals$11,864$14,050 – $16,640: 6 hospitals$14,050median $6,695price bands are equal on a log scale
Hospitals per price band (121 of 132 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,066$3,6313
$3,631$4,3007
$4,300$5,09218
$5,092$6,03122
$6,031$7,14213
$7,142$8,45917
$8,459$10,01827
$10,018$11,8645
$11,864$14,0503
$14,050$16,6406

By state

The median cash price in each state, against the national median of $6,695.

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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 4 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: 5 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $8,370 across 13 hospitalsIA$8,370Indiana: no hospital in the corpus filed a usable priceINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 2 hospitals filed a usable price — fewer than 10, so no figurePANew 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 $8,546 across 22 hospitalsCA$8,546Utah: 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: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 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: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $5,499 across 10 hospitalsOK$5,499Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: no hospital in the corpus filed a usable priceTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $6,695. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$8,546+28%$8,546 – $8,546
Iowa IA13$8,370+25%$8,370 – $8,370
Oklahoma OK10$5,499−18%$5,499 – $5,499
New Jersey NJ12$5,110−24%$4,350 – $5,855
Ohio OH9not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
New York NY5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Illinois IL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Massachusetts MA2not 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
Pennsylvania PA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Tennessee TN1not 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 $6,695.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care116$6,695$4,817 – $8,546
Children’s9fewer than 20 hospitals
Critical access6fewer than 20 hospitals
Ownership
For-profit4fewer than 20 hospitals
Government13fewer than 20 hospitals
Non-profit114$6,695$4,817 – $8,546
System affiliation
Part of a system112$6,839$4,817 – $8,546
Independent20$6,432$3,968 – $10,223

Cash price vs list price

Median list price (chargemaster)$10,463
Median cash price$6,695
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.

How complete is this

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

What the 164 hospitals that filed this code at all gave us
Usable cash price — counted132
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
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 — excluded10
Hospitals that filed this code164

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 5, 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 by Tlcj Autol Pulm 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 using own valve, outflow widened (CPT 33440) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33440-aortic-valve-replacement-using-own-valve-outflow-widened