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Procedure price report · Heart valve procedures

Pulmonary valve replacement through a catheter

CPT 33477the billing code this page is about

Replacement of the valve leading to the lung arteries using a new valve threaded through a blood vessel on a catheter, without opening the chest.

Hospitals typically charge $13,176 cash for this outpatient procedure — the median across 506 hospitals that filed a usable cash price; the average of the middle 60% is $14,819. Most fall between $3,405 and $32,014 (20th–80th percentile).

Hospitals
506
States
48
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 506 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
$2,759$5,339$13,176$29,995$46,723

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($2,759 vs $46,723).

How the prices are spread

$1,680 – $2,380: 27 hospitals$1,680$2,380 – $3,373: 33 hospitals$3,373 – $4,780: 39 hospitals$3,373$4,780 – $6,773: 22 hospitals$6,773 – $9,598: 43 hospitals$6,773$9,598 – $13,601: 71 hospitals$13,601 – $19,273: 50 hospitals$13,601$19,273 – $27,310: 57 hospitals$27,310 – $38,700: 51 hospitals$27,310$38,700 – $54,840: 66 hospitals$38,700median $13,176price bands are equal on a log scale
Hospitals per price band (459 of 506 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,680$2,38027
$2,380$3,37333
$3,373$4,78039
$4,780$6,77322
$6,773$9,59843
$9,598$13,60171
$13,601$19,27350
$19,273$27,31057
$27,310$38,70051
$38,700$54,84066

By state

The median cash price in each state, against the national median of $13,176.

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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $12,432 across 13 hospitalsMN$12,432Illinois: median $8,855 across 23 hospitalsIL$8,855Wisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $18,184 across 18 hospitalsMI$18,184New York: median $6,238 across 15 hospitalsNY$6,238Massachusetts: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $13,115 across 17 hospitalsIN$13,115Ohio: median $26,161 across 26 hospitalsOH$26,161Pennsylvania: median $10,503 across 12 hospitalsPA$10,503New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $9,812 across 54 hospitalsCA$9,812Utah: median $46,305 across 23 hospitalsUT$46,305Colorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $7,679 across 10 hospitalsMO$7,679Kentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $17,836 across 20 hospitalsVA$17,836Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $75,372 across 12 hospitalsAZ$75,372New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $7,281 across 13 hospitalsNC$7,281South Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,131 across 15 hospitalsOK$2,131Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $13,903 across 24 hospitalsGA$13,903Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,654 across 65 hospitalsTX$8,654Florida: median $21,891 across 38 hospitalsFL$21,891
Cash price by state, most expensive first. National median $13,176. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ12$75,372+472%$35,802 – $75,372
Utah UT23$46,305+251%$46,305 – $51,450
Ohio OH26$26,161+99%$10,080 – $30,109
Florida FL38$21,891+66%$14,682 – $47,561
Michigan MI18$18,184+38%$1,680 – $20,205
Virginia VA20$17,836+35%$5,517 – $24,935
Georgia GA24$13,903+6%$12,639 – $31,476
Indiana IN17$13,1150%$9,803 – $17,726
Minnesota MN13$12,432−6%$12,432 – $26,933
Pennsylvania PA12$10,503−20%$7,997 – $20,057
California CA54$9,812−26%$3,405 – $39,128
Illinois IL23$8,855−33%$7,122 – $14,581
Texas TX65$8,654−34%$3,256 – $29,995
Missouri MO10$7,679−42%$1,952 – $10,850
North Carolina NC13$7,281−45%$2,967 – $7,281
New York NY15$6,238−53%$1,498 – $21,540
New Jersey NJ14$5,339−59%$4,350 – $6,839
Oklahoma OK15$2,131−84%$2,131 – $15,897
Tennessee TN9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
South Dakota SD1not 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 $13,176.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care434$12,432$3,405 – $29,995
Children’s40$33,075$7,125 – $50,466
Critical access30$17,726$3,156 – $46,305
Ownership
For-profit47$18,494$3,256 – $48,715
Government43$7,281$3,156 – $17,688
Non-profit414$13,295$3,415 – $32,014
System affiliation
Part of a system459$13,189$3,509 – $31,476
Independent47$12,497$2,208 – $39,128

Cash price vs list price

Median list price (chargemaster)$27,459
Median cash price$13,176
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

406 hospitals filed a usable inpatient cash price for this code. The median is $13,295 and the average of the middle 60% is $16,001; most fall between $3,405 and $37,811.

Cash price percentiles, inpatient, across 406 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
$2,208$4,668$13,295$31,439$46,723

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($2,208 vs $46,723).

Of the 434 hospitals that filed this code inpatient, 406 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

506 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 557 hospitals that filed this code at all gave us
Usable cash price — counted506
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
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 — excluded24
Hospitals that filed this code557

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 24, 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 Tcat Pulmonary Valve Implantation Prq Approach.

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, “Pulmonary valve replacement through a catheter (CPT 33477) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33477-pulmonary-valve-replacement-through-a-catheter