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Procedure price report · Aortic resection, replacement or anastomosis

Ascending aorta graft replacement, not for a tear

CPT 33859the billing code this page is about

Open heart surgery using the heart-lung bypass machine to replace the first part of the aorta with a fabric tube and resuspend the aortic valve, done for an aneurysm or other aortic disease rather than a tear.

Hospitals typically charge $4,603 cash for this outpatient procedure — the median across 245 hospitals that filed a usable cash price; the average of the middle 60% is $5,066. Most fall between $3,424 and $9,941 (20th–80th percentile).

Hospitals
245
States
40
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 245 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
$2,399$3,632$4,603$7,090$12,254

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($2,399 vs $12,254).

How the prices are spread

$1,478 – $1,869: 10 hospitals$1,478$1,869 – $2,364: 2 hospitals$2,364 – $2,989: 19 hospitals$2,364$2,989 – $3,779: 24 hospitals$3,779 – $4,779: 63 hospitals$3,779$4,779 – $6,042: 40 hospitals$6,042 – $7,641: 19 hospitals$6,042$7,641 – $9,661: 5 hospitals$9,661 – $12,217: 13 hospitals$9,661$12,217 – $15,448: 26 hospitals$12,217median $4,603price bands are equal on a log scale
Hospitals per price band (221 of 245 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,478$1,86910
$1,869$2,3642
$2,364$2,98919
$2,989$3,77924
$3,779$4,77963
$4,779$6,04240
$6,042$7,64119
$7,641$9,6615
$9,661$12,21713
$12,217$15,44826

By state

The median cash price in each state, against the national median of $4,603.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 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: 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 $3,819 across 10 hospitalsIL$3,819Wisconsin: median $12,254 across 24 hospitalsWI$12,254Michigan: median $3,444 across 25 hospitalsMI$3,444New York: median $3,597 across 13 hospitalsNY$3,597Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $5,626 across 12 hospitalsOR$5,626Nevada: 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 $5,959 across 15 hospitalsIA$5,959Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $9,651 across 10 hospitalsOH$9,651Pennsylvania: median $1,747 across 15 hospitalsPA$1,747New 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: median $4,603 across 26 hospitalsCA$4,603Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals 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: 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: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew 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: 1 hospital 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 $3,949 across 10 hospitalsOK$3,949Louisiana: no hospital in the corpus filed a usable priceLAMississippi: 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: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,603. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI24$12,254+166%$12,254 – $18,502
Ohio OH10$9,651+110%$3,750 – $11,734
Iowa IA15$5,959+29%$5,959 – $5,959
Oregon OR12$5,626+22%$4,361 – $5,626
New Jersey NJ13$5,339+16%$4,350 – $6,311
California CA26$4,6030%$4,603 – $4,603
Oklahoma OK10$3,949−14%$3,949 – $3,949
Illinois IL10$3,819−17%$3,819 – $5,959
New York NY13$3,597−22%$3,453 – $7,090
Michigan MI25$3,444−25%$2,815 – $4,211
Pennsylvania PA15$1,747−62%$1,478 – $5,913
Indiana IN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Missouri MO4not 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
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maine ME1not 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
Tennessee TN1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Vermont VT1not 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 $4,603.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care200$4,603$3,444 – $7,090
Children’s7fewer than 20 hospitals
Critical access38$5,626$3,060 – $13,540
Ownership
For-profit14fewer than 20 hospitals
Government20$4,211$1,826 – $6,250
Non-profit211$4,603$3,444 – $10,906
System affiliation
Part of a system213$4,603$3,444 – $11,734
Independent32$5,155$2,703 – $7,811

Cash price vs list price

Median list price (chargemaster)$7,449
Median cash price$4,603
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

178 hospitals filed a usable inpatient cash price for this code. The median is $4,603 and the average of the middle 60% is $4,973; most fall between $3,731 and $7,528.

Cash price percentiles, inpatient, 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
$2,703$3,819$4,603$6,526$12,254

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($2,703 vs $12,254).

Of the 206 hospitals that filed this code inpatient, 178 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

245 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 295 hospitals that filed this code at all gave us
Usable cash price — counted245
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 — excluded23
Hospitals that filed this code295

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 Aortic resection, replacement or anastomosis family.

Hospitals file this code under descriptions such as As-Aort Grf W/Card Byp F/Aortic Ds Oth/Thn Dsj.

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, “Ascending aorta graft replacement, not for a tear (CPT 33859) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33859-ascending-aorta-graft-replacement-not-for-a-tear