Procedure price report · Heart valve procedures
Catheter repair of leak around an aortic valve implant
CPT code CPT 93591the billing code this page is about
A thin tube is threaded through a blood vessel to plug a leak in the tissue around a previously implanted aortic valve, without open surgery.
Hospitals typically charge $22,633 cash for this outpatient procedure — the median across 802 hospitals that filed a usable cash price; the average of the middle 60% is $24,329. Most fall between $11,507 and $41,492 (20th–80th percentile).
- Hospitals
- 802
- States
- 50
- Filings dated
- Dec 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
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $5,780 | $12,715 | $22,633 | $37,230 | $55,755 |
The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($5,780 vs $55,755).
How the prices are spread
| From | To | Hospitals |
|---|---|---|
| $2,393 | $3,357 | 7 |
| $3,357 | $4,708 | 10 |
| $4,708 | $6,604 | 34 |
| $6,604 | $9,264 | 26 |
| $9,264 | $12,994 | 88 |
| $12,994 | $18,226 | 77 |
| $18,226 | $25,566 | 180 |
| $25,566 | $35,860 | 120 |
| $35,860 | $50,301 | 127 |
| $50,301 | $70,556 | 58 |
Against Medicare
The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.
By state
The median cash price in each state, against the national median of $22,633.
| State | Hospitals | Median | vs national | 20th–80th |
|---|---|---|---|---|
| Kentucky KY | 20 | $70,556 | +212% | $12,284 – $70,556 |
| Massachusetts MA | 16 | $44,782 | +98% | $36,421 – $55,755 |
| North Carolina NC | 17 | $43,428 | +92% | $11,191 – $43,428 |
| South Carolina SC | 12 | $36,697 | +62% | $23,023 – $40,938 |
| Florida FL | 48 | $36,486 | +61% | $25,304 – $63,961 |
| Arizona AZ | 21 | $35,748 | +58% | $13,206 – $35,748 |
| California CA | 88 | $35,553 | +57% | $18,408 – $42,375 |
| Washington WA | 28 | $31,318 | +38% | $8,552 – $32,437 |
| Texas TX | 64 | $29,214 | +29% | $20,488 – $35,807 |
| Pennsylvania PA | 28 | $28,950 | +28% | $18,582 – $46,970 |
| Missouri MO | 16 | $26,472 | +17% | $14,972 – $44,392 |
| Colorado CO | 20 | $24,504 | +8% | $16,893 – $37,766 |
| Oregon OR | 20 | $23,496 | +4% | $1,579 – $41,256 |
| Virginia VA | 20 | $21,862 | −3% | $16,416 – $35,645 |
| Illinois IL | 32 | $21,276 | −6% | $14,332 – $48,356 |
| New York NY | 32 | $21,249 | −6% | $15,937 – $25,834 |
| Georgia GA | 43 | $20,710 | −8% | $12,657 – $29,060 |
| New Jersey NJ | 29 | $19,893 | −12% | $6,187 – $23,961 |
| Louisiana LA | 11 | $18,265 | −19% | $11,969 – $22,458 |
| Ohio OH | 40 | $16,362 | −28% | $10,746 – $23,618 |
| Michigan MI | 16 | $15,450 | −32% | $11,993 – $25,207 |
| Minnesota MN | 10 | $14,538 | −36% | $9,531 – $20,198 |
| Indiana IN | 25 | $12,747 | −44% | $8,587 – $22,967 |
| Nebraska NE | 11 | $12,304 | −46% | $6,801 – $17,555 |
| Oklahoma OK | 21 | $10,915 | −52% | $1,546 – $12,624 |
| Tennessee TN | 21 | $6,600 | −71% | $3,393 – $22,650 |
| Wisconsin WI | 19 | $4,760 | −79% | $4,760 – $30,942 |
| Iowa IA | 15 | $2,031 | −91% | $2,031 – $13,169 |
| Arkansas AR | 7 | not enough hospitals filed a usable price | ||
| Utah UT | 7 | not enough hospitals filed a usable price | ||
| West Virginia WV | 5 | not enough hospitals filed a usable price | ||
| Hawaii HI | 4 | not enough hospitals filed a usable price | ||
| Mississippi MS | 4 | not enough hospitals filed a usable price | ||
| New Hampshire NH | 4 | not enough hospitals filed a usable price | ||
| Nevada NV | 4 | not enough hospitals filed a usable price | ||
| Alabama AL | 3 | not enough hospitals filed a usable price | ||
| Idaho ID | 3 | not enough hospitals filed a usable price | ||
| Maine ME | 2 | not enough hospitals filed a usable price | ||
| Montana MT | 2 | not enough hospitals filed a usable price | ||
| North Dakota ND | 2 | not enough hospitals filed a usable price | ||
| New Mexico NM | 2 | not enough hospitals filed a usable price | ||
| Rhode Island RI | 2 | not enough hospitals filed a usable price | ||
| Alaska AK | 1 | not enough hospitals filed a usable price | ||
| Connecticut CT | 1 | not enough hospitals filed a usable price | ||
| Delaware DE | 1 | not enough hospitals filed a usable price | ||
| Kansas KS | 1 | not enough hospitals filed a usable price | ||
| Maryland MD | 1 | not enough hospitals filed a usable price | ||
| South Dakota SD | 1 | not enough hospitals filed a usable price | ||
| Vermont VT | 1 | not enough hospitals filed a usable price | ||
| Wyoming WY | 1 | not 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 $22,633.
| Segment | Hospitals | Median | 20th–80th |
|---|---|---|---|
| Hospital type | |||
| Acute care | 741 | $22,650 | $11,991 – $41,867 |
| Children’s | 17 | fewer than 20 hospitals | |
| Critical access | 40 | $12,950 | $4,760 – $29,214 |
| Ownership | |||
| For-profit | 83 | $26,545 | $13,451 – $52,892 |
| Government | 85 | $22,633 | $13,451 – $43,428 |
| Non-profit | 630 | $21,954 | $11,148 – $39,349 |
| System affiliation | |||
| Part of a system | 743 | $22,883 | $11,507 – $41,867 |
| Independent | 59 | $19,712 | $10,984 – $30,657 |
Cash price vs list price
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
637 hospitals filed a usable inpatient cash price for this code. The median is $22,633 and the average of the middle 60% is $24,532; most fall between $11,507 and $41,256.
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $4,760 | $12,657 | $22,633 | $37,766 | $48,356 |
The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($4,760 vs $48,356).
Of the 688 hospitals that filed this code inpatient, 637 gave a usable cash price; 30 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.
How complete is this
802 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.
| Usable cash price — counted | 802 |
|---|---|
| Cash price carrying a plausibility flag — shown on the compare tool, excluded here | 40 |
| A number the filing itself marks as not a price (a placeholder, a ratio) — excluded | 0 |
| An estimate rather than a filed cash price — excluded | 1 |
| A list price only, no cash figure — excluded | 21 |
| Hospitals that filed this code | 864 |
Sections not shown for this setting
- 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 Perq Transcath Cls Paravalvr Leak 1 Aortic 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, “Catheter repair of leak around an aortic valve implant (CPT 93591) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-93591-catheter-repair-of-leak-around-an-aortic-valve-implant