Procedures

Heart Procedures: The Most Expensive Category in Medicine

Cardiac procedures top the charts for cost per service. Here is the data.

Heart disease is the leading cause of death in America, and cardiac procedures are among the most expensive in medicine. We analyzed 25 heart-related procedure codes — including surgeries, catheterizations, and diagnostic tests — to reveal the true cost landscape.

The average Medicare-allowed amount across these procedures is $1,786, with the most complex surgeries exceeding $100,000. Total services: 513.5K.

Most Expensive Heart Procedures

#CodeProcedureMedicare AllowedHospital ChargeServices
1C9600Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch$5,832$28,6013.8K
281595Test for detecting genes associated with heart diseases$3,161$4,3007.8K
333858Repair of ascending aorta with graft on heart-lung machine with valve suspension for aortic wall separation$2,361$10,2421.7K
433411Replacement of aortic valve with aorta enlargement$2,247$9,6301.6K
533863Repair of ascending aorta with graft on heart-lung machine with aortic root replacement and heart reconstruction$2,132$10,3783.1K
633430Replacement of mitral valve on heart-lung machine$1,845$8,4399.6K
733264Removal and replacement of multiple lead defibrillator$1,764$5,55713.0K
833263Removal and replacement of dual lead defibrillator$1,722$5,8615.3K
933249Insertion of implantable defibrillator system$1,707$5,59230.2K
1033535Coronary artery bypass using artery graft, 3 grafts$1,669$7,0071.4K
1133285Insertion of heart rhythm monitor under skin$1,630$7,51466.8K
1233427Radical reconstruction of mitral valve on heart-lung machine$1,586$8,4594.2K
1333859Repair of ascending aorta with graft on heart-lung machine with valve suspension for aortic disease$1,543$7,5884.6K
1478431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan$1,507$3,963137.9K
1533534Coronary artery bypass using artery graft, 2 grafts$1,420$7,0676.9K
1633426Repair of mitral valve with artificial valve on heart-lung machine$1,397$7,3583.2K
1733262Removal and replacement of single lead defibrillator$1,391$4,8452.1K
1833418Repair of mitral valve through the skin, initial prosthesis$1,378$5,78110.2K
1978492Nuclear medicine studies of blood flow in heart muscle at rest and with stress$1,315$3,359100.3K
2033405Replacement of aortic valve on heart-lung machine$1,286$7,20318.9K
2133880Repair of descending aorta and subclavian artery with insertion of graft and extensions$1,235$6,7291.4K
2233464Repair of tricuspid valve with ring insertion$1,226$8,6233.4K
2333881Repair of descending aorta with insertion of graft and extensions$1,116$5,5111.9K
2433533Coronary artery bypass using artery graft, 1 graft$1,115$5,56370.8K
250501TAnalysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report$1,052$3,8093.7K

Categories of Heart Procedures

Open-heart surgery (codes starting with 33) includes coronary artery bypass grafting (CABG), valve replacements, and heart transplants. These are the most expensive, with Medicare-allowed amounts often exceeding $50,000.

Catheter-based procedures like stent placement and angioplasty are less invasive and less expensive than open surgery, but still cost thousands per procedure.

Diagnostic procedures like echocardiograms and cardiac catheterization are relatively affordable individually but performed in enormous volume.

The Cost of Heart Disease

Heart disease costs the U.S. healthcare system over $200 billion annually. Medicare bears a disproportionate share because heart disease prevalence increases sharply with age. The procedures above represent just the direct procedural costs — they don't include hospital stays, medications, cardiac rehabilitation, or ongoing monitoring.

Prevention remains far cheaper than treatment. Lifestyle changes that reduce heart disease risk — exercise, diet, not smoking — could prevent many of these expensive procedures entirely.