Replacement of aortic valve on heart-lung machine
Medicare pricing data for 3,848 providers across 51 states
This procedure has a 5.6x markup — hospitals charge $7,203 but Medicare allows only $1,286. Uninsured patients may face bills 5.6 times higher than what insurance negotiates. Prices vary significantly by location — from $521 in Alaska to $1,985 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Replacement of aortic valve on heart-lung machine (HCPCS code 33405) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,286, but hospitals typically charge $7,203 — a 5.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,286, your out-of-pocket cost would be approximately $257.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.6x more than what Medicare allows for this procedure. Medicare actually pays $1,026 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,985 | $6,076 | 7 | 58 | +54.3% |
| New Mexico | $1,551 | $4,884 | 8 | 24 | +20.6% |
| Oklahoma | $1,537 | $5,813 | 33 | 176 | +19.5% |
| Hawaii | $1,498 | $5,629 | 10 | 38 | +16.5% |
| New York | $1,494 | $10,923 | 205 | 1,066 | +16.2% |
| New Jersey | $1,486 | $8,968 | 80 | 517 | +15.5% |
| Maryland | $1,474 | $5,442 | 46 | 185 | +14.6% |
| Missouri | $1,470 | $6,783 | 86 | 425 | +14.3% |
| Massachusetts | $1,431 | $7,023 | 92 | 597 | +11.2% |
| Georgia | $1,424 | $7,845 | 80 | 316 | +10.7% |
| Kansas | $1,422 | $4,877 | 39 | 191 | +10.5% |
| Illinois | $1,411 | $10,592 | 140 | 691 | +9.7% |
| Arkansas | $1,385 | $4,438 | 30 | 182 | +7.7% |
| Pennsylvania | $1,384 | $6,337 | 236 | 1,244 | +7.6% |
| Florida | $1,362 | $6,218 | 307 | 1,567 | +5.9% |
| Mississippi | $1,342 | $6,124 | 27 | 109 | +4.3% |
| Rhode Island | $1,334 | $8,032 | 11 | 84 | +3.7% |
| Ohio | $1,330 | $8,625 | 170 | 896 | +3.4% |
| South Carolina | $1,330 | $6,907 | 73 | 301 | +3.4% |
| Tennessee | $1,311 | $5,255 | 83 | 312 | +1.9% |
| Virginia | $1,308 | $5,809 | 91 | 438 | +1.7% |
| Texas | $1,302 | $6,851 | 240 | 974 | +1.2% |
| Kentucky | $1,294 | $4,209 | 62 | 295 | +0.6% |
| Colorado | $1,293 | $6,796 | 53 | 197 | +0.5% |
| South Dakota | $1,280 | $3,168 | 12 | 79 | -0.5% |
| Louisiana | $1,279 | $6,463 | 60 | 250 | -0.6% |
| Michigan | $1,269 | $6,175 | 144 | 537 | -1.4% |
| New Hampshire | $1,263 | $12,009 | 32 | 265 | -1.8% |
| Minnesota | $1,248 | $9,331 | 77 | 376 | -3.0% |
| Nevada | $1,223 | $4,933 | 31 | 127 | -4.9% |
| Utah | $1,198 | $4,668 | 38 | 122 | -6.9% |
| Connecticut | $1,173 | $7,287 | 43 | 253 | -8.8% |
| California | $1,172 | $5,860 | 343 | 1,706 | -8.9% |
| North Carolina | $1,152 | $6,726 | 126 | 637 | -10.4% |
| Montana | $1,138 | $6,466 | 22 | 114 | -11.5% |
| Indiana | $1,129 | $6,908 | 107 | 460 | -12.2% |
| Alabama | $1,129 | $5,866 | 70 | 370 | -12.2% |
| Arizona | $1,128 | $5,093 | 69 | 492 | -12.3% |
| Wyoming | $1,123 | $5,015 | 2 | 14 | -12.7% |
| Washington | $1,097 | $4,509 | 98 | 419 | -14.7% |
| Oregon | $1,068 | $4,658 | 75 | 379 | -17.0% |
| Delaware | $1,057 | $6,391 | 17 | 90 | -17.9% |
| Iowa | $1,052 | $5,253 | 46 | 225 | -18.2% |
| Idaho | $1,034 | $4,628 | 24 | 100 | -19.6% |
| North Dakota | $1,031 | $6,801 | 18 | 95 | -19.8% |
| West Virginia | $1,027 | $4,270 | 26 | 102 | -20.2% |
| Wisconsin | $998 | $21,999 | 90 | 430 | -22.4% |
| Nebraska | $987 | $4,904 | 35 | 191 | -23.3% |
| Maine | $980 | $3,647 | 19 | 92 | -23.8% |
| Vermont | $924 | $9,973 | 7 | 51 | -28.1% |
| Alaska | $521 | $7,020 | 4 | 11 | -59.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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