# Heart valve surgery with catheterization (hospital stay): what Aetna pays, by state

The whole hospital stay for major heart valve or chest surgery with catheterization, complicated cases.

- Insurer: Aetna
- Billing code: 216 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, doctor's and facility fees
- Prices as of: 2026-10-05
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|
| Alabama | 33 | $25,000.00 | $67,608.90 | $83,995.10 | $86,088.60 | $100,401.00 | $85,746.00 | about what Medicare pays |
| Alaska | 7 | $184,895.00 | $184,895.00 | $266,092.00 | $554,587.00 | $554,587.00 |  |  |
| Arizona | 59 | $78,683.10 | $133,515.00 | $189,248.00 | $236,323.00 | $297,544.00 | $92,752.44 | 2.0x Medicare |
| Arkansas | 35 | $37,058.00 | $37,058.00 | $82,635.30 | $91,175.70 | $106,261.00 | $65,565.16 | 1.3x Medicare |
| California | 284 | $23,017.00 | $63,896.00 | $109,534.00 | $325,384.00 | $462,511.00 | $167,844.28 | 0.7x Medicare |
| Colorado | 126 | $96,086.70 | $127,225.00 | $159,831.00 | $244,210.00 | $356,231.00 |  |  |
| Connecticut | 35 | $101,712.00 | $175,699.00 | $211,935.00 | $242,212.00 | $281,735.00 | $114,098.32 | 1.9x Medicare |
| Delaware | 3 | $145,705.00 | $145,705.00 | $145,705.00 | $145,705.00 | $145,705.00 |  |  |
| District of Columbia | 8 | $192,721.00 | $192,721.00 | $240,290.00 | $245,088.00 | $245,088.00 | $117,706.94 | 2.0x Medicare |
| Florida | 237 | $43,781.00 | $122,099.00 | $153,003.00 | $249,608.00 | $359,880.00 | $85,600.28 | 1.8x Medicare |
| Georgia | 110 | $1,250.00 | $128,751.00 | $148,161.00 | $215,075.00 | $395,264.00 | $87,443.28 | 1.7x Medicare |
| Hawaii | 3 | $91,811.60 | $91,811.60 | $91,811.60 | $91,811.60 | $91,811.60 |  |  |
| Idaho | 2 | $86,088.60 | $102,951.70 | $119,814.80 | $136,677.90 | $153,541.00 |  |  |
| Illinois | 267 | $26,902.00 | $96,722.50 | $114,498.00 | $152,279.00 | $230,903.00 | $110,601.98 | about what Medicare pays |
| Indiana | 107 | $38,588.00 | $152,044.00 | $194,042.00 | $199,452.00 | $285,413.00 | $71,969.56 | 2.7x Medicare |
| Iowa | 68 | $95,343.20 | $109,812.00 | $119,370.00 | $136,920.00 | $159,164.00 | $69,398.45 | 1.7x Medicare |
| Kansas | 53 | $14,703.00 | $43,671.40 | $93,826.80 | $119,347.50 | $149,334.00 | $80,689.96 | 1.2x Medicare |
| Kentucky | 40 | $73,994.00 | $125,983.00 | $144,198.00 | $235,257.00 | $235,257.00 | $75,329.46 | 1.9x Medicare |
| Louisiana | 128 | $46,468.30 | $61,631.60 | $86,284.30 | $108,902.00 | $161,494.00 |  |  |
| Maryland | 1 | $173,801.00 | $181,167.50 | $188,534.00 | $195,900.50 | $203,267.00 | $151,868.20 | 1.2x Medicare |
| Massachusetts | 54 | $67,139.40 | $131,588.00 | $161,768.00 | $169,595.00 | $255,184.00 | $116,022.05 | 1.4x Medicare |
| Michigan | 132 | $7,268.00 | $85,599.50 | $129,661.00 | $137,037.00 | $205,996.00 | $114,620.85 | 1.1x Medicare |
| Minnesota | 45 | $17,641.00 | $118,783.00 | $159,107.00 | $159,107.00 | $208,595.00 | $111,449.14 | 1.4x Medicare |
| Mississippi | 67 | $28,000.00 | $43,376.90 | $71,055.25 | $100,508.00 | $120,730.00 |  |  |
| Missouri | 72 | $53,346.00 | $93,304.00 | $106,261.00 | $122,823.00 | $166,328.00 | $105,954.96 | about what Medicare pays |
| Nebraska | 40 | $105,243.00 | $112,202.50 | $159,164.00 | $163,519.25 | $233,946.00 | $91,869.50 | 1.7x Medicare |
| Nevada | 49 | $66,523.00 | $116,673.00 | $140,088.00 | $168,798.00 | $171,237.00 | $96,356.00 | 1.4x Medicare |
| New Jersey | 100 | $53,152.00 | $184,691.75 | $212,502.00 | $252,670.00 | $319,105.00 | $110,716.55 | 1.9x Medicare |
| New Mexico | 18 | $48,914.00 | $68,479.60 | $151,846.00 | $176,053.00 | $226,804.00 | $76,707.39 | 2.0x Medicare |
| New York | 488 | $51,203.20 | $149,383.00 | $210,388.00 | $294,135.75 | $525,796.00 | $127,182.71 | 1.6x Medicare |
| North Carolina | 93 | $9,144.00 | $88,583.30 | $97,247.25 | $134,550.00 | $212,248.00 | $89,055.26 | 1.1x Medicare |
| North Dakota | 4 | $122,285.00 | $122,285.00 | $122,285.00 | $122,285.00 | $122,285.00 |  |  |
| Ohio | 235 | $79,327.00 | $134,719.00 | $154,020.00 | $195,092.00 | $276,736.20 | $99,920.25 | 1.5x Medicare |
| Oklahoma | 52 | $39,518.00 | $71,248.10 | $114,508.00 | $130,062.00 | $153,668.00 | $63,737.00 | 1.8x Medicare |
| Oregon | 39 | $91,811.60 | $130,287.00 | $263,157.00 | $269,027.00 | $542,945.00 | $104,563.63 | 2.5x Medicare |
| Pennsylvania | 393 | $49,381.00 | $140,872.00 | $161,744.00 | $206,466.00 | $321,611.00 | $113,213.40 | 1.4x Medicare |
| Rhode Island | 10 | $146,762.00 | $146,762.00 | $188,740.00 | $230,718.00 | $230,718.00 |  |  |
| South Carolina | 24 | $61,758.00 | $61,758.00 | $118,391.00 | $211,778.00 | $388,279.00 | $92,926.63 | 1.3x Medicare |
| South Dakota | 2 | $103,571.00 | $103,571.00 | $103,571.00 | $103,571.00 | $103,571.00 |  |  |
| Tennessee | 65 | $30,467.00 | $83,858.20 | $136,636.00 | $218,049.00 | $333,232.00 | $83,272.56 | 1.6x Medicare |
| Texas | 232 | $31,000.00 | $74,139.50 | $98,258.00 | $152,274.25 | $246,399.00 | $91,193.29 | 1.1x Medicare |
| Utah | 46 | $97,002.00 | $146,193.00 | $213,754.00 | $224,870.65 | $235,769.03 |  |  |
| Virginia | 114 | $55,260.00 | $115,666.50 | $168,323.00 | $196,126.00 | $272,575.00 | $98,281.96 | 1.7x Medicare |
| Washington | 51 | $47,722.90 | $163,764.00 | $229,949.50 | $294,934.25 | $405,742.00 | $91,188.53 | 2.5x Medicare |
| West Virginia | 2 | $91,801.80 | $91,801.80 | $91,801.80 | $91,801.80 | $91,801.80 | $88,552.29 | about what Medicare pays |
| Wisconsin | 20 | $147,114.00 | $147,114.00 | $147,114.00 | $153,925.25 | $181,305.00 | $116,475.63 | 1.3x Medicare |

**“x Medicare”** compares each price with what original Medicare actually paid hospitals in the same state for the same kind of stay in 2024, the newest year it has published: the average per stay, the patient’s share included, at hospitals with more than ten such stays. Medicare’s payment varies by hospital (wages, teaching, low-income patients), so this is a state average, not any one hospital’s rate. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/aetna/statemap_216_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)