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

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

- Insurer: Cigna Healthcare (incl. HealthPartners, Priority Health, Sagamore)
- Billing code: 216 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-01
- 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 | 115 | $46,145.47 | $77,344.83 | $119,536.04 | $151,623.62 | $303,305.93 | $85,746.00 | 1.4x Medicare |
| Alaska | 11 | $393,620.74 | $393,620.74 | $393,620.74 | $410,809.12 | $427,997.50 |  |  |
| American Samoa | 1 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 |  |  |
| Arizona | 133 | $75,630.83 | $129,299.27 | $151,613.83 | $252,220.15 | $320,533.44 | $92,752.44 | 1.6x Medicare |
| Arkansas | 122 | $24,500.00 | $89,356.10 | $111,611.97 | $153,198.65 | $186,469.95 | $65,565.16 | 1.7x Medicare |
| California | 299 | $32,400.00 | $128,039.00 | $199,481.07 | $304,792.92 | $503,902.25 | $167,844.28 | 1.2x Medicare |
| Colorado | 178 | $68,430.69 | $183,365.26 | $216,139.42 | $240,109.04 | $365,685.00 |  |  |
| Connecticut | 74 | $101,105.24 | $155,729.95 | $230,240.50 | $246,232.03 | $361,174.81 | $114,098.32 | 2.0x Medicare |
| Delaware | 4 | $192,613.55 | $192,613.55 | $192,613.55 | $192,613.55 | $192,613.55 |  |  |
| District of Columbia | 16 | $113,001.12 | $169,487.01 | $186,792.78 | $212,756.33 | $433,867.18 | $117,706.94 | 1.6x Medicare |
| Florida | 404 | $24,423.00 | $104,467.20 | $169,731.58 | $213,049.82 | $356,123.27 | $85,600.28 | 2.0x Medicare |
| Georgia | 162 | $36,546.00 | $58,843.00 | $146,742.00 | $207,141.01 | $308,158.20 | $87,443.28 | 1.7x Medicare |
| Guam | 2 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 |  |  |
| Hawaii | 12 | $92,750.73 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 |  |  |
| Idaho | 15 | $144,188.69 | $235,383.95 | $259,097.46 | $287,051.81 | $325,620.50 |  |  |
| Illinois | 274 | $62,472.96 | $91,469.18 | $110,545.64 | $135,755.92 | $244,080.86 | $110,601.98 | about what Medicare pays |
| Indiana | 174 | $59,675.08 | $104,578.13 | $136,959.20 | $255,487.60 | $364,223.43 | $71,969.56 | 1.9x Medicare |
| Iowa | 29 | $100,518.27 | $100,518.27 | $100,518.27 | $100,518.27 | $345,851.33 | $69,398.45 | 1.4x Medicare |
| Kansas | 50 | $79,314.54 | $123,018.71 | $123,018.71 | $146,282.21 | $225,689.20 | $80,689.96 | 1.5x Medicare |
| Kentucky | 98 | $50,221.00 | $100,819.37 | $113,382.65 | $136,538.54 | $255,487.60 | $75,329.46 | 1.5x Medicare |
| Louisiana | 66 | $35,285.00 | $95,255.12 | $151,427.96 | $178,946.98 | $178,946.98 |  |  |
| Maine | 20 | $49,896.35 | $151,085.56 | $151,085.56 | $293,484.00 | $293,484.00 | $93,535.31 | 1.6x Medicare |
| Maryland | 15 | $113,001.12 | $113,001.12 | $118,772.97 | $118,772.97 | $118,772.97 | $151,868.20 | 0.8x Medicare |
| Massachusetts | 57 | $25,241.00 | $86,509.30 | $142,432.67 | $211,347.61 | $264,712.79 | $116,022.05 | 1.2x Medicare |
| Michigan | 41 | $154,030.19 | $154,030.19 | $154,030.19 | $154,030.19 | $154,030.19 | $114,620.85 | 1.3x Medicare |
| Minnesota | 22 | $92,750.73 | $194,159.23 | $194,159.23 | $194,159.23 | $345,851.33 | $111,449.14 | 1.7x Medicare |
| Mississippi | 108 | $63,588.20 | $90,083.54 | $95,274.69 | $115,437.04 | $249,803.80 |  |  |
| Missouri | 169 | $22,050.00 | $102,191.13 | $123,018.71 | $171,582.00 | $249,461.40 | $105,954.96 | 1.2x Medicare |
| Montana | 20 | $227,763.15 | $227,763.15 | $227,763.15 | $227,763.15 | $235,383.95 |  |  |
| Nebraska | 38 | $94,467.24 | $100,518.27 | $153,599.74 | $190,246.11 | $345,851.33 | $91,869.50 | 1.7x Medicare |
| Nevada | 74 | $50,918.00 | $86,741.00 | $96,379.00 | $170,651.16 | $279,413.00 | $96,356.00 | about what Medicare pays |
| New Hampshire | 32 | $105,380.32 | $128,436.91 | $159,528.00 | $199,969.00 | $205,091.51 | $127,155.24 | 1.2x Medicare |
| New Jersey | 155 | $77,215.64 | $174,784.40 | $238,358.00 | $286,562.50 | $527,468.52 | $110,716.55 | 2.1x Medicare |
| New Mexico | 32 | $46,196.00 | $82,904.24 | $128,878.61 | $128,878.61 | $212,159.58 | $76,707.39 | 1.7x Medicare |
| New York | 300 | $115,877.27 | $184,356.87 | $238,220.96 | $304,215.73 | $701,368.06 | $127,182.71 | 1.9x Medicare |
| North Carolina | 223 | $35,730.00 | $109,763.02 | $154,079.10 | $188,172.16 | $241,957.99 | $89,055.26 | 1.7x Medicare |
| North Dakota | 12 | $44,971.53 | $345,851.33 | $345,851.33 | $345,851.33 | $345,851.33 |  |  |
| Northern Mariana Islands | 1 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 | $257,903.96 |  |  |
| Ohio | 221 | $59,802.26 | $120,700.19 | $154,323.67 | $179,807.86 | $254,499.54 | $99,920.25 | 1.5x Medicare |
| Oklahoma | 106 | $31,158.00 | $95,033.00 | $136,616.80 | $236,919.85 | $236,919.85 | $63,737.00 | 2.1x Medicare |
| Oregon | 49 | $92,750.73 | $206,925.79 | $267,647.63 | $292,505.72 | $389,913.06 | $104,563.63 | 2.6x Medicare |
| Pennsylvania | 360 | $55,135.86 | $138,225.21 | $172,020.76 | $217,499.00 | $312,257.19 | $113,213.40 | 1.5x Medicare |
| Puerto Rico | 12 | $43,024.75 | $43,024.75 | $43,024.75 | $43,024.75 | $43,024.75 |  |  |
| Rhode Island | 6 | $157,190.03 | $264,712.79 | $264,712.79 | $269,291.14 | $269,291.14 |  |  |
| South Carolina | 163 | $67,527.00 | $197,133.20 | $199,813.69 | $239,864.47 | $335,648.00 | $92,926.63 | 2.1x Medicare |
| South Dakota | 12 | $345,851.33 | $345,851.33 | $345,851.33 | $345,851.33 | $345,851.33 |  |  |
| Tennessee | 223 | $30,955.00 | $101,565.03 | $134,112.41 | $171,658.79 | $209,860.63 | $83,272.56 | 1.6x Medicare |
| Texas | 493 | $23,400.00 | $102,367.22 | $167,325.01 | $230,433.85 | $431,568.22 | $91,193.29 | 1.8x Medicare |
| U.S. Virgin Islands | 4 | $43,024.75 | $43,024.75 | $43,024.75 | $43,024.75 | $43,024.75 |  |  |
| Utah | 35 | $44,342.00 | $150,359.29 | $212,707.42 | $248,758.11 | $287,164.31 |  |  |
| Vermont | 17 | $117,364.25 | $117,364.25 | $139,140.76 | $271,854.23 | $271,854.23 | $79,631.86 | 1.8x Medicare |
| Virginia | 196 | $29,172.00 | $121,795.86 | $169,575.06 | $225,366.36 | $273,212.00 | $98,281.96 | 1.7x Medicare |
| Washington | 108 | $92,750.73 | $188,416.73 | $235,383.95 | $282,439.22 | $340,324.05 | $91,188.53 | 2.6x Medicare |
| West Virginia | 28 | $102,455.26 | $134,151.54 | $143,288.67 | $145,497.14 | $185,687.33 | $88,552.29 | 1.6x Medicare |
| Wisconsin | 67 | $78,555.88 | $194,159.23 | $194,159.23 | $222,754.36 | $316,414.88 | $116,475.63 | 1.7x Medicare |
| Wyoming | 19 | $146,742.00 | $254,704.98 | $254,704.98 | $254,704.98 | $345,851.33 | $89,122.30 | 2.9x 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/cigna/statemap_216_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)