Heart valve surgery with catheterization (hospital stay)
The whole hospital stay for major heart valve or chest surgery with catheterization, complicated cases.
Code 216 · Hospital stays (inpatient)
· statewide summary · negotiated in-network prices
Payers shown: Cigna Healthcare (incl. HealthPartners, Priority Health, Sagamore)
Prices shown: hospital inpatient care
Doctor’s fee or facility fee? This is the hospital's own payment for the stay (the facility fee). Surgeons, anesthesiologists and other doctors bill separately , on top of it.
Who is counted: Cigna Healthcare lists clinicians individually: 93% of the 1,777,275 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Procedure
Breast lump removal (open surgery) Heart valve surgery with catheterization (hospital stay) Shoulder arthroscopy for impingement Knee arthroscopy - torn cartilage trim Blood draw Tonsil and adenoid removal (under 12) Upper endoscopy (diagnostic) Upper endoscopy with biopsy Colonoscopy (diagnostic) Colonoscopy with biopsy Colonoscopy with polyp removal Colonoscopy with ultrasound Hip or knee replacement (hospital stay) Neck spinal fusion (hospital stay) Gallbladder removal (laparoscopic) Groin hernia repair (age 5+) Prostate biopsy Prostate removal for cancer (laparoscopic) Vaginal childbirth - full maternity care C-section - full maternity care Vaginal birth after cesarean - full maternity care Epidural steroid injection, lower back (no imaging) Epidural steroid injection, lower back (with imaging) Nerve root steroid injection, lower back Laser fix for cloudy vision after cataract surgery Cataract surgery with lens implant CT scan of the head (no dye) MRI of the brain (no dye) MRI of the brain (with and without dye) Chest X-ray (single view) Chest X-ray (two views) Lower back X-ray (4+ views) MRI of the lower back (no dye) CT scan of the pelvis (with dye) MRI of a leg joint (no dye) CT scan of abdomen and pelvis (with dye) Uterus or ovary surgery, non-cancer (hospital stay) Abdominal ultrasound (complete) Pregnancy ultrasound (after 14 weeks) Transvaginal pelvic ultrasound Diagnostic mammogram, one breast Diagnostic mammogram, both breasts Screening mammogram (routine) Basic metabolic panel (BMP) Comprehensive metabolic panel (CMP) Pregnancy blood test panel Cholesterol test (lipid panel) Kidney function panel Liver function panel Urine test with microscope (manual) Urine test with microscope (automated) Basic urine test (manual) Basic urine test (automated) Hemoglobin A1c (3-month blood sugar) PSA prostate blood test (total) PSA prostate blood test (free) Thyroid blood test (TSH) Complete blood count with differential (CBC) Complete blood count (CBC, basic) Blood clotting time test (PT/INR) Blood clotting test (PTT) Therapy session (30 minutes) Therapy session (45 minutes) Therapy session (60 minutes) Family therapy (without the patient present) Family or couples therapy (patient present) Group therapy session Electrocardiogram (EKG) Heart catheterization (left heart) Overnight sleep study (in a lab) Physical therapy - therapeutic exercise (15 min) Physical therapy - balance and coordination (15 min) Physical therapy - hands-on manual therapy (15 min) Physical therapy - functional activities (15 min) Office visit, new patient (short) Office visit, new patient (standard) Office visit, new patient (extended) Office visit, new patient (complex) Quick office visit, existing patient Office visit, existing patient (short) Office visit, existing patient (standard) Office visit, existing patient (extended) Office visit, existing patient (complex) Hospital bedside visit, moderate (per day) Hospital bedside visit, high complexity (per day) Specialist consultation (standard) Specialist consultation (extended) Emergency room visit (low complexity) Emergency room visit (moderate complexity) Emergency room visit (high complexity) Emergency room visit (most complex) Annual checkup, new patient (age 18-39) Annual checkup, new patient (age 40-64) Annual checkup, existing patient (age 18-39) Annual checkup, existing patient (age 40-64) Screening colonoscopy (average risk) Home health visit by a registered nurse (15 min)
Plan
All plans Cigna Health Life Insurance Company Cigna Open Access Plus Cigna other regional networks Cigna National PPO Cigna LocalPlus Cigna LocalFlex HealthPartners (partner network) Cigna regional GPPO networks Cigna regional HMO networks Priority Health (partner network) Cigna Connect / individual plans Cigna regional commercial networks
Specialty All specialties Clinic/Center General Acute Care Hospital Psychiatric Unit Rehabilitation Unit Skilled Nursing Facility Medicare Defined Swing Bed Unit Home Health Internal Medicine Ambulance Pharmacy Durable Medical Equipment & Medical Supplies Case Manager/Care Coordinator Emergency Medicine Family Medicine Physical Therapist Psychiatric Hospital Hospice Care, Community Based Prosthetic/Orthotic Supplier Psychiatry Anesthesiology Special Hospital Nurse Practitioner Other / not stated
State Providers Organisations Zip codes
Lowest 25th pct Median 75th pct Highest vs 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.
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here;
this specific data can be requested here .
Prices are what the insurer has agreed to pay, not what you will be
billed. A statewide median hides real differences between towns and between
practices. Specialty is the provider’s primary taxonomy in the federal NPI registry, as the provider registered it; it is shown for all plans together, and a specialty with fewer than five providers in a state is counted under Other.