# Heart valve surgery with catheterization (hospital stay): what Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana pays, by state

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

- Insurer: Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana (HCSC)
- Billing code: 216 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-12
- 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 |
|---|---|---|---|---|---|---|---|---|
| Arizona | 1 | $34,239.80 | $35,462.65 | $36,685.50 | $37,908.35 | $39,131.20 | $92,752.44 | 0.4x Medicare |
| Colorado | 1 | $47,202.01 | $47,202.01 | $47,202.01 | $47,202.01 | $47,202.01 |  |  |
| Florida | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $85,600.28 | 0.3x Medicare |
| Illinois | 284 | $375.48 | $95,968.58 | $113,414.31 | $135,298.89 | $313,446.83 | $110,601.98 | about what Medicare pays |
| Indiana | 3 | $92,919.42 | $92,919.42 | $92,919.42 | $92,919.42 | $92,919.42 | $71,969.56 | 1.3x Medicare |
| Maine | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $93,535.31 | 0.3x Medicare |
| Mississippi | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 |  |  |
| Missouri | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $105,954.96 | 0.3x Medicare |
| Montana | 63 | $29,348.40 | $79,999.99 | $81,499.99 | $89,999.99 | $223,412.74 |  |  |
| New Mexico | 71 | $29,348.40 | $42,335.07 | $75,474.30 | $158,603.28 | $190,659.24 | $76,707.39 | about what Medicare pays |
| Ohio | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $99,920.25 | 0.3x Medicare |
| Oklahoma | 237 | $41,209.26 | $99,044.23 | $127,601.84 | $166,167.00 | $333,844.44 | $63,737.00 | 2.0x Medicare |
| Puerto Rico | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 |  |  |
| Texas | 877 | $29,348.40 | $85,891.90 | $119,957.51 | $152,528.49 | $557,708.12 | $91,193.29 | 1.3x Medicare |
| Wisconsin | 1 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $29,348.40 | $116,475.63 | 0.2x 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/hcsc/statemap_216_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)