# Heart valve surgery with catheterization (hospital stay): what Horizon Blue Cross Blue Shield of New Jersey pays, by state

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

- Insurer: Horizon Blue Cross Blue Shield of New Jersey
- Billing code: 216 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-11
- 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 | 2 | $203,792.00 | $207,756.50 | $219,650.00 | $289,178.75 | $312,355.00 | $92,752.44 | 2.4x Medicare |
| Arkansas | 2 | $193,980.00 | $262,054.50 | $310,869.00 | $356,486.50 | $414,970.00 | $65,565.16 | 4.7x Medicare |
| California | 10 | $147,726.00 | $192,996.00 | $252,198.00 | $330,832.75 | $414,970.00 | $167,844.28 | 1.5x Medicare |
| Colorado | 2 | $169,996.00 | $175,114.50 | $187,216.00 | $326,768.00 | $393,300.00 |  |  |
| Connecticut | 5 | $147,726.00 | $190,751.50 | $211,721.00 | $278,341.00 | $414,970.00 | $114,098.32 | 1.9x Medicare |
| Delaware | 4 | $132,061.00 | $172,898.00 | $284,746.00 | $336,992.00 | $371,468.00 |  |  |
| District of Columbia | 1 | $132,061.00 | $134,601.25 | $137,141.50 | $139,681.75 | $142,222.00 | $117,706.94 | 1.2x Medicare |
| Florida | 13 | $131,177.00 | $143,946.75 | $254,357.50 | $305,452.75 | $336,992.00 | $85,600.28 | 3.0x Medicare |
| Georgia | 6 | $203,792.00 | $219,650.00 | $284,746.00 | $312,355.00 | $336,992.00 | $87,443.28 | 3.3x Medicare |
| Illinois | 2 | $193,980.00 | $262,054.50 | $310,869.00 | $356,486.50 | $414,970.00 | $110,601.98 | 2.8x Medicare |
| Indiana | 1 | $203,792.00 | $211,721.00 | $219,650.00 | $266,002.50 | $312,355.00 | $71,969.56 | 3.0x Medicare |
| Louisiana | 1 | $193,980.00 | $249,227.50 | $304,475.00 | $359,722.50 | $414,970.00 |  |  |
| Maine | 2 | $147,726.00 | $163,941.25 | $175,880.00 | $190,983.75 | $393,300.00 | $93,535.31 | 1.9x Medicare |
| Maryland | 6 | $147,726.00 | $196,433.00 | $219,650.00 | $312,355.00 | $414,970.00 | $151,868.20 | 1.4x Medicare |
| Massachusetts | 4 | $132,061.00 | $139,681.75 | $146,230.00 | $269,433.25 | $337,405.00 | $116,022.05 | 1.3x Medicare |
| Michigan | 3 | $172,898.00 | $193,652.00 | $211,721.00 | $327,133.25 | $414,970.00 | $114,620.85 | 1.9x Medicare |
| Minnesota | 1 | $172,898.00 | $182,783.00 | $192,668.00 | $282,068.00 | $371,468.00 | $111,449.14 | 1.7x Medicare |
| Missouri | 7 | $147,726.00 | $201,358.25 | $219,650.00 | $312,355.00 | $414,970.00 | $105,954.96 | 2.1x Medicare |
| Nebraska | 1 | $203,792.00 | $211,721.00 | $219,650.00 | $266,002.50 | $312,355.00 | $91,869.50 | 2.4x Medicare |
| New Hampshire | 2 | $132,061.00 | $139,681.75 | $213,484.00 | $297,807.50 | $336,992.00 | $127,155.24 | 1.7x Medicare |
| New Jersey | 1,121 | $75,771.00 | $192,668.00 | $246,239.00 | $312,355.00 | $517,173.00 | $110,716.55 | 2.2x Medicare |
| New Mexico | 2 | $147,726.00 | $189,775.50 | $211,721.00 | $242,826.25 | $312,355.00 | $76,707.39 | 2.8x Medicare |
| New York | 80 | $132,061.00 | $194,057.00 | $240,160.00 | $311,016.00 | $466,807.00 | $127,182.71 | 1.9x Medicare |
| North Carolina | 1 | $284,746.00 | $297,807.50 | $310,869.00 | $323,930.50 | $336,992.00 | $89,055.26 | 3.5x Medicare |
| Ohio | 2 | $132,061.00 | $139,681.75 | $213,484.00 | $297,807.50 | $336,992.00 | $99,920.25 | 2.1x Medicare |
| Oklahoma | 1 | $203,792.00 | $211,721.00 | $219,650.00 | $266,002.50 | $312,355.00 | $63,737.00 | 3.5x Medicare |
| Oregon | 1 | $284,746.00 | $297,807.50 | $310,869.00 | $323,930.50 | $336,992.00 | $104,563.63 | 3.0x Medicare |
| Pennsylvania | 495 | $37,867.00 | $142,222.00 | $192,668.00 | $284,746.00 | $414,970.00 | $113,213.40 | 1.7x Medicare |
| Rhode Island | 2 | $132,061.00 | $142,222.00 | $203,792.00 | $219,650.00 | $312,355.00 |  |  |
| South Carolina | 1 | $250,961.00 | $256,419.00 | $261,877.00 | $267,335.00 | $272,793.00 | $92,926.63 | 2.8x Medicare |
| Tennessee | 2 | $132,061.00 | $139,681.75 | $168,101.00 | $249,227.50 | $414,970.00 | $83,272.56 | 2.0x Medicare |
| Texas | 3 | $131,177.00 | $136,107.25 | $150,898.00 | $251,284.00 | $336,992.00 | $91,193.29 | 1.6x Medicare |
| Utah | 2 | $172,898.00 | $195,449.00 | $211,721.00 | $289,178.75 | $371,468.00 |  |  |
| West Virginia | 3 | $132,061.00 | $163,052.50 | $192,778.00 | $242,826.25 | $393,300.00 | $88,552.29 | 2.2x 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/horizon/statemap_216_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)