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

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

- Insurer: Kaiser Permanente
- 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 | 6 | $92,511.00 | $211,090.28 | $215,942.93 | $217,154.68 | $231,471.41 | $85,746.00 | 2.5x Medicare |
| Alaska | 7 | $92,511.00 | $208,777.75 | $212,060.81 | $217,154.68 | $221,766.11 |  |  |
| Arizona | 49 | $86,319.00 | $210,119.75 | $215,942.93 | $217,154.68 | $231,471.41 | $92,752.44 | 2.3x Medicare |
| Arkansas | 2 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $65,565.16 | 3.3x Medicare |
| California | 99 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $259,587.55 | $167,844.28 | 1.3x Medicare |
| Colorado | 32 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $231,471.41 |  |  |
| Connecticut | 8 | $173,644.70 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $114,098.32 | 1.9x Medicare |
| Delaware | 2 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 |  |  |
| District of Columbia | 5 | $92,511.00 | $210,119.75 | $214,001.87 | $217,154.68 | $221,766.11 | $117,706.94 | 1.8x Medicare |
| Florida | 41 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $259,587.55 | $85,600.28 | 2.5x Medicare |
| Georgia | 19 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $231,471.41 | $87,443.28 | 2.5x Medicare |
| Hawaii | 9 | $173,644.70 | $210,119.75 | $214,001.87 | $217,154.68 | $221,766.11 |  |  |
| Idaho | 38 | $92,511.00 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 |  |  |
| Illinois | 41 | $92,511.00 | $210,119.75 | $212,060.81 | $217,154.68 | $221,766.11 | $110,601.98 | 1.9x Medicare |
| Indiana | 20 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $221,766.11 | $71,969.56 | 3.0x Medicare |
| Iowa | 12 | $173,644.70 | $210,119.75 | $215,942.93 | $217,154.68 | $221,766.11 | $69,398.45 | 3.1x Medicare |
| Kansas | 13 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $221,766.11 | $80,689.96 | 2.7x Medicare |
| Kentucky | 6 | $173,644.70 | $211,090.28 | $215,942.93 | $217,154.68 | $221,766.11 | $75,329.46 | 2.9x Medicare |
| Louisiana | 6 | $173,644.70 | $211,090.28 | $215,942.93 | $217,154.68 | $221,766.11 |  |  |
| Maine | 3 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $93,535.31 | 2.3x Medicare |
| Maryland | 22 | $92,511.00 | $177,557.82 | $212,060.81 | $217,154.68 | $231,471.41 | $151,868.20 | 1.4x Medicare |
| Massachusetts | 16 | $92,511.00 | $210,119.75 | $214,001.87 | $217,154.68 | $259,587.55 | $116,022.05 | 1.8x Medicare |
| Michigan | 19 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $259,587.55 | $114,620.85 | 1.9x Medicare |
| Minnesota | 18 | $92,511.00 | $210,119.75 | $212,060.81 | $217,154.68 | $231,471.41 | $111,449.14 | 1.9x Medicare |
| Mississippi | 2 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 |  |  |
| Missouri | 13 | $99,633.00 | $210,119.75 | $215,942.93 | $217,154.68 | $221,766.11 | $105,954.96 | 2.0x Medicare |
| Montana | 13 | $92,511.00 | $210,119.75 | $212,090.30 | $217,154.68 | $231,471.41 |  |  |
| Nebraska | 4 | $161,463.00 | $185,698.30 | $214,001.87 | $220,613.25 | $259,587.55 | $91,869.50 | 2.3x Medicare |
| Nevada | 8 | $173,644.70 | $210,119.75 | $215,942.93 | $217,154.68 | $231,471.41 | $96,356.00 | 2.2x Medicare |
| New Hampshire | 1 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $127,155.24 | 1.7x Medicare |
| New Jersey | 15 | $140,872.32 | $212,060.81 | $215,942.93 | $217,154.68 | $231,471.41 | $110,716.55 | 1.9x Medicare |
| New Mexico | 10 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $259,587.55 | $76,707.39 | 2.8x Medicare |
| New York | 46 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $231,471.41 | $127,182.71 | 1.7x Medicare |
| North Carolina | 22 | $99,633.00 | $212,060.81 | $215,942.93 | $217,154.68 | $259,587.55 | $89,055.26 | 2.4x Medicare |
| North Dakota | 1 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 |  |  |
| Ohio | 29 | $92,511.00 | $211,090.28 | $215,942.93 | $217,154.68 | $259,587.55 | $99,920.25 | 2.2x Medicare |
| Oklahoma | 9 | $92,511.00 | $210,119.75 | $212,119.78 | $217,154.68 | $221,766.11 | $63,737.00 | 3.3x Medicare |
| Oregon | 65 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $259,587.55 | $104,563.63 | 2.1x Medicare |
| Pennsylvania | 34 | $92,511.00 | $211,090.28 | $215,942.93 | $217,154.68 | $231,471.41 | $113,213.40 | 1.9x Medicare |
| Puerto Rico | 2 | $92,511.00 | $95,009.25 | $134,743.35 | $174,622.98 | $177,557.82 |  |  |
| Rhode Island | 6 | $161,463.00 | $212,060.81 | $215,942.93 | $221,766.11 | $259,587.55 |  |  |
| South Carolina | 9 | $92,511.00 | $210,119.75 | $214,001.87 | $217,154.68 | $221,766.11 | $92,926.63 | 2.3x Medicare |
| South Dakota | 4 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 |  |  |
| Tennessee | 13 | $92,511.00 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $83,272.56 | 2.6x Medicare |
| Texas | 92 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $259,587.55 | $91,193.29 | 2.4x Medicare |
| Utah | 18 | $92,511.00 | $206,093.76 | $212,060.81 | $217,154.68 | $231,471.41 |  |  |
| Vermont | 3 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $79,631.86 | 2.7x Medicare |
| Virginia | 22 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $231,471.41 | $98,281.96 | 2.2x Medicare |
| Washington | 4,803 | $86,319.00 | $177,557.82 | $212,060.81 | $217,154.68 | $259,587.55 | $91,188.53 | 2.3x Medicare |
| West Virginia | 4 | $210,119.75 | $212,060.81 | $215,942.93 | $217,154.68 | $221,766.11 | $88,552.29 | 2.4x Medicare |
| Wisconsin | 20 | $92,511.00 | $210,119.75 | $215,942.93 | $217,154.68 | $259,587.55 | $116,475.63 | 1.9x Medicare |
| Wyoming | 4 | $173,644.70 | $210,119.75 | $215,942.93 | $217,154.68 | $221,766.11 | $89,122.30 | 2.4x 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/kaiser/statemap_216_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)