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

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

- Insurer: Quartz
- Billing code: 216 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-08-01
- 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 | 3 | $2,169.43 | $61,961.22 | $83,437.50 | $100,151.41 | $145,656.11 | $85,746.00 | about what Medicare pays |
| Alaska | 2 | $1,213.70 | $1,514.85 | $50,137.38 | $114,375.36 | $161,522.83 |  |  |
| Arizona | 35 | $1,209.15 | $90,686.56 | $98,972.59 | $141,850.60 | $161,522.83 | $92,752.44 | 1.1x Medicare |
| Arkansas | 2 | $1,213.70 | $28,703.21 | $56,192.72 | $83,682.23 | $111,171.74 | $65,565.16 | 0.9x Medicare |
| California | 34 | $1,209.15 | $90,686.56 | $111,836.97 | $139,026.72 | $169,165.55 | $167,844.28 | 0.7x Medicare |
| Colorado | 33 | $1,209.15 | $2,169.43 | $98,972.59 | $141,850.60 | $169,165.55 |  |  |
| Delaware | 1 | $145,656.11 | $145,656.11 | $145,656.11 | $145,656.11 | $145,656.11 |  |  |
| District of Columbia | 3 | $90,686.56 | $107,048.29 | $121,528.64 | $133,378.97 | $141,850.60 | $117,706.94 | about what Medicare pays |
| Florida | 50 | $1,209.15 | $85,217.97 | $98,972.59 | $141,850.60 | $169,165.55 | $85,600.28 | 1.2x Medicare |
| Georgia | 24 | $1,209.15 | $82,664.66 | $96,282.32 | $127,620.25 | $145,656.11 | $87,443.28 | 1.1x Medicare |
| Hawaii | 3 | $2,169.43 | $64,455.84 | $89,405.01 | $99,897.97 | $118,815.73 |  |  |
| Idaho | 7 | $1,615.23 | $84,983.18 | $98,972.59 | $141,850.60 | $169,165.55 |  |  |
| Illinois | 528 | $1,209.15 | $81,891.82 | $84,983.18 | $84,983.18 | $169,165.55 | $110,601.98 | 0.8x Medicare |
| Indiana | 26 | $2,169.43 | $84,983.18 | $112,502.20 | $141,850.60 | $169,165.55 | $71,969.56 | 1.6x Medicare |
| Iowa | 330 | $1,209.15 | $1,213.70 | $98,972.59 | $141,850.60 | $169,165.55 | $69,398.45 | 1.4x Medicare |
| Kansas | 4 | $81,891.82 | $86,409.03 | $100,929.15 | $125,709.25 | $141,850.60 | $80,689.96 | 1.2x Medicare |
| Kentucky | 3 | $1,209.15 | $26,370.22 | $98,972.59 | $131,131.10 | $141,850.60 | $75,329.46 | 1.3x Medicare |
| Louisiana | 13 | $1,236.16 | $122,659.47 | $130,555.09 | $130,555.09 | $141,850.60 |  |  |
| Maine | 5 | $1,209.15 | $81,891.82 | $98,972.59 | $141,850.60 | $145,656.11 | $93,535.31 | 1.1x Medicare |
| Maryland | 10 | $2,169.43 | $2,558.40 | $98,972.59 | $141,850.60 | $145,418.78 | $151,868.20 | 0.7x Medicare |
| Massachusetts | 9 | $2,169.43 | $93,592.05 | $130,555.09 | $137,771.17 | $145,656.11 | $116,022.05 | 1.1x Medicare |
| Michigan | 38 | $1,209.15 | $84,983.18 | $98,972.59 | $130,555.09 | $169,165.55 | $114,620.85 | 0.9x Medicare |
| Minnesota | 192 | $935.92 | $98,972.59 | $130,555.09 | $141,850.60 | $169,165.55 | $111,449.14 | 1.2x Medicare |
| Mississippi | 6 | $2,169.43 | $130,555.09 | $130,555.09 | $130,555.09 | $169,165.55 |  |  |
| Missouri | 20 | $1,209.15 | $92,139.31 | $104,443.81 | $141,850.60 | $169,165.55 | $105,954.96 | about what Medicare pays |
| Montana | 4 | $98,972.59 | $98,972.59 | $141,850.60 | $142,742.65 | $145,656.11 |  |  |
| Nebraska | 5 | $1,209.15 | $2,169.43 | $98,972.59 | $141,850.60 | $169,165.55 | $91,869.50 | 1.1x Medicare |
| Nevada | 9 | $1,209.15 | $98,972.59 | $112,502.20 | $141,850.60 | $145,418.78 | $96,356.00 | 1.2x Medicare |
| New Hampshire | 2 | $2,169.43 | $43,918.46 | $85,667.49 | $127,416.52 | $169,165.55 | $127,155.24 | 0.7x Medicare |
| New Jersey | 12 | $1,209.15 | $61,961.22 | $96,125.80 | $142,801.98 | $161,522.83 | $110,716.55 | 0.9x Medicare |
| New Mexico | 6 | $1,213.70 | $93,592.05 | $98,972.59 | $141,850.60 | $145,656.11 | $76,707.39 | 1.3x Medicare |
| New York | 18 | $1,209.15 | $2,169.43 | $81,891.82 | $143,634.69 | $145,656.11 | $127,182.71 | 0.6x Medicare |
| North Carolina | 20 | $1,213.70 | $98,972.59 | $112,502.20 | $141,850.60 | $169,165.55 | $89,055.26 | 1.3x Medicare |
| North Dakota | 4 | $88,045.20 | $98,972.59 | $98,972.59 | $141,850.60 | $141,850.60 |  |  |
| Ohio | 17 | $1,209.15 | $2,558.40 | $98,972.59 | $141,850.60 | $169,165.55 | $99,920.25 | about what Medicare pays |
| Oklahoma | 11 | $1,209.15 | $101,730.87 | $111,836.97 | $134,271.01 | $145,656.11 | $63,737.00 | 1.8x Medicare |
| Oregon | 13 | $1,209.15 | $2,169.43 | $98,972.59 | $141,850.60 | $161,522.83 | $104,563.63 | about what Medicare pays |
| Pennsylvania | 21 | $1,209.15 | $84,983.18 | $93,592.05 | $130,555.09 | $145,656.11 | $113,213.40 | 0.8x Medicare |
| South Carolina | 8 | $1,209.15 | $95,475.24 | $98,972.59 | $141,850.60 | $141,850.60 | $92,926.63 | 1.1x Medicare |
| South Dakota | 4 | $1,209.15 | $98,972.59 | $130,555.09 | $141,850.60 | $145,656.11 |  |  |
| Tennessee | 17 | $1,209.15 | $85,748.69 | $98,972.59 | $141,850.60 | $145,656.11 | $83,272.56 | 1.2x Medicare |
| Texas | 63 | $1,209.15 | $85,100.58 | $98,972.59 | $141,850.60 | $169,165.55 | $91,193.29 | 1.1x Medicare |
| Utah | 3 | $2,169.43 | $83,437.50 | $98,972.59 | $120,411.60 | $141,850.60 |  |  |
| Vermont | 1 | $112,502.20 | $112,920.42 | $113,338.63 | $113,756.85 | $114,175.06 | $79,631.86 | 1.4x Medicare |
| Virginia | 15 | $1,209.15 | $98,737.80 | $112,502.20 | $141,850.60 | $169,165.55 | $98,281.96 | 1.1x Medicare |
| Washington | 20 | $1,236.16 | $90,686.56 | $112,502.20 | $141,850.60 | $169,165.55 | $91,188.53 | 1.2x Medicare |
| West Virginia | 3 | $81,891.82 | $84,983.18 | $90,686.56 | $141,850.60 | $169,165.55 | $88,552.29 | about what Medicare pays |
| Wisconsin | 4,535 | $935.92 | $90,686.56 | $98,972.59 | $141,850.60 | $194,995.95 | $116,475.63 | 0.8x Medicare |
| Wyoming | 1 | $145,656.11 | $145,656.11 | $145,656.11 | $145,656.11 | $145,656.11 | $89,122.30 | 1.6x 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/quartz/statemap_216_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)
