APR-DRG 162-4 — Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER APR-DRG 162-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR-DRG 162-4?code_type=OTHER
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER APR-DRG 162-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR-DRG 162-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER APR-DRG 162-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR-DRG 162-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,338–$8,550 (25th–75th percentile) across 15 hospitals · 21 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 162-4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH PATEWOOD HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,891.91 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Bluechoice Medicaid | — | $2,012.67 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $2,046.55 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $2,061.49 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Medicaid | — | $2,073.05 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicaid | — | $2,073.05 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $2,095.31 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Absolute Total Care Medicaid | — | $2,113.30 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $2,123.34 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,132.67 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $2,164.58 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $2,164.58 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $2,164.58 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,199.39 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicaid Other | — | $2,223.39 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $2,229.06 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $2,229.06 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicaid | — | $2,245.03 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $2,250.91 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,268.80 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,271.15 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,288.82 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $2,314.02 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,336.87 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,336.87 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,339.78 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $2,378.98 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $2,380.48 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,382.25 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,385.10 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $2,398.17 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,402.18 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $2,409.97 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,409.97 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $2,416.13 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $2,416.13 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $2,416.13 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,434.92 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $2,438.16 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $2,451.97 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,456.77 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $2,474.25 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $2,482.31 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $2,488.60 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $2,488.60 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $2,493.77 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $2,493.77 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $2,497.93 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,507.97 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,507.97 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $2,515.74 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $2,536.93 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $2,545.50 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,547.12 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,556.66 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $2,563.42 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,585.25 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $2,608.01 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $2,616.88 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $2,619.26 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,668.34 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,691.83 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,691.83 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,802.61 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $2,807.19 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $5,616.73 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $6,009.90 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $6,125.40 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $6,516.38 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $6,516.38 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $6,711.87 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $6,711.87 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $6,842.19 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicaid - Hmo | — | $10,257.11 | $134,221.73 | $67,110.87 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicaid - Hmo | — | $10,257.11 | $134,221.73 | $67,110.87 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicaid - Molina | — | $10,356.75 | $134,221.73 | $67,110.87 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicaid - Molina | — | $10,356.75 | $134,221.73 | $67,110.87 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $18,210.88 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicaid | — | $66,096.24 | $488,530.78 | $341,971.55 | 2026-06-20 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - United Healthcare Community | — | $69,200.76 | $292,612.53 | $146,306.27 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Hmo | — | $69,621.76 | $292,612.53 | $146,306.27 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Meridian | — | $69,621.76 | $292,612.53 | $146,306.27 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Molina | — | $69,718.91 | $292,612.53 | $146,306.27 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Midwest Hmo | — | $69,767.49 | $292,612.53 | $146,306.27 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Parkland Medicaid Star | — | $71,383.94 | $488,530.78 | $341,971.55 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Cigna Healthspring Medicaid | — | $72,705.86 | $488,530.78 | $341,971.55 | 2026-06-20 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Molina | — | $84,444.14 | $492,110.07 | $246,055.04 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Hmo | — | $89,797.98 | $492,110.07 | $246,055.04 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Mhp | — | $89,797.98 | $492,110.07 | $246,055.04 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Aetna Ppo | — | $150,110.23 | $292,612.53 | $146,306.27 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $308,262.92 | $488,531.00 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | First Health-Aetna Rental Network | — | $400,595.24 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna | — | $400,595.24 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Ppo | — | $415,251.16 | $488,530.78 | $317,545.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $415,251.16 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Ppo | — | $415,251.16 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Ppo | — | $415,251.16 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $415,251.16 | $488,530.78 | $317,545.01 | 2026-05-28 | MRF ↗ |