Cost analysis for CPT 33361 — Replacement of aortic valve through the skin and femoral artery
Average Medicare Payment
$587.60
2023 data
Total Payments (2023)
$54.4M
Services (2023)
91.8K
Price Change (2014–2023)
-15.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $696.81 | $7.4M | 10.4K | — |
| 2015 | $690.38 | $15.8M | 22.5K | -0.9% |
| 2016 | $688.78 | $28.3M | 40.5K | -0.2% |
| 2017 | $690.53 | $37.8M | 54.1K | +0.3% |
| 2018 | $690.75 | $43.1M | 61.7K | +0.0% |
| 2019 | $700.30 | $54.7M | 77.4K | +1.4% |
| 2020 | $629.62 | $48.4M | 76.2K | -10.1% |
| 2021 | $615.01 | $52.2M | 83.9K | -2.3% |
| 2022 | $605.71 | $53.1M | 86.9K | -1.5% |
| 2023 | $587.60 | $54.4M | 91.8K | -3.0% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $729.76 vs NE at $520.12.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $729.76 | $128.4K | 176 | 5 |
| NY | $680.17 | $4.7M | 6.9K | 146 |
| DC | $650.97 | $348.9K | 536 | 9 |
| IL | $641.93 | $2.5M | 3.9K | 115 |
| MD | $633.42 | $1.1M | 1.7K | 42 |
| FL | $628.87 | $4.0M | 6.4K | 215 |
| NJ | $623.81 | $1.7M | 2.8K | 66 |
| CT | $615.92 | $401.0K | 651 | 25 |
| MI | $608.08 | $1.7M | 2.8K | 97 |
| MT | $607.26 | $289.1K | 476 | 14 |
| MA | $606.74 | $1.7M | 2.9K | 67 |
| NV | $600.07 | $325.8K | 543 | 20 |
| CA | $598.35 | $4.4M | 7.4K | 210 |
| RI | $596.82 | $260.8K | 437 | 7 |
| NH | $593.20 | $683.4K | 1.2K | 21 |
| WV | $591.95 | $177.6K | 300 | 8 |
| LA | $589.70 | $609.2K | 1.0K | 49 |
| NM | $589.17 | $149.1K | 253 | 8 |
| PA | $588.94 | $2.9M | 4.9K | 147 |
| VA | $587.60 | $1.8M | 3.0K | 70 |
| DE | $587.06 | $186.7K | 318 | 11 |
| GA | $586.59 | $1.4M | 2.3K | 57 |
| WA | $585.27 | $1.5M | 2.6K | 62 |
| OH | $585.09 | $1.7M | 3.0K | 104 |
| CO | $583.66 | $636.8K | 1.1K | 38 |
| TX | $575.73 | $2.6M | 4.6K | 165 |
| WY | $572.23 | $58.4K | 102 | 3 |
| AZ | $571.80 | $1.1M | 1.9K | 63 |
| MO | $570.99 | $1.1M | 1.9K | 69 |
| OR | $569.18 | $840.1K | 1.5K | 44 |
| KY | $567.16 | $625.0K | 1.1K | 42 |
| UT | $565.15 | $437.4K | 774 | 23 |
| SC | $563.31 | $1.2M | 2.1K | 53 |
| OK | $563.29 | $686.7K | 1.2K | 39 |
| NC | $558.82 | $1.4M | 2.5K | 79 |
| ME | $555.02 | $137.6K | 248 | 11 |
| AL | $554.50 | $585.0K | 1.1K | 38 |
| ND | $550.03 | $285.5K | 519 | 15 |
| MS | $545.70 | $438.2K | 803 | 31 |
| VT | $544.53 | $167.7K | 308 | 5 |
| KS | $543.29 | $560.1K | 1.0K | 26 |
| IN | $539.31 | $1.1M | 2.1K | 64 |
| TN | $537.31 | $1.4M | 2.6K | 60 |
| MN | $536.82 | $1.4M | 2.7K | 77 |
| SD | $533.03 | $330.5K | 620 | 11 |
| WI | $532.34 | $1.0M | 2.0K | 53 |
| ID | $526.00 | $267.2K | 508 | 13 |
| IA | $524.70 | $461.2K | 879 | 30 |
| AR | $523.55 | $386.9K | 739 | 28 |
| NE | $520.12 | $301.2K | 579 | 21 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Wen Cheng | Thoracic Surgery | CA | $264.9K | 433 | $611.80 |
| Raj Makkar | Interventional Cardiology | CA | $222.6K | 361 | $616.70 |
| Mathew Williams | Thoracic Surgery | NY | $202.7K | 283 | $716.19 |
| George Petrossian | Interventional Cardiology | NY | $182.8K | 240 | $761.74 |
| Newell Robinson | Cardiac Surgery | NY | $168.4K | 222 | $758.76 |
| Isaac George | Cardiac Surgery | NY | $155.2K | 217 | $715.30 |
| Cezar Staniloae | Interventional Cardiology | NY | $148.8K | 208 | $715.38 |
| Matthew Henry | Thoracic Surgery | NY | $134.2K | 176 | $762.57 |
| Gilbert Tang | Cardiac Surgery | NY | $129.5K | 180 | $719.64 |
| Susheel Kodali | Interventional Cardiology | NY | $118.8K | 165 | $720.17 |
| Richard Schwartz | Interventional Cardiology | NY | $105.5K | 139 | $759.29 |
| Mark Russo | Thoracic Surgery | NJ | $104.8K | 169 | $619.85 |
| Jeffrey Cohen | Thoracic Surgery | DC | $98.6K | 152 | $648.98 |
| Eugene Fernandes | Cardiac Surgery | IL | $96.9K | 143 | $677.48 |
| Gaetano Paone | Thoracic Surgery | GA | $92.7K | 158 | $586.92 |
| Gabriel Aldea | Cardiac Surgery | WA | $92.5K | 149 | $620.84 |
| James Mccabe | Interventional Cardiology | WA | $90.7K | 146 | $621.16 |
| Luigi Pirelli | Thoracic Surgery | NY | $89.2K | 127 | $702.46 |
| James Yun | Thoracic Surgery | NH | $89.0K | 154 | $577.82 |
| John Brown | Thoracic Surgery | NJ | $88.7K | 141 | $629.27 |
Based on the data, CPT 33361 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 15.7% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.