2026 Pricing Data
Heart Bypass Surgery (CABG) Cost in 2026
National Average Estimate
$120,000
Typical range: $70,000 – $200,000
Recovery
42–90 days
Risk Level
High
Duration
180–360 min
Clinical Insight
Most medically-necessary cases are covered by major insurers. Plan verification recommended.
What you'll likely pay in 2026
Typical Out-of-Pocket: With Insurance vs Without
With Insurance
Typical Out-of-Pocket
$5,000–$8,300
- PPO (typical)$5,000
- HDHP (high-deductible)$8,300
- Medicare (inpatient)$1,676
Without Insurance / Cash-Pay
List Price Range
$70,000–$200,000
National average: $120,000
Hospital sticker before any insurance discount.
Hospital sticker before any insurance discount.
Insurance estimates use 2025 averages from the KFF Employer Health Benefits Survey: $1,886 avg deductible, 20% hospital coinsurance, OOP max $5,000 (typical PPO) to $8,300 (HDHP statutory). Medicare uses 2025 Part A deductible ($1,676) for inpatient and Part B 20% coinsurance for outpatient (CMS). Reflects employer-sponsored insurance and Original Medicare. Excludes Medicaid, ACA marketplace, and short-term plans. Real OOP varies by plan, network, and state.
Understanding the Investment
Key Takeaways
- National average: $120,000 (range: $70,000–$200,000)
- Insurance: Usually Covered — CABG is covered by Medicare and all major insurance as medically necessary...
- Recovery: 42–90 days typical downtime
- Biggest cost driver: Facility type — outpatient centers can be 30–50% less than hospitals
Coronary artery bypass grafting (CABG) restores blood flow to the heart by grafting healthy vessels around blocked arteries. It's typically recommended for individuals with severe coronary artery disease. Approximately 340,000 CABG procedures are performed annually in the US.
The most significant cost drivers are the hospital stay, operating room fees, and the surgeon's fee. The cost of implants and supplies also contributes substantially to the overall expense.
Consider if you are a candidate for robotic-assisted CABG, which may reduce your hospital stay and lead to cost savings. Also, if you have multivessel disease, CABG as an initial treatment has been found to be less expensive and more effective than initial angioplasty with stenting. Heart bypass is one of the most common forms of open heart surgery — see our broader guide for other cardiac procedures. Confirm all costs with your provider before scheduling.
Interactive Cost Breakdown
Where does your money go?
Typical allocation for a heart bypass surgery (cabg) procedure at the national average price point.
Hospital Stay
35% of total · $29,399-$54,600
$29,399-$54,600
Hospital room, ICU, nursing care
Surgeon Fee
20% of total · $16,800-$31,200
$16,800-$31,200
Cardiac surgeon professional fee
Implants & Supplies
15% of total · $12,600-$23,400
$12,600-$23,400
Surgical implants, devices, and supplies
Operating Room
15% of total · $12,600-$23,400
$12,600-$23,400
OR time, equipment, heart-lung machine
Anesthesia
8% of total · $6,720-$12,480
$6,720-$12,480
Anesthesiologist fee for extended procedure
Post-Op Care
7% of total · $5,880-$10,920
$5,880-$10,920
Post-operative monitoring and follow-up
Go Deeper
Heart Bypass Surgery (CABG) Guides
Regional Variance
Heart Bypass Surgery (CABG) Cost by State
Geographic location plays a significant role — cost-of-living adjustments, regional demand for top specialists, and facility competition all affect pricing.
Most Affordable
5 Cheapest States
- Mississippi $106,200-11.5%
- West Virginia $107,760-10.2%
- Alabama $108,600-9.5%
- Arkansas $109,440-8.8%
- Missouri $110,160-8.2%
Premium Markets
5 Most Expensive States
- Hawaii $139,680+16.4%
- California $135,960+13.3%
- New York $135,360+12.8%
- Massachusetts $133,800+11.5%
- District of Columbia $132,600+10.5%
Cheaper
Pricier
State-by-State Pricing Atlas
Click any state to see detailed pricing, regional cost factors, and top cities.
Heart Bypass Surgery (CABG) Cost in All 50 States
Already seen the cheapest and most expensive? Expand the full sortable table to compare every state.
Show all 50 states (sortable) Hide all 50 states
| State ▲▼ | Avg Cost ▲▼ | vs National ▲▼ | |
|---|---|---|---|
| Alabama | $108,600 | -9.5% | |
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| Alaska | $130,440 | +8.7% | |
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| Arizona | $120,960 | +0.8% | |
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| Arkansas | $109,440 | -8.8% | |
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| California | $135,960 | +13.3% | |
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| Colorado | $126,240 | +5.2% | |
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| Connecticut | $131,760 | +9.8% | |
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| Delaware | $123,000 | +2.5% | |
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| District of Columbia | $132,600 | +10.5% | |
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| Florida | $120,360 | +0.3% | |
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| Georgia | $117,600 | -2.0% | |
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| Hawaii | $139,680 | +16.4% | |
| Idaho | $116,640 | -2.8% | |
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| Illinois | $121,440 | +1.2% | |
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| Indiana | $114,960 | -4.2% | |
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| Iowa | $114,600 | -4.5% | |
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| Kansas | $113,760 | -5.2% | |
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| Kentucky | $110,760 | -7.7% | |
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| Louisiana | $111,840 | -6.8% | |
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| Maine | $124,560 | +3.8% | |
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| Maryland | $128,160 | +6.8% | |
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| Massachusetts | $133,800 | +11.5% | |
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| Michigan | $119,400 | -0.5% | |
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| Minnesota | $124,200 | +3.5% | |
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| Mississippi | $106,200 | -11.5% | |
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| Missouri | $110,160 | -8.2% | |
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| Montana | $117,000 | -2.5% | |
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| Nebraska | $115,800 | -3.5% | |
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| Nevada | $120,600 | +0.5% | |
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| New Hampshire | $126,600 | +5.5% | |
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| New Jersey | $131,400 | +9.5% | |
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| New Mexico | $112,560 | -6.2% | |
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| New York | $135,360 | +12.8% | |
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| North Carolina | $118,560 | -1.2% | |
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| North Dakota | $114,240 | -4.8% | |
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| Ohio | $117,960 | -1.7% | |
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| Oklahoma | $111,360 | -7.2% | |
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| Oregon | $129,000 | +7.5% | |
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| Pennsylvania | $122,160 | +1.8% | |
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| Rhode Island | $125,760 | +4.8% | |
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| South Carolina | $112,200 | -6.5% | |
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| South Dakota | $116,160 | -3.2% | |
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| Tennessee | $113,040 | -5.8% | |
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| Texas | $115,440 | -3.8% | |
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| Utah | $119,040 | -0.8% | |
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| Vermont | $125,400 | +4.5% | |
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| Virginia | $123,840 | +3.2% | |
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| Washington | $128,640 | +7.2% | |
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| West Virginia | $107,760 | -10.2% | |
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| Wisconsin | $119,760 | -0.2% | |
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| Wyoming | $113,400 | -5.5% | |
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Grounded Data
Real Hospital Charges (CMS Medicare Data)
Across 638 hospitals and surgery centers in the CMS Medicare data for heart bypass surgery (cabg), average billed charges range from $54,363 to $1,244,745, with a national median of $218,498. The table below lists the highest-volume facilities by reported case count.
| Hospital | Location | Avg Billed Charge | Avg Medicare Payment |
|---|---|---|---|
| Oklahoma Heart Hospital, Llc | Oklahoma City, OK | $167,289 | $28,602 |
| Ascension Saint Thomas Hospital | Nashville, TN | $214,803 | $34,006 |
| Methodist Hospital | Omaha, NE | $298,380 | $34,433 |
| Medstar Washington Hospital Center | Washington, DC | $198,836 | $48,380 |
| Arkansas Heart Hospital, Llc | Little Rock, AR | $94,660 | $25,693 |
| St Francis Hospital, Roslyn | Roslyn, NY | $262,782 | $39,538 |
| Sentara Norfolk General Hospital | Norfolk, VA | $194,583 | $39,068 |
| Charleston Area Medical Center | Charleston, WV | $246,258 | $33,832 |
| Morristown Medical Center | Morristown, NJ | $268,883 | $40,956 |
| Sarasota Memorial Hospital | Sarasota, FL | $269,267 | $30,929 |
| Cleveland Clinic | Cleveland, OH | $226,239 | $39,969 |
| Baylor Sott & White The Heart Hospital Plano | Plano, TX | $152,746 | $27,842 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $319,346 | $44,288 |
| University Of Alabama Hospital | Birmingham, AL | $228,538 | $34,270 |
| Brigham And Women's Hospital | Boston, MA | $287,566 | $58,384 |
| Mayo Clinic Hospital Rochester | Rochester, MN | $195,915 | $54,781 |
| Lankenau Medical Center | Wynnewood, PA | $204,351 | $36,662 |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | $233,478 | $35,572 |
| St Lukes Hospital | Cedar Rapids, IA | $130,577 | $28,493 |
| Jersey Shore University Medical Center | Neptune, NJ | $209,881 | $32,713 |
Billed charges are a hospital's list price and are typically far higher than what is actually paid. The Avg Medicare Payment column shows what Medicare actually reimbursed for the same procedure at that facility.
Source: CMS Medicare Provider Utilization and Payment Data (2023).
What Drives Price
Primary Pricing Factors
Three variables explain most of the cost variation you'll see across the same procedure.
Number of bypasses (grafts) — single, double, triple, or quadruple bypass each add surgical time and cost
On-pump vs. off-pump — off-pump (beating heart) CABG avoids heart-lung machine costs but requires more surgical skill
ICU and hospital stay — typical stays are 5-7 days; complications can extend to weeks and multiply the bill
Timeline
The Road to Results
Recovery is an investment of time. Understanding the phases helps you plan downtime and set expectations.
Before your heart bypass surgery, you'll have consultations with your cardiologist and surgeon, plus tests like blood work, an EKG, and chest X-ray. You'll need to stop taking certain medications, like blood thinners, a week or so beforehand, and your doctor might have you start new ones. On the day of surgery, you'll be given general anesthesia, so you’ll be asleep during the 3- to 6-hour procedure. The surgeon will take healthy blood vessels from your leg, arm, or chest and use them to create new routes around the blockages in your heart.
In the first 24-48 hours after surgery, expect to be in the intensive care unit (ICU) for close monitoring. You'll likely have tubes for breathing, fluids, and drainage. Full recovery takes 6-12 weeks. Plan on needing help at home initially. You'll gradually increase your activity level, but fatigue is common. Don't forget to arrange for someone to drive you home from the hospital and take significant time off work. Regular follow-up appointments with your doctor are essential to monitor your progress and manage any complications.
01
Initial Recovery
42 days
Light activity, follow-up appointment. Most visible changes in this window.
02
Full Recovery
90 days
Return to normal activities, including most exercise and work routines.
03
Procedure Itself
180–360 min
Typical time under anesthesia or active treatment for a standard case.
Coverage & Financing
Paying for Heart Bypass Surgery (CABG)
Usually Covered by InsuranceCABG is covered by Medicare and all major insurance as medically necessary for coronary artery disease.
Financing Options
- Promotional financing — CareCredit's 24-month 0% APR plan is the most common way patients finance heart bypass surgery (cabg)
- Provider installment plans — many practices let you start payments before surgery and continue after, spreading out the cost
- Tax-advantaged accounts — paying $120,000 through your HSA/FSA saves you 20-35% versus after-tax dollars
- Cash discounts — surgeons prefer upfront payment and often reduce the price by 10-20% for cash-pay patients
- Charitable care programs — some nonprofit surgical organizations offer reduced-cost procedures for qualifying patients
Common Questions
Frequently Asked Questions
How much does heart bypass surgery (cabg) cost in 2026?
In 2026, heart bypass surgery (cabg) costs $120,000 on average across the US. The typical range runs $70,000 to $200,000, with your final price shaped by geographic location, provider experience, and facility choice.
Does insurance cover heart bypass surgery (cabg)?
Heart Bypass Surgery (CABG) is usually covered by insurance. CABG is covered by Medicare and all major insurance as medically necessary for coronary artery disease. Pre-authorization letters from your insurer are the definitive source for your specific coverage.
What's the cheapest state for heart bypass surgery (cabg)?
Mississippi ($106,200), West Virginia ($107,760), Alabama ($108,600) offer the lowest heart bypass surgery (cabg) costs nationwide. The savings stem from lower facility fees, staff costs, and overall cost of living in these regions.
What affects heart bypass surgery (cabg) cost?
Several factors determine your final heart bypass surgery (cabg) price: number of bypasses (grafts), on-pump vs. off-pump, icu and hospital stay, along with your surgeon's experience level and where you have the procedure done. See our state-by-state comparison above for geographic pricing differences.
How long is recovery after heart bypass surgery (cabg)?
Most patients need 42 to 90 days to fully recover from heart bypass surgery (cabg). Early recovery (days 1-42) focuses on rest and pain management. By day 90, most people are back to full activity. Budget for post-op medications and follow-up visits during this window.
Where is heart bypass surgery (cabg) most expensive?
You'll pay the most for heart bypass surgery (cabg) in Hawaii ($139,680), California ($135,960), New York ($135,360). If you're in one of these states and cost is a concern, comparing quotes from lower-cost neighboring states could save you 15-25%.