Transradial PCI is increasing in the US as it provides value by reducing costs through lower bleeding rates and shorter length of stays. The author's hospital implemented several strategies to increase value, including increased use of transradial PCI, a same-day discharge program, and a patient-centered approach focusing on individualized risk assessment. These strategies led to lower costs, improved outcomes, and increased patient satisfaction while maintaining the ability to treat high-risk patients. The hospital estimates annual savings of over $3 million from these strategies along with improved revenue from quality programs.