go back

Mitral Valve Implant Through A Chest Incision

California rates for HCPCS 0484T

A replacement mitral valve — the valve between the upper and lower chambers on the left side of the heart — is delivered into position on a catheter, with the heart reached through a surgical opening in the chest wall rather than from a vessel in the groin. The diseased valve is not cut out; the new one is seated inside it and holds it aside, with X-ray and ultrasound pictures guiding the placement. It is offered to people with a badly leaking or narrowed mitral valve for whom a conventional valve operation would carry too much risk.

Rates data updated July 2026.

How much does Mitral Valve Implant Through A Chest Incision cost?

$10,965

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $12,882 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,995$1,905 to $2,754
FacilityA hospital or hospital-owned outpatient department$12,882$9,550 to $17,378

How much rates vary

Facilitymedian $12,882 · 10th to 90th $4,898 to $22,909Professionalmedian $1,995 · 10th to 90th $1,122 to $5,012
$100$500$2K$10Kfacility $12,882professional $1,995

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,803.84
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$3,981.07
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$3,090.30
Typical High
$6,606.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,791.08
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,238.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$3,467.37
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$15,135.61
Typical High
$15,135.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$13,182.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,905.46
Typical High
$3,388.44
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,165.95
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$5,011.87

Where California sits

The same service costs 8.9 times more in California than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 1st of 51

$10,965

CA $10,965ND $1,230

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.