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Mitral Valve Implant Through A Chest Incision

Kentucky 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?

$1,862

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $5,248 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 6 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$1,778$1,660 to $1,905
FacilityA hospital or hospital-owned outpatient department$5,248$1,349 to $10,000

How much rates vary

Facilitymedian $5,248 · 10th to 90th $851 to $37,154Professionalmedian $1,778 · 10th to 90th $1,349 to $2,818
$1K$2K$5K$10K$20K$50Kfacility $5,248professional $1,778

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
$851.14
Median
$1,348.96
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,737.80
Typical High
$1,949.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$10,000.00
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$33,113.11
Typical High
$51,286.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$29,512.09
Typical High
$51,286.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,951.21
Typical High
$3,801.89

Where Kentucky 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.

Kentucky· 35th of 51

$1,862

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.