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Mitral Valve Implant Through A Chest Incision

Massachusetts 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?

$2,455

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $3,090 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 7 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$2,399$1,905 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,090$2,344 to $3,715

How much rates vary

Facilitymedian $3,090 · 10th to 90th $2,089 to $5,623Professionalmedian $2,399 · 10th to 90th $1,905 to $4,365
$1K$2K$5K$10K$20Kfacility $3,090professional $2,399

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
$2,344.23
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,344.23
Typical High
$2,630.27
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$7,244.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$10,000.00
Typical High
$13,489.63
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$2,818.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,398.83
Typical High
$4,365.16
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$7,244.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,311.31
Typical High
$5,011.87

Where Massachusetts 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.

Massachusetts· 13th of 51

$2,455

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.