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Mitral Valve Implant Through A Chest Incision

North Carolina 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?

$1,778

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $4,365 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$1,778 to $3,388
FacilityA hospital or hospital-owned outpatient department$4,365$1,778 to $8,710

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,660 to $11,220Professionalmedian $1,778 · 10th to 90th $1,698 to $5,248
$1K$2K$5K$10Kfacility $4,365professional $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
$1,659.59
Median
$7,943.28
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,890.45
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$15,848.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$4,786.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$15,135.61
Typical High
$15,135.61

Where North Carolina 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.

North Carolina· 45th of 51

$1,778

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.