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Mitral Valve Implant Through A Chest Incision

New Jersey 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?

$2,344

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $6,918 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 5 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$1,950$1,698 to $2,455
FacilityA hospital or hospital-owned outpatient department$6,918$4,677 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,692 to $12,303Professionalmedian $1,950 · 10th to 90th $1,445 to $4,467
$1K$2K$5K$10Kfacility $6,918professional $1,950

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
$4,466.84
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,905.46
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,220.18
Typical High
$12,302.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,995.26
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$5,248.07

Where New Jersey 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.

New Jersey· 15th of 51

$2,344

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.