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Mitral Valve Implant Through A Chest Incision

New York 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?

$3,090

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $7,079 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$1,585$1,349 to $2,344
FacilityA hospital or hospital-owned outpatient department$7,079$4,074 to $9,772

How much rates vary

Facilitymedian $7,079 · 10th to 90th $2,344 to $14,454Professionalmedian $1,585 · 10th to 90th $1,288 to $3,090
$1K$2K$5K$10K$20Kfacility $7,079professional $1,585

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
$1,819.70
Median
$5,128.61
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,317.64
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,818.38
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$16,595.87
Typical High
$26,302.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$8,709.64
Typical High
$8,709.64
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,754.23
Typical High
$6,025.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,949.84
Typical High
$3,548.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$2,818.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$5,128.61
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,995.26
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$2,818.38

Where New York 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 York· 5th of 51

$3,090

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.