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Preparing Donor Lungs For Machine Perfusion

Virginia rates for HCPCS 0494T

Donor lungs that would not normally be usable are prepared for assessment on a perfusion machine. The team prepares the lungs and connects them to the circuit that will pump warm fluid through them outside the body, and later disconnects them and readies them for transplant if they prove suitable. Only the preparation and connection work is covered here.

Rates data updated July 2026.

How much does Preparing Donor Lungs For Machine Perfusion cost?

$363

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $2,188 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$363$324 to $437
FacilityA hospital or hospital-owned outpatient department$2,188$380 to $7,079

How much rates vary

Facilitymedian $2,188 · 10th to 90th $347 to $10,715Professionalmedian $363 · 10th to 90th $295 to $741
$200$500$1K$2K$5K$10Kfacility $2,188professional $363

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
$363.08
Median
$5,248.07
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$11,220.18
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$616.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$5,623.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,691.53
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$707.95

Where Virginia sits

The same service costs 30.9 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.

Virginia· 27th of 51

$363

CA $6,761ND $219

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.