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Tricuspid Valve Replacement

Maine rates for HCPCS 33465

Removes the tricuspid valve, which sits between the upper and lower chambers on the right side of the heart, and puts a replacement valve in its place, with the patient supported on a heart-lung machine. It is done when the valve leaks badly or is too damaged to repair. The replacement may be a tissue valve or a mechanical one.

Rates data updated October 2026.

How much does Tricuspid Valve Replacement cost?

$4,667

Typical total for the visit. In Maine, October 2026.

Insurers have agreed to pay about $4,667 for this procedure. That total is two separate charges: $3,890 to the doctor who performs it, and $776 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,890$3,162 to $4,571
Facility feeThe hospital or surgery center$776$776 to $832

How much rates vary

Facilitymedian $776 · 10th to 90th $708 to $1,202Professionalmedian $3,890 · 10th to 90th $2,630 to $5,129
$200$500$1K$2K$5K$10Kfacility $776professional $3,890

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$4,073.80
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$3,890.45
Typical High
$5,128.61
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$407.38
Median
$616.60
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$363.08
Median
$537.03
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$707.95
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$5,888.44
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$812.83
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,897.79
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$812.83
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$5,248.07

Where Maine sits

The same service costs 6.9 times more in Alaska than in Washington. 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.

Physician feeFacility fee

Maine· 42nd of 51

$4,667

$3,890 physician + $776 facility

AK $22,987WA $3,314

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.