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Tricuspid Valve Replacement

Montana 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?

$8,256

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

Insurers have agreed to pay about $8,256 for this procedure. That total is two separate charges: $3,890 to the doctor who performs it, and $4,365 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,890$2,818 to $4,365
Facility feeThe hospital or surgery center$4,365$4,074 to $4,467

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,445 to $4,786Professionalmedian $3,890 · 10th to 90th $79 to $4,786
$100$200$500$1K$2K$5Kfacility $4,365professional $3,890

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,630.27
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,365.16
Typical High
$5,011.87
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$4,677.35
Providence
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,715.35
Typical High
$4,365.16
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$6,918.31

Where Montana 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

Montana· 15th of 51

$8,256

$3,890 physician + $4,365 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.