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Tricuspid Valve Replacement

Virginia 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 July 2026.

How much does Tricuspid Valve Replacement cost?

$4,169

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $3,162 to $7,079.

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.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,188 to $12,882Professionalmedian $3,311 · 10th to 90th $2,399 to $3,631
$2K$5K$10Kfacility $4,266professional $3,311

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$3,630.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$6,309.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$5,754.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,467.37
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46

Where Virginia sits

The same service costs 26.3 times more in Indiana than in Wyoming. 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· 33rd of 49

$4,169

IN $33,884WY $1,288

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.