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Repair Of An Artificial Heart Valve

Pennsylvania rates for HCPCS 33496

Open-heart surgery to correct a problem with an artificial heart valve that is already in place — for example a leak around the edge of the valve or tissue catching on it — without exchanging the valve itself. It is performed with the help of a heart-lung bypass machine.

Rates data updated July 2026.

How much does Repair Of An Artificial Heart Valve cost?

$1,995

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $5,370 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$1,862$1,778 to $2,089
FacilityA hospital or hospital-owned outpatient department$5,370$1,995 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $8,511Professionalmedian $1,862 · 10th to 90th $1,622 to $3,020
$1K$2K$5K$10K$20Kfacility $5,370professional $1,862

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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$2,290.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,187.76
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,235.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,548.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$3,467.37
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,630.27
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,570.40
Typical High
$2,570.40
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$3,548.13

Where Pennsylvania sits

The same service costs 7.2 times more in California than in West Virginia. 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.

Pennsylvania· 49th of 51

$1,995

CA $13,183WV $1,820

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.