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Replacement of a Total Artificial Heart

California rates for HCPCS 33928

Removes an implanted total artificial heart, the mechanical pump that has taken over the work of the person's own heart, and puts a new one in its place. It is open-chest surgery done when the existing device has failed or worn out, usually while the person waits for a heart transplant.

Rates data updated July 2026.

How much does Replacement of a Total Artificial Heart cost?

$13,804

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $13,804 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $15,488 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 8 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$3,631$3,236 to $6,310
FacilityA hospital or hospital-owned outpatient department$15,488$11,749 to $21,878

How much rates vary

Facilitymedian $15,488 · 10th to 90th $5,495 to $28,840Professionalmedian $3,631 · 10th to 90th $2,884 to $10,471
$100$500$2K$10K$50Kfacility $15,488professional $3,631

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
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,311.31
Typical High
$6,456.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$16,218.10
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,456.54
Typical High
$10,471.29
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$3,311.31
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,630.78
Typical High
$7,079.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,698.24
Typical High
$16,982.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$16,218.10
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$25,118.86
Typical High
$25,118.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,467.37
Typical High
$5,011.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,165.95
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$7,413.10

Where California sits

The same service costs 5.5 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.

California· 1st of 51

$13,804

CA $13,804ND $2,512

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.