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Heart Transplant or Heart Assist Implant (with MCC)

Virginia rates for MS-DRG 001

Heart Transplant or Implant of Heart Assist System with MCC

Rates data updated July 2026.

How much does Heart Transplant or Heart Assist Implant (with MCC) cost?

$436,516

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $436,516 for this service. Most negotiated rates run $288,403 to $549,541.

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.

How much rates vary

Facilitymedian $436,516 · 10th to 90th $234,423 to $707,946
$5K$20K$100K$500Kfacility $436,516

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
$338,844.16
Median
$478,630.09
Typical High
$562,341.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346,736.85
Median
$524,807.46
Typical High
$870,963.59
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$398,107.17
Median
$398,107.17
Typical High
$398,107.17
Sentara
Setting
Facility
Modifier
Global
Typical Low
$213,796.21
Median
$275,422.87
Typical High
$309,029.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$338,844.16
Typical High
$776,247.12

Where Virginia sits

The same service costs 33.9 times more in New York than in Michigan. 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· 25th of 51

$436,516

NY $724,436MI $21,380

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.