Replacement of mitral valve on heart-lung machine
Medicare pricing data for 2,834 providers across 48 states
Prices vary significantly by location — from $1,323 in Iowa to $2,978 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Replacement of mitral valve on heart-lung machine (HCPCS code 33430) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,845, but hospitals typically charge $8,439 — a 4.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,845, your out-of-pocket cost would be approximately $368.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $1,473 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $2,978 | $7,498 | 5 | 22 | +61.4% |
| Hawaii | $2,489 | $7,736 | 5 | 24 | +34.9% |
| Maryland | $2,257 | $7,098 | 30 | 87 | +22.3% |
| New York | $2,192 | $12,599 | 162 | 550 | +18.8% |
| Massachusetts | $2,127 | $8,834 | 71 | 233 | +15.3% |
| Oklahoma | $2,123 | $6,994 | 23 | 91 | +15.1% |
| Georgia | $2,066 | $10,961 | 54 | 140 | +12.0% |
| Missouri | $2,053 | $8,358 | 71 | 194 | +11.3% |
| Pennsylvania | $2,034 | $7,579 | 166 | 606 | +10.3% |
| Rhode Island | $2,031 | $9,446 | 7 | 31 | +10.1% |
| Tennessee | $2,027 | $6,529 | 57 | 192 | +9.9% |
| Illinois | $2,016 | $12,592 | 101 | 314 | +9.3% |
| New Jersey | $1,990 | $10,476 | 59 | 227 | +7.9% |
| Kansas | $1,975 | $5,682 | 23 | 84 | +7.1% |
| Colorado | $1,975 | $7,809 | 40 | 114 | +7.0% |
| Ohio | $1,968 | $9,792 | 115 | 404 | +6.7% |
| Virginia | $1,961 | $8,007 | 68 | 246 | +6.3% |
| Florida | $1,939 | $7,577 | 246 | 820 | +5.1% |
| South Dakota | $1,920 | $6,838 | 8 | 33 | +4.1% |
| Kentucky | $1,891 | $5,472 | 40 | 123 | +2.5% |
| Minnesota | $1,852 | $11,241 | 52 | 180 | +0.4% |
| Arkansas | $1,849 | $5,208 | 21 | 124 | +0.2% |
| Connecticut | $1,824 | $9,424 | 40 | 126 | -1.1% |
| Texas | $1,819 | $7,542 | 165 | 552 | -1.4% |
| North Dakota | $1,814 | $10,770 | 14 | 34 | -1.6% |
| Louisiana | $1,792 | $7,256 | 52 | 152 | -2.9% |
| Mississippi | $1,780 | $7,803 | 18 | 56 | -3.5% |
| Nevada | $1,751 | $6,615 | 25 | 98 | -5.1% |
| New Hampshire | $1,743 | $10,656 | 26 | 88 | -5.5% |
| Utah | $1,736 | $5,561 | 25 | 75 | -5.9% |
| Michigan | $1,726 | $7,617 | 93 | 251 | -6.4% |
| South Carolina | $1,716 | $5,735 | 53 | 159 | -7.0% |
| California | $1,692 | $6,955 | 288 | 1,026 | -8.3% |
| Arizona | $1,641 | $6,779 | 61 | 361 | -11.1% |
| Alabama | $1,631 | $7,161 | 52 | 228 | -11.6% |
| North Carolina | $1,608 | $8,167 | 88 | 309 | -12.8% |
| Washington | $1,576 | $5,838 | 68 | 186 | -14.6% |
| Nebraska | $1,550 | $6,374 | 25 | 91 | -16.0% |
| Indiana | $1,544 | $7,911 | 71 | 216 | -16.3% |
| Montana | $1,532 | $8,696 | 17 | 53 | -16.9% |
| Wisconsin | $1,519 | $24,453 | 71 | 202 | -17.7% |
| Delaware | $1,510 | $8,045 | 12 | 29 | -18.1% |
| West Virginia | $1,500 | $5,332 | 15 | 42 | -18.7% |
| Idaho | $1,468 | $5,526 | 13 | 45 | -20.4% |
| Maine | $1,464 | $4,514 | 14 | 26 | -20.7% |
| Oregon | $1,419 | $5,437 | 59 | 185 | -23.1% |
| Vermont | $1,402 | $12,356 | 7 | 21 | -24.0% |
| Iowa | $1,323 | $6,091 | 28 | 78 | -28.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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