Repair of mitral valve through the skin, initial prosthesis
Medicare pricing data for 1,302 providers across 49 states
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
Repair of mitral valve through the skin, initial prosthesis (HCPCS code 33418) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,378, but hospitals typically charge $5,781 — a 4.2x 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 $1,378, your out-of-pocket cost would be approximately $275.61. 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 4.2x more than what Medicare allows for this procedure. Medicare actually pays $1,100 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $1,716 | $8,649 | 7 | 31 | +24.5% |
| Vermont | $1,647 | $8,677 | 3 | 15 | +19.5% |
| Oregon | $1,645 | $5,202 | 12 | 117 | +19.4% |
| Arizona | $1,641 | $4,546 | 31 | 272 | +19.1% |
| North Dakota | $1,608 | $5,068 | 4 | 32 | +16.7% |
| New York | $1,580 | $9,165 | 79 | 709 | +14.6% |
| Utah | $1,542 | $4,674 | 11 | 65 | +11.9% |
| Ohio | $1,531 | $6,599 | 38 | 266 | +11.1% |
| West Virginia | $1,497 | $6,005 | 6 | 28 | +8.6% |
| Michigan | $1,491 | $6,004 | 32 | 229 | +8.2% |
| Washington | $1,481 | $4,876 | 24 | 265 | +7.5% |
| Illinois | $1,475 | $8,046 | 58 | 424 | +7.0% |
| North Carolina | $1,442 | $6,466 | 32 | 203 | +4.7% |
| Minnesota | $1,432 | $8,881 | 38 | 282 | +3.9% |
| Rhode Island | $1,427 | $6,231 | 5 | 44 | +3.5% |
| California | $1,416 | $5,500 | 144 | 1,286 | +2.7% |
| Delaware | $1,401 | $4,354 | 5 | 13 | +1.7% |
| Alaska | $1,399 | $13,382 | 2 | 26 | +1.5% |
| Florida | $1,385 | $5,372 | 140 | 874 | +0.5% |
| Wisconsin | $1,383 | $15,963 | 19 | 87 | +0.4% |
| South Carolina | $1,379 | $5,530 | 19 | 199 | +0.0% |
| Oklahoma | $1,373 | $4,576 | 15 | 150 | -0.3% |
| District of Columbia | $1,371 | $4,617 | 4 | 21 | -0.5% |
| Virginia | $1,367 | $4,422 | 33 | 422 | -0.8% |
| Alabama | $1,366 | $3,245 | 20 | 181 | -0.9% |
| Louisiana | $1,361 | $4,814 | 17 | 116 | -1.2% |
| Texas | $1,349 | $5,579 | 83 | 544 | -2.1% |
| Massachusetts | $1,338 | $6,455 | 28 | 259 | -2.9% |
| Maryland | $1,318 | $4,333 | 22 | 123 | -4.3% |
| Nevada | $1,307 | $4,323 | 15 | 116 | -5.2% |
| Georgia | $1,301 | $5,478 | 34 | 258 | -5.6% |
| Missouri | $1,290 | $5,291 | 38 | 241 | -6.4% |
| Tennessee | $1,287 | $5,009 | 26 | 339 | -6.6% |
| New Jersey | $1,280 | $5,355 | 37 | 262 | -7.1% |
| Kentucky | $1,260 | $4,449 | 17 | 65 | -8.6% |
| Pennsylvania | $1,257 | $5,142 | 55 | 287 | -8.8% |
| Colorado | $1,238 | $4,350 | 27 | 240 | -10.2% |
| Indiana | $1,232 | $4,139 | 17 | 175 | -10.6% |
| Iowa | $1,224 | $4,760 | 11 | 76 | -11.2% |
| Mississippi | $1,208 | $5,149 | 15 | 58 | -12.3% |
| Montana | $1,205 | $3,494 | 9 | 65 | -12.5% |
| New Mexico | $1,167 | $4,476 | 9 | 45 | -15.3% |
| New Hampshire | $1,165 | $9,309 | 9 | 63 | -15.4% |
| Arkansas | $1,158 | $2,843 | 10 | 104 | -16.0% |
| Maine | $1,116 | $5,136 | 7 | 36 | -19.0% |
| South Dakota | $1,085 | $2,707 | 5 | 75 | -21.3% |
| Idaho | $1,041 | $5,158 | 4 | 44 | -24.5% |
| Kansas | $1,012 | $4,300 | 15 | 259 | -26.6% |
| Nebraska | $1,009 | $3,712 | 9 | 88 | -26.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber
🏥 See Medicare hospital data on OpenMedicare