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Procedure price report · Heart valve procedures

Catheter mitral valve repair, first clip or device

CPT 33418the billing code this page is about

Repair of the mitral valve using a catheter threaded through a vein and across the wall between the heart's upper chambers; this code covers the first device implanted.

Hospitals typically charge $13,385 cash for this outpatient procedure — the median across 990 hospitals that filed a usable cash price; the average of the middle 60% is $14,429. Most fall between $5,339 and $27,888 (20th–80th percentile).

Hospitals
990
States
50
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 990 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$2,914$6,364$13,385$25,572$40,203

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($2,914 vs $40,203).

How the prices are spread

$2,263 – $3,104: 64 hospitals$2,263$3,104 – $4,259: 37 hospitals$4,259 – $5,844: 73 hospitals$4,259$5,844 – $8,017: 87 hospitals$8,017 – $10,999: 126 hospitals$8,017$10,999 – $15,091: 113 hospitals$15,091 – $20,704: 135 hospitals$15,091$20,704 – $28,406: 119 hospitals$28,406 – $38,972: 89 hospitals$28,406$38,972 – $53,468: 54 hospitals$38,972median $13,385price bands are equal on a log scale
Hospitals per price band (897 of 990 — the bands cover the 5th to 95th percentile)
FromToHospitals
$2,263$3,10464
$3,104$4,25937
$4,259$5,84473
$5,844$8,01787
$8,017$10,999126
$10,999$15,091113
$15,091$20,704135
$20,704$28,406119
$28,406$38,97289
$38,972$53,46854

By state

The median cash price in each state, against the national median of $13,385.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $9,310 across 25 hospitalsWA$9,310Idaho: median $29,508 across 10 hospitalsID$29,508Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $12,240 across 17 hospitalsMN$12,240Illinois: median $7,626 across 36 hospitalsIL$7,626Wisconsin: median $15,054 across 38 hospitalsWI$15,054Michigan: median $11,627 across 53 hospitalsMI$11,627New York: median $8,027 across 25 hospitalsNY$8,027Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $18,225 across 23 hospitalsOR$18,225Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $4,410 across 17 hospitalsIA$4,410Indiana: median $6,804 across 29 hospitalsIN$6,804Ohio: median $11,292 across 73 hospitalsOH$11,292Pennsylvania: median $10,503 across 35 hospitalsPA$10,503New Jersey: median $5,855 across 22 hospitalsNJ$5,855Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $8,126 across 90 hospitalsCA$8,126Utah: median $15,625 across 14 hospitalsUT$15,625Colorado: median $20,900 across 20 hospitalsCO$20,900Nebraska: median $15,082 across 10 hospitalsNE$15,082Missouri: median $10,673 across 18 hospitalsMO$10,673Kentucky: median $21,487 across 25 hospitalsKY$21,487West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $8,674 across 25 hospitalsVA$8,674Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $14,995 across 18 hospitalsAZ$14,995New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $9,420 across 17 hospitalsTN$9,420North Carolina: median $10,002 across 24 hospitalsNC$10,002South Carolina: median $21,559 across 24 hospitalsSC$21,559Oklahoma: median $2,914 across 21 hospitalsOK$2,914Louisiana: median $6,813 across 20 hospitalsLA$6,813Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $25,755 across 10 hospitalsAL$25,755Georgia: median $23,272 across 46 hospitalsGA$23,272Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $25,401 across 78 hospitalsTX$25,401Florida: median $17,879 across 58 hospitalsFL$17,879
Cash price by state, most expensive first. National median $13,385. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$29,508+120%$18,468 – $29,508
Alabama AL10$25,755+92%$20,072 – $37,488
Texas TX78$25,401+90%$4,460 – $27,200
Georgia GA46$23,272+74%$13,660 – $36,525
South Carolina SC24$21,559+61%$21,559 – $21,695
Kentucky KY25$21,487+61%$10,763 – $54,910
Colorado CO20$20,900+56%$16,603 – $46,723
Oregon OR23$18,225+36%$3,217 – $43,874
Florida FL58$17,879+34%$12,075 – $35,477
Utah UT14$15,625+17%$13,638 – $15,625
Nebraska NE10$15,082+13%$2,769 – $15,082
Wisconsin WI38$15,054+12%$9,801 – $15,463
Arizona AZ18$14,995+12%$9,260 – $70,938
Minnesota MN17$12,240−9%$12,240 – $15,378
Michigan MI53$11,627−13%$2,129 – $17,541
Ohio OH73$11,292−16%$8,978 – $19,214
Missouri MO18$10,673−20%$3,630 – $22,165
Pennsylvania PA35$10,503−22%$4,010 – $30,664
North Carolina NC24$10,002−25%$2,704 – $10,002
Tennessee TN17$9,420−30%$2,263 – $10,639
Washington WA25$9,310−30%$4,386 – $13,734
Virginia VA25$8,674−35%$4,525 – $25,572
California CA90$8,126−39%$6,042 – $44,423
New York NY25$8,027−40%$2,919 – $19,890
Illinois IL36$7,626−43%$4,482 – $42,256
Louisiana LA20$6,813−49%$4,928 – $13,317
Indiana IN29$6,804−49%$2,444 – $25,755
New Jersey NJ22$5,855−56%$4,627 – $6,839
Iowa IA17$4,410−67%$4,410 – $30,452
Oklahoma OK21$2,914−78%$2,914 – $18,899
Connecticut CT8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $13,385.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care903$13,385$5,429 – $28,117
Children’s11fewer than 20 hospitals
Critical access69$14,645$3,540 – $23,265
Ownership
For-profit98$19,214$7,009 – $59,579
Government88$10,532$3,779 – $23,272
Non-profit797$13,385$5,339 – $27,199
System affiliation
Part of a system923$13,660$5,826 – $27,888
Independent67$7,206$2,919 – $22,165

Cash price vs list price

Median list price (chargemaster)$23,789
Median cash price$13,385
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

824 hospitals filed a usable inpatient cash price for this code. The median is $13,660 and the average of the middle 60% is $14,679; most fall between $5,660 and $27,200.

Cash price percentiles, inpatient, across 824 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$3,217$6,863$13,660$25,401$37,488

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($3,217 vs $37,488).

Of the 888 hospitals that filed this code inpatient, 824 gave a usable cash price; 30 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

990 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,099 hospitals that filed this code at all gave us
Usable cash price — counted990
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded53
Hospitals that filed this code1,099

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Heart valve procedures family.

Hospitals file this code under descriptions such as Tcat Mitral Valve Repair Initial Prosthesis.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Catheter mitral valve repair, first clip or device (CPT 33418) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33418-catheter-mitral-valve-repair-first-clip-or-device