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Procedure price report · Heart valve procedures

Catheter mitral valve repair, each extra clip or device

CPT 33419the billing code this page is about

Add-on billed once for each additional repair device implanted on the mitral valve during the same catheter-based session, beyond the first one.

Hospitals typically charge $4,807 cash for this outpatient procedure — the median across 953 hospitals that filed a usable cash price; the average of the middle 60% is $5,461. Most fall between $1,388 and $12,227 (20th–80th percentile).

Hospitals
953
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 953 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
$709$1,836$4,807$10,941$20,102

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($709 vs $20,102).

How the prices are spread

$519 – $773: 61 hospitals$519$773 – $1,152: 52 hospitals$1,152 – $1,717: 63 hospitals$1,152$1,717 – $2,559: 56 hospitals$2,559 – $3,814: 128 hospitals$2,559$3,814 – $5,685: 115 hospitals$5,685 – $8,473: 128 hospitals$5,685$8,473 – $12,627: 114 hospitals$12,627 – $18,820: 87 hospitals$12,627$18,820 – $28,049: 56 hospitals$18,820median $4,807price bands are equal on a log scale
Hospitals per price band (860 of 953 — the bands cover the 5th to 95th percentile)
FromToHospitals
$519$77361
$773$1,15252
$1,152$1,71763
$1,717$2,55956
$2,559$3,814128
$3,814$5,685115
$5,685$8,473128
$8,473$12,627114
$12,627$18,82087
$18,820$28,04956

By state

The median cash price in each state, against the national median of $4,807.

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 $3,037 across 24 hospitalsWA$3,037Idaho: median $29,508 across 10 hospitalsID$29,508Montana: 2 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 $4,878 across 17 hospitalsMN$4,878Illinois: median $7,720 across 37 hospitalsIL$7,720Wisconsin: median $3,591 across 38 hospitalsWI$3,591Michigan: median $3,591 across 49 hospitalsMI$3,591New York: median $1,938 across 24 hospitalsNY$1,938Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $8,941 across 21 hospitalsOR$8,941Nevada: 3 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 $1,043 across 17 hospitalsIA$1,043Indiana: median $1,496 across 25 hospitalsIN$1,496Ohio: median $4,732 across 62 hospitalsOH$4,732Pennsylvania: median $2,506 across 42 hospitalsPA$2,506New Jersey: median $5,741 across 22 hospitalsNJ$5,741Connecticut: 6 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 $4,200 across 83 hospitalsCA$4,200Utah: median $7,809 across 14 hospitalsUT$7,809Colorado: median $4,807 across 20 hospitalsCO$4,807Nebraska: median $7,993 across 10 hospitalsNE$7,993Missouri: median $3,009 across 18 hospitalsMO$3,009Kentucky: median $8,332 across 26 hospitalsKY$8,332West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $4,337 across 25 hospitalsVA$4,337Maryland: 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 $7,639 across 18 hospitalsAZ$7,639New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,818 across 17 hospitalsTN$1,818North Carolina: median $2,592 across 25 hospitalsNC$2,592South Carolina: median $7,210 across 24 hospitalsSC$7,210Oklahoma: median $988 across 21 hospitalsOK$988Louisiana: median $3,259 across 17 hospitalsLA$3,259Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $2,974 across 11 hospitalsAL$2,974Georgia: median $10,245 across 46 hospitalsGA$10,245Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $15,677 across 76 hospitalsTX$15,677Florida: median $13,175 across 53 hospitalsFL$13,175
Cash price by state, most expensive first. National median $4,807. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$29,508+514%$2,401 – $29,508
Texas TX76$15,677+226%$3,009 – $17,970
Florida FL53$13,175+174%$4,816 – $18,500
Georgia GA46$10,245+113%$5,818 – $24,640
Oregon OR21$8,941+86%$754 – $12,160
Kentucky KY26$8,332+73%$1,432 – $54,910
Nebraska NE10$7,993+66%$762 – $8,838
Utah UT14$7,809+62%$6,951 – $7,809
Illinois IL37$7,720+61%$1,432 – $18,785
Arizona AZ18$7,639+59%$3,041 – $9,967
South Carolina SC24$7,210+50%$1,396 – $11,254
New Jersey NJ22$5,741+19%$4,430 – $6,839
Minnesota MN17$4,878+1%$2,783 – $6,672
Colorado CO20$4,8070%$4,779 – $10,746
Ohio OH62$4,732−2%$925 – $5,755
Virginia VA25$4,337−10%$1,817 – $12,923
California CA83$4,200−13%$1,388 – $17,730
Michigan MI49$3,591−25%$512 – $4,499
Wisconsin WI38$3,591−25%$2,298 – $4,502
Louisiana LA17$3,259−32%$1,169 – $5,565
Washington WA24$3,037−37%$2,227 – $13,734
Missouri MO18$3,009−37%$677 – $11,083
Alabama AL11$2,974−38%$2,022 – $6,145
North Carolina NC25$2,592−46%$633 – $2,880
Pennsylvania PA42$2,506−48%$373 – $7,253
New York NY24$1,938−60%$539 – $14,918
Tennessee TN17$1,818−62%$492 – $4,626
Indiana IN25$1,496−69%$1,056 – $2,128
Iowa IA17$1,043−78%$1,043 – $3,725
Oklahoma OK21$988−79%$685 – $3,779
Massachusetts MA8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Arkansas AR5not 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
Nevada NV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Montana MT2not 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 $4,807.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care867$5,118$1,388 – $12,923
Children’s9fewer than 20 hospitals
Critical access70$3,113$1,432 – $5,818
Ownership
For-profit89$9,919$1,750 – $20,769
Government86$3,182$1,533 – $10,165
Non-profit771$4,770$1,388 – $12,006
System affiliation
Part of a system889$4,816$1,442 – $12,227
Independent64$3,331$792 – $12,669

Cash price vs list price

Median list price (chargemaster)$8,864
Median cash price$4,807
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

790 hospitals filed a usable inpatient cash price for this code. The median is $4,732 and the average of the middle 60% is $5,318; most fall between $1,432 and $11,417.

Cash price percentiles, inpatient, across 790 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
$799$2,027$4,732$10,245$18,360

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($799 vs $18,360).

Of the 841 hospitals that filed this code inpatient, 790 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

953 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,035 hospitals that filed this code at all gave us
Usable cash price — counted953
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded43
Hospitals that filed this code1,035

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 Addl 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, each extra clip or device (CPT 33419) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33419-catheter-mitral-valve-repair-each-extra-clip-or-device