Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 33413 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Heart Valve Replacement, Surgery To Replace A Heart Valve (Aortic Valve) Using A Similar Valve (Pulmonic Valve) From The Same Heart. The Pulmonic Valve Is Replaced With An Artificial One.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 20 - Urgent Care Facility |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $3,015.10 national non-facility rate (2026) · View Medicare rates for 33413 |
| Medicaid Fee Schedule | $2,349.395 median of the 8 states in the free preview · View Medicaid rates for 33413 |
National average reimbursement for CPT 33413 by major payers:
$3,879.87
$4,416.08
$4,744.59
$5,096.46
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 33413.
CPT 33413
5 of 25 sample ratesHigher to lower in this preview
Pine Ridge Surgery Center, LLC
$3,078.00Published rateWestern Ambulatory Surgery LLC
$1,148.00Published rateDrs LLC, Mcminnville Surgery Center
Drs LLC
$829.00Published rateOhio Surgery Center LLC
Ohio Surgery Center
$551.00Published rateArizona Digestive Center, P.C.
Arizona Digestive Center PC
$90.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 33413 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33413 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 33413 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 33412-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Valve Between The Lower Left Heart Chamber And The Aorta. The Replacement May Be Fully Artificial Or Made Of Biologically Similar Tissue. Heart-Lung Bypass Allows The Heart To Rest During Surgery. |
| 33413-CPT | High | Heart Valve Replacement, Surgery To Replace A Heart Valve (Aortic Valve) Using A Similar Valve (Pulmonic Valve) From The Same Heart. The Pulmonic Valve Is Replaced With An Artificial One. |
| 33414-CPT | High | Heart Chamber Modification, Surgery To Modify Parts Of The Left Ventricle (Main Pumping Chamber Of The Heart). The Procedure Enables Blood To Flow Freely Out Of The Heart. |
| 33415-CPT | High | Heart Muscle Surgery, Surgery To Reduce An Oversized Heart Muscle (Septum) Between The Lower Heart Chambers (Ventricles). The Muscle Is Blocking Blood Flow From The Left Ventricle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33413. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33413 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 33413) and we'll show you how you compare in 15 minutes or less.