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See a sample rate comparisonCPT 33418 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.
Transcatheter Mitral Valve Rep, Transcatheter Mitral Valve Repair Percutaneous Approach Including Transseptal Puncture When Performed Initial Prosthesis
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | Q0 - Investigational clinical service provided in a clinical research study 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $1,580.87 national non-facility rate (2026) · View Medicare rates for 33418 |
| Medicaid Fee Schedule | $1,237.50 median of the 8 states in the free preview · View Medicaid rates for 33418 |
National average reimbursement for CPT 33418 by major payers:
$2,320.04
$2,564.65
$2,666.38
$2,892.67
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CPT 33418
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Texas Medical Center, LLP, Memorial Hermann Surgery Center Texas Medical Center
Memorial Hermann Surgery Center Texas Medical Center LLP
$5,554.00Published rateEndoscopy Center Of Northern Ohio, LLC
Endoscopy Center Of Northern Ohio LLC
$1,064.00Published rateSouth Florida Ambulatory Surgical Center LLC
South Florida Ambulatory Surgi
$983.00Published rateCascade Eye & Skin Centers PC, Cascade Laser & Surgery Center
Cascade Eye And Skin Centers, P.C.
$587.00Published rateNovamed Surgery Center Of Merrillville, LLC
$200.00Published rate
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See a sample payer proposalCPT 33418 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33418 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 33418 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 |
|---|---|---|
| 33418-CPT | High | Transcatheter Mitral Valve Rep, Transcatheter Mitral Valve Repair Percutaneous Approach Including Transseptal Puncture When Performed Initial Prosthesis |
| 33419-CPT | Moderate | Repair Tcat Mitral Valve, Transcatheter Mitral Valve Repair Percutaneous Approach Including Transseptal Puncture When Performed Additional Prosthesis Es During Same Session List Separately In Addition To Code For Primary Procedure |
| 33420-CPT | High | Heart Valve Surgery, Surgery To Open The Heart Valve (Mitral) That Moves Blood Between The Left Upper And Lower Heart Chambers. Scar Tissue Or Inflammation Has Closed The Valve. The Stuck Tissue Is Cut Apart Or Separated By Progressive Dilation (Manually Widening The Opening). |
| 33422-CPT | High | Heart Valve Surgery, Surgery To Open The Heart Valve (Mitral) That Moves Blood Between The Left Upper And Lower Heart Chambers. Scar Tissue Or Inflammation Has Closed The Valve. The Stuck Tissue Is Cut Apart Or Separated By Progressive Dilation (Manually Widening The Opening). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33418. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33418 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.
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Frequently Asked Questions
To find the cost of a specific medical procedure or service, it's best to look up prices based on the CPT code and your specific location. You can use tools like Payerprice, which offers a fee schedule lookup tool. This allows you to search with a CPT code and your specific location to get an estimate of what providers in your area charge. This can help you understand potential costs before your appointment and make informed decisions.
A CPT (Current Procedural Terminology) code is a standardized set of five-digit alphanumeric codes used by healthcare providers to describe medical, surgical, and diagnostic services. Each service you receive has a unique CPT code. These codes are crucial for understanding healthcare costs because they are what insurance companies use to process claims and determine reimbursement. When you look up prices for a procedure, using its CPT code ensures you're comparing the cost of the exact same service across different providers or locations.
No, prices for medical services can vary significantly based on many factors, including the healthcare provider, the facility (hospital vs. clinic), your geographic location, your insurance plan, and even the specific negotiated rates between providers and insurers. Even for the same procedure with the same CPT code, costs can differ between providers within the same city. To get the most accurate estimate for a specific service in your area, you can use a tool like Payerprice, which allows you to search fee schedules by CPT code and location, helping you compare costs.
Yes, it is often possible and highly recommended to get an estimate for your medical procedure beforehand. You can contact your healthcare provider's billing department directly for an estimate, or if you know the CPT code for the procedure, you can use online tools. For a comprehensive search, Payerprice offers a fee schedule lookup tool where you can enter the CPT code and your specific location to get an idea of the costs involved, helping you budget and compare options from various providers.