# CPT 33430: Replacement of mitral valve

Medicare CPT 33430 pays $2,622.97 in a non-facility setting and $2,622.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,316.52 in Wisconsin to $3,304.69 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/33430-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,622.97 |
| National facility | $2,622.97 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $3,304.69 | $3,304.69 |
| Florida | $3,012.16 | $3,012.16 |
| Illinois | $2,982.79 | $2,982.79 |
| New York | $2,912.90 | $2,912.90 |
| District of Columbia | $2,857.59 | $2,857.59 |
| New Jersey | $2,812.10 | $2,812.10 |
| Connecticut | $2,784.81 | $2,784.81 |
| Michigan | $2,755.85 | $2,755.85 |
| West Virginia | $2,726.60 | $2,726.60 |
| Maryland | $2,699.84 | $2,699.84 |
| Georgia | $2,680.33 | $2,680.33 |
| Massachusetts | $2,674.77 | $2,674.77 |
| Washington | $2,666.61 | $2,666.61 |
| New Mexico | $2,659.14 | $2,659.14 |
| Pennsylvania | $2,654.76 | $2,654.76 |
| Rhode Island | $2,628.62 | $2,628.62 |
| Puerto Rico | $2,622.94 | $2,622.94 |
| Virgin Islands | $2,622.94 | $2,622.94 |
| Montana | $2,622.15 | $2,622.15 |
| California | $2,596.88 | $2,596.88 |
| New Hampshire | $2,594.59 | $2,594.59 |
| Texas | $2,594.39 | $2,594.39 |
| Louisiana | $2,593.91 | $2,593.91 |
| Colorado | $2,588.80 | $2,588.80 |
| Delaware | $2,583.28 | $2,583.28 |
| Ohio | $2,577.95 | $2,577.95 |
| Missouri | $2,570.86 | $2,570.86 |
| Nevada | $2,555.20 | $2,555.20 |
| Oregon | $2,552.81 | $2,552.81 |
| Utah | $2,547.93 | $2,547.93 |
| Arizona | $2,546.84 | $2,546.84 |
| Hawaii | $2,526.77 | $2,526.77 |
| Kentucky | $2,526.58 | $2,526.58 |
| South Carolina | $2,519.41 | $2,519.41 |
| Wyoming | $2,516.59 | $2,516.59 |
| Virginia | $2,493.24 | $2,493.24 |
| Oklahoma | $2,472.33 | $2,472.33 |
| Maine | $2,445.45 | $2,445.45 |
| Mississippi | $2,439.02 | $2,439.02 |
| North Carolina | $2,438.07 | $2,438.07 |
| Vermont | $2,415.30 | $2,415.30 |
| Tennessee | $2,383.01 | $2,383.01 |
| North Dakota | $2,379.93 | $2,379.93 |
| Alabama | $2,376.01 | $2,376.01 |
| Indiana | $2,372.14 | $2,372.14 |
| Kansas | $2,366.74 | $2,366.74 |
| Idaho | $2,362.93 | $2,362.93 |
| South Dakota | $2,351.29 | $2,351.29 |
| Minnesota | $2,351.02 | $2,351.02 |
| Arkansas | $2,346.26 | $2,346.26 |
| Iowa | $2,329.06 | $2,329.06 |
| Nebraska | $2,325.73 | $2,325.73 |
| Wisconsin | $2,316.52 | $2,316.52 |

## Related codes

- 33016: Pericardiocentesis — https://www.med-reveal.com/rates/33016-cpt-fee-schedule
- 33017: Pericardial drainage with insertion of indwelling catheter — https://www.med-reveal.com/rates/33017-cpt-fee-schedule
- 33206: Insertion of permanent pacemaker, atrial — https://www.med-reveal.com/rates/33206-cpt-fee-schedule
- 33207: Insertion of permanent pacemaker, ventricular — https://www.med-reveal.com/rates/33207-cpt-fee-schedule
- 33208: Insertion of permanent pacemaker, atrial and ventricular — https://www.med-reveal.com/rates/33208-cpt-fee-schedule
- 33210: Insertion of temporary transvenous pacemaker — https://www.med-reveal.com/rates/33210-cpt-fee-schedule
- 33240: Insertion of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33240-cpt-fee-schedule
- 33249: Insertion of implantable defibrillator with lead(s), dual chamber — https://www.med-reveal.com/rates/33249-cpt-fee-schedule

Commercial negotiated rates for 33430 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules