Search thousands of topics on CostHelper.com

BROWSE ALL TOPICS >> babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business sports weddings
CostHelper > Health & Personal Care  > Medical Specialties & Departments > Heart Valve Replacement

Heart Valve Replacement Cost


How Much Does Heart Valve Replacement Cost?

 
average costWith Health Insurance: Copays and 10%-50% Coinsurancehigh costWithout Health Insurance: $80,000-$200,000+
post Post   Comments (1)  

Heart valve replacement involves replacing a diseased valve in the heart -- most commonly, the aortic valve -- with a new valve taken either from another part of the patient's heart, or made from human or animal tissue, or man-made materials. Risks include reaction to anesthesia, infection, bleeding, blood clots, stroke, heart attack and death.

Typical costs:

  • For patients covered by health insurance, out-of-pocket costs typically consist of doctor visit copays, prescription drug copays and coinsurance of 10%-50% or more, which probably would reach the yearly out-of-pocket maximum. Valve replacement surgery typically is covered by health insurance.
  • For patients not covered by health insurance, valve replacement surgery typically costs from about $80,000-$200,000 or more with an average, according to an American Heart Association report[1] , of $164,238, not including the doctor fee. A surgeon fee can add $5,000 or more to the final bill. For example, Dartmouth-Hitchcock Medical Center[2] in New Hampshire charges about $86,500, including doctor fee, after a 30% uninsured discount. St. Mary's Hospital[3] in Wisconsin charges an average of $107,000, but costs can reach $200,000 or more. And Baptist Memorial Health Care charges about $75,000-$140,000, not including doctor fee, but cost can go up to more than $200,000 with major complications.
  • According to a study published in the Journal of Cardiovascular Surgery[4] , complications occurred about 35%of the time and caused significantly longer hospital stays and increased charges. Complications of aortic valve replacement[5] or mitral valve replacement[6] range from infection to heart or lung problems such as irregular heart rhythms, heart attack or heart failure or pneumonia.
Related articles: Heart Surgery, Physical Therapy, Health Insurance

What should be included:
  • In heart valve replacement surgery[7] , the patient is placed under general anesthesia and connected to a heart-lung bypass machine that performs the work of the heart. The surgeon will either make a large incision in the chest -- or, for minimally invasive surgery, a smaller one -- and will cut away the diseased valve and attach a new one.
  • The valve most commonly replaced is the aortic valve[8] , followed by the mitral valve[9] . It is less common for the tricuspid valve[10] or the pulmonary valve[11] to be replaced.
  • Recovery[12] requires a hospital stay of at least five to seven days -- and sometimes up to two weeks or longer -- as well as six to eight weeks off from work.
Additional costs:
  • A patient must go to the dentist before surgery and have any necessary dental work done to prevent oral bacteria from causing an infection in the new valve.
  • Patients typically require one or more sessions of physical therapy to learn how to move without harming the incision and to learn exercises to assist recovery. This typically costs $50-$350 per session. The University of Washington Medical Center Cardiac Surgery Clinic offers information on physical therapy[13] after heart surgery.
  • Patients who have a mechanical (man-made) valve inserted must take a blood thinning medication such as warfarin (brand name Coumadin), or possibly Plavix, for life. At Drugstore.com, Warfarin typically costs about $15-$25 per month, depending on dose, for the generic or $50-$70 for the brand name, and Plavix costs about $200 or more per month.
Discounts:
  • Many hospitals give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[14] in California offers a 35% discount.
Shopping for heart valve replacement:
  • A cardiologist can provide a referral to a cardiothoracic surgeon. Or, the CardioThoracic Surgery Network offers a state-by-state surgeon locator[15] . A cardiothoracic surgeon should be certified by the American Board of Thoracic Surgery and should have completed a general surgery residency and a residency in cardiothoracic surgery.
  • Columbia University Medical Center lists questions to ask the surgeon[16] about heart valve surgery. It is important to ask about all options for a replacement valve, because each type has different risks and follow-up care requirements. The Maryland Heart Center at the University of Maryland Medical Center offers a primer on the pros and cons[17] of different types of replacement valves.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post Post   Comments (1)  
CostHelper News


Forgotten Expenses In a Home Addition Budget
Items like construction costs, permit fees or debris removal aren't the only expenses to consider when calculating the total costs of a home remodeling project. || Posted August 5 2013


7 Lesser-Known Discounts for the 50+ Crowd
As they age, members of the Baby Boomer generation don't like to admit that they're senior citizens, but they love getting discounts. It's kind of a quandary, because some of the best deals available are reduced prices for older folks. || Posted October 21 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments
Tricuspid valve replacement x2
Amount: $175.00
Posted by: Wm.Bradley in Birmingham, AL.Posted: December 6th, 2014 05:12AM
Physician: Dr. McGiffenMedical Center: UAB
Had two valve replacements in late 2001 and early 2002. Had a great experience w/uab and staff. Dr.McGiffen was awesome but now resides in his homeland of Australia. Now its 13 years later and im told i need another surgery. I have no job, no insurance, no money, yet i must somehow get through this. They say the cost has gone down and the knowledge has increased but for me there is no price you could put on saving a life.
Was this post helpful to you?   yes     no Report prohibited or spam


 

Comment On Your Experience With Heart Valve Replacement
 
Subject:  *
Amount Spent:  *
Physician: Medical Center: 
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  circ.ahajournals.org/content/123/4/e18.full.pdf
  2.  patients.dartmouth-hitchcock.org/billing_questions/out_of_pocket_estimator_dhmc.html
  3.  www.wipricepoint.org/Basic_INP.aspx
  4.  www.ncbi.nlm.nih.gov/pubmed/17505440
  5.  heart.emedtv.com/aortic-valve-replacement/aortic-valve-replacement-complications.html
  6.  heart.emedtv.com/mitral-valve-replacement/mitral-valve-replacement-complications-p2.html
  7.  www.nlm.nih.gov/medlineplus/ency/article/002954.htm
  8.  www.nlm.nih.gov/medlineplus/ency/article/007408.htm
  9.  www.nlm.nih.gov/medlineplus/ency/article/007412.htm
  10.  my.clevelandclinic.org/heart/disorders/valve/tricuspid.aspx
  11.  www.mayoclinic.org/pulmonary-valve-disease/treatment.html
  12.  my.clevelandclinic.org/heart/disorders/recovery_ohs.aspx
  13.  healthonline.washington.edu/document/health_online/pdf/Physical_Therapy_After_Cardiac_S...
  14.  www.whhs.com/about/washington-hospital-discount-policy-for-uninsured/
  15.  www.ctsnet.org/members/bystate.cfm?ms=surgeons&o=sts
  16.  www.columbiasurgery.org/aortic/faqs_surgeons.html
  17.  www.umm.edu/heart/aortic_valve_replace.htm
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Does a Mammogram Cost? How Much Does Chemotherapy Cost? How Much Does Growing Medical Marijuana Outdoors Cost?

Search Thousands of Topics on CostHelper.com

 
Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Portneuf medical hospital ER
Paid: 210.00
they told us that the bill for the ER visit was only $210. later on we receive a bill for $1000. i got around 4-6 blood tests. all im mad about is that they lied to us... [more]
-Gino Smile
Blood Tests Cost
Renovation ducting...never had central AC
Paid: 1250.00
Renovating a guest house that never had central AC, therefore had no ducting...owner removed the ceiling as it had to be replaced anyway... [more]
-CPace
Ductwork Cost
Flu symptoms
Paid: 5932.68
Couldn’t stand headache pain when I caught the flu in March 2019. Threw up pain relievers, couldn’t eat or drink. After 5 hours of pain decided to hit ER... [more]
-GayLynn
Emergency Room Visit Cost
Financing
Paid: 20000.00
How do people afford wells? No one finances?... [more]
-Kourtney
Well Drilling Cost
1 yr 23lb Male Neuter
Paid: 424.08
The price would have been $282.08, but I opted for the blood work and to have it done via laser versus scalpel. I was still surprised by the cost, but I didn't really have anything to compare it to... [more]
-Joelle
Dog Spay or Neuter Cost
Is this cost of tax preparation correct
Paid: 1845.00
Each year our tax preparation cost goes up faster than inflation. we started at $800.00 in 2012 and now our bill for preparing taxes this year is $1,845.00... [more]
-smallbizchris
Business Tax Preparation Cost