Heart Valve Replacement vs Office Visit (Established Patient)
Medicare Cost Comparison 2025
Quick Answer
Heart Valve Replacement: $80,000 total · Medicare pays $64,000 · Patient pays $16,000
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Cost Comparison
| Metric | Heart Valve Replacement | Office Visit (Established Patient) |
|---|---|---|
| Total Average Cost | $80,000 | $150 |
| Medicare Pays | $64,000 | $120 |
| Patient Pays | $16,000 | $30 |
| Category | hospital | physician |
FAQ
What is the cost difference between Heart Valve Replacement and Office Visit (Established Patient)?
Heart Valve Replacement costs $80,000 on average, while Office Visit (Established Patient) costs $150 — a difference of $79,850.
How much does Medicare pay for Heart Valve Replacement vs Office Visit (Established Patient)?
Medicare typically pays $64,000 for Heart Valve Replacement (patient owes $16,000). For Office Visit (Established Patient), Medicare pays $120 (patient owes $30).
What is Heart Valve Replacement?
Surgical replacement or repair of a malfunctioning heart valve.
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.