Price Checker / CPT 92987
CPT 92987 — Revision of mitral valve
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$1,205
What Medicare pays in a hospital/ASC setting
$1,205
What Medicare pays in a physician's office
$45,939
Based on 30 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 92987
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "St Luke's Hospital Allentown Campus" , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Anderson Campus , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Bethlehem Campus , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Carbon Campus , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Easton Campus , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Lehighton Campus , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Monroe Campus , PA | $93,542 | $77,640 | 7662% |
| St Lukes Hospital Sacred Heart Campus , PA | $93,542 | $77,640 | 7662% |
| Children's Hospital of Philadelphia , PA | $70,150 | — | 5139% |
| Maimonides Medical Center Brooklyn, NY | $46,848 | — | 3787% |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) , FL | — | — | 3054% |
| Haywood Regional Medical Center , NC | $35,681 | — | 2861% |
| Jefferson Cherry Hill Hospital Cherry Hill, NJ | $31,846 | — | 2543% |
| Jefferson Methodist Hospital Philadelphia, PA | $31,846 | — | 2543% |
| Jefferson Moss-Magee Rehabilitation Hospital – Center City Philadelphia, PA | $31,846 | — | 2543% |
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About CPT 92987
CPT code 92987 refers to “Revision of mitral valve”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,205 in a facility (hospital or ambulatory surgery center) and $1,205in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.