The treatment plan changes the financial pathway
Primary and secondary mitral regurgitation can lead to different treatment sequences. The estimate should reflect the exact intervention proposed after echocardiographic and Heart Team review.
- Transthoracic and transesophageal echocardiography
- Additional cardiac imaging or coronary assessment when needed
- Heart Team review of surgery, TEER and medical treatment
- Assessment of ventricular function and heart-failure treatment
Surgical repair and replacement are not the same quotation
Mitral repair preserves the patient's native valve, while replacement uses a prosthetic valve. Surgical complexity, prosthesis use, associated procedures, anesthesia, intensive care and length of stay can all change the estimate.
TEER / MitraClip has its own cost drivers
A catheter-based TEER episode can include detailed TEE planning, clip systems and other disposable materials, catheter-laboratory or hybrid-theatre resources, anesthesia, inpatient observation and follow-up echocardiography.
Compare quotations only after the same clinical question is answered
A surgical quotation and a TEER quotation are not interchangeable simply because both treat mitral regurgitation. First confirm why each center recommends its proposed strategy and whether the anatomy and guideline indication are comparable.
Advance payment and final settlement remain case-specific
German university hospitals commonly prepare estimates after medical review for international self-pay patients, request advance payment and reconcile the final invoice against the care actually delivered.
Official sources
Last source-reviewed 2026-08-31. Cost procedures and published service fees can change, so confirm current terms directly with the provider before transferring money or booking travel.