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Catheter Placement Of A Shunt In The Heart

South Dakota rates for HCPCS 0613T

Implants a small shunt in the wall between the two upper chambers of the heart, delivered on a thin tube threaded along a vein so the chest is never opened. The controlled opening lets blood pass from the left upper chamber to the right, relieving the pressure that backs up into the lungs in heart failure and easing breathlessness. Pressures in both sides of the heart are measured during the procedure.

Rates data updated July 2026.

How much does Catheter Placement Of A Shunt In The Heart cost?

$1,148

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,950 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,148$1,122 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,950$1,660 to $4,365

How much rates vary

Facilitymedian $1,950 · 10th to 90th $813 to $4,365Professionalmedian $1,148 · 10th to 90th $1,122 to $2,399
$1K$2K$5Kfacility $1,950professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,137.96
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$3,311.31

Where South Dakota sits

The same service costs 14.5 times more in California than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 44th of 51

$1,148

CA $11,749ND $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.