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Open Heart Opening Of The Pulmonary Valve

Georgia rates for HCPCS 33474

Open heart surgery to free up a narrowed pulmonary valve, the valve between the right side of the heart and the lungs. The fused leaflets are cut apart under direct vision while a heart-lung machine takes over the circulation, so blood can leave the heart for the lungs more easily.

Rates data updated July 2026.

How much does Open Heart Opening Of The Pulmonary Valve cost?

$3,631

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $5,370 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$2,754$2,399 to $3,981
FacilityA hospital or hospital-owned outpatient department$5,370$3,631 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $2,455 to $12,589Professionalmedian $2,754 · 10th to 90th $2,089 to $5,129
$2K$5K$10K$20Kfacility $5,370professional $2,754

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,570.88
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,456.54
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,467.37
Typical High
$6,025.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,019.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$6,025.60

Where Georgia sits

The same service costs 5.6 times more in California than in Hawaii. 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.

Georgia· 18th of 51

$3,631

CA $13,183HI $2,344

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.