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Removal Of Muscle Blocking The Heart Outflow

Hawaii rates for HCPCS 33476

Open-heart surgery that cuts away thickened muscle narrowing the channel where blood leaves the right pumping chamber on its way to the lungs. If the valve at the end of that channel has fused leaflets, they are separated during the same operation. Clearing the obstruction lets the right side of the heart pump without working against high resistance.

Rates data updated October 2026.

How much does Removal Of Muscle Blocking The Heart Outflow cost?

$1,778

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $1,549 to $2,239.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,148 to $2,818Professionalmedian $1,778 · 10th to 90th $30 to $2,399
$50$100$200$500$1K$2Kfacility $1,202professional $1,778

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
HMSA
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,290.87
Typical High
$2,691.53
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,318.26
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$346.74
Median
$389.05
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,187.76
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$1,819.70

Where Hawaii sits

The same service costs 5.6 times more in Alaska than in Texas. 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.

Hawaii· 38th of 51

$1,778

AK $6,026TX $1,072

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.