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Removal Of Muscle Blocking The Heart Outflow

North Dakota 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?

$2,818

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $1,479 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,951$2,570 to $3,388
FacilityA hospital or hospital-owned outpatient department$1,479$1,288 to $2,344

How much rates vary

Facilitymedian $1,479 · 10th to 90th $759 to $2,512Professionalmedian $2,951 · 10th to 90th $1,585 to $3,802
$100$200$500$1K$2K$5Kfacility $1,479professional $2,951

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
$1,479.11
Median
$1,479.11
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,479.11
Typical High
$1,584.89
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$3,890.45
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$4,677.35
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$2,691.53
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$257.04
Median
$316.23
Typical High
$389.05
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,479.11
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$3,162.28
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$3,311.31

Where North Dakota 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.

North Dakota· 10th of 51

$2,818

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.