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Patch Widening Of The Heart's Outflow To Lungs

Rhode Island rates for HCPCS 33478

Widens the narrowed channel through which blood leaves the right side of the heart on its way to the lungs, by sewing in a patch of material to enlarge it. Thickened muscle within that channel may be trimmed and a tight valve opened during the same operation. It is open-heart surgery, usually for a narrowing present from birth.

Rates data updated October 2026.

How much does Patch Widening Of The Heart's Outflow To Lungs cost?

$2,042

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $1,202 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,042$1,738 to $2,399
FacilityA hospital or hospital-owned outpatient department$1,202$575 to $3,715

How much rates vary

Facilitymedian $1,202 · 10th to 90th $372 to $6,457Professionalmedian $2,042 · 10th to 90th $1,585 to $3,236
$100$200$500$1K$2K$5Kfacility $1,202professional $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,041.74
Typical High
$2,041.74
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$3,235.94
BCBS Rhode Island
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,691.53
BCBS Rhode Island
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$85.11
Median
$123.03
Typical High
$223.87
BCBS Rhode Island
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$109.65
Median
$154.88
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$676.08
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,630.78
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,513.56
Typical High
$6,456.54
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$2,818.38

Where Rhode Island sits

The same service costs 5.5 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.

Rhode Island· 33rd of 51

$2,042

AK $6,310TX $1,148

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.