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Removing a Bulging Area of Heart Muscle

New York rates for HCPCS 33542

Open-heart surgery that cuts away a weakened, bulging section of the heart's muscular wall, usually scar left behind by a previous heart attack. Removing the bulge and reclosing the wall lets the remaining muscle pump more effectively.

Rates data updated July 2026.

How much does Removing a Bulging Area of Heart Muscle cost?

$7,027

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $7,027 for this procedure. That total is two separate charges: $3,311 to the doctor who performs it, and $3,715 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,311$2,692 to $4,571
Facility feeThe hospital or surgery center$3,715$2,951 to $5,012

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,820 to $8,318Professionalmedian $3,311 · 10th to 90th $2,399 to $7,762
$1K$2K$5K$10K$20Kfacility $3,715professional $3,311

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
$2,630.27
Median
$3,890.45
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,467.37
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,818.38
Typical High
$7,079.46
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$4,365.16
Typical High
$43,651.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,897.79
Typical High
$11,748.98
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$9,549.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,168.69
Typical High
$5,128.61
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$4,677.35
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$3,630.78
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,235.94
Typical High
$7,585.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,235.94
Typical High
$9,549.93

Where New York sits

The same service costs 10.0 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

New York· 37th of 49

$7,027

$3,311 physician + $3,715 facility

IN $36,768MD $3,681

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.