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Removing a Bulging Area of Heart Muscle

Virginia 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?

$7,405

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $7,405 for this procedure. That total is two separate charges: $3,236 to the doctor who performs it, and $4,169 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,236$2,884 to $3,802
Facility feeThe hospital or surgery center$4,169$3,020 to $7,079

How much rates vary

Facilitymedian $4,169 · 10th to 90th $2,188 to $12,589Professionalmedian $3,236 · 10th to 90th $2,455 to $5,495
$2K$5K$10Kfacility $4,169professional $3,236

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
$2,951.21
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$4,570.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,467.37
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$3,467.37
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$6,025.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,495.41
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,311.31
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,311.31
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,754.40

Where Virginia 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

Virginia· 34th of 49

$7,405

$3,236 physician + $4,169 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.