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Open Repair of a Complex Heart Defect

North Carolina rates for HCPCS 33610

Open-heart surgery to correct a complex heart defect present from birth, in which the chambers and outflow pathways of the heart have not formed normally. The operation is carried out with a heart-lung machine taking over the circulation so the surgeon can work inside the heart itself. The aim is to give blood an unobstructed route out of the heart to the body.

Rates data updated July 2026.

How much does Open Repair of a Complex Heart Defect cost?

$2,754

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,020 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,630$1,778 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,020$1,738 to $6,761

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,660 to $8,318Professionalmedian $2,630 · 10th to 90th $1,738 to $5,623
$1K$2K$5K$10K$20Kfacility $3,020professional $2,630

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
$1,659.59
Median
$4,265.80
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,801.89
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,818.38
Typical High
$4,677.35
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$4,365.16
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$10,715.19
Typical High
$10,715.19
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29

Where North Carolina sits

The same service costs 6.8 times more in California than in West Virginia. 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 Carolina· 23rd of 51

$2,754

CA $13,183WV $1,950

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.