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Rerouting Blood To The Lungs In A Single-Chamber Heart

Indiana rates for HCPCS 33615

Major open-heart surgery for a child born with a heart that has only one effective pumping chamber. The opening between the upper chambers is closed and the returning blood is connected directly to the artery leading to the lungs, so it flows onward to pick up oxygen without needing to be pumped by the heart. The heart-lung bypass machine takes over circulation while the reconstruction is carried out.

Facilitymedian $35,481 · 10th–90th $2,951$52,4810%10%10th90th$35,481Professionalmedian $2,344 · 10th–90th $1,950$4,8980%20%10th90th$2,344$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$38,904.51
Typical High
$57,543.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,235.94
Typical High
$5,011.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,760.83
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$4,168.69