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Rerouting Blood To The Lungs In A Single-Chamber Heart

New Mexico 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.

Rates data updated July 2026.

How much does Rerouting Blood To The Lungs In A Single-Chamber Heart cost?

$3,020

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $3,090 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 5 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$2,884$1,950 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,090$2,455 to $5,129

How much rates vary

Facilitymedian $3,090 · 10th to 90th $2,089 to $8,318Professionalmedian $2,884 · 10th to 90th $1,950 to $10,000
$50$200$1K$5K$20Kfacility $3,090professional $2,884

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,235.94
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,884.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,691.53
Typical High
$3,162.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,951.21
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,073.80

Where New Mexico sits

The same service costs 6.0 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.

New Mexico· 24th of 51

$3,020

CA $13,183WV $2,188

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.