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First-Stage Repair For Single-Chamber Heart

Pennsylvania rates for HCPCS 33619

Open-heart surgery in a newborn born with only one working pumping chamber and a severely underdeveloped main artery leaving the heart. The surgeon rebuilds and enlarges that artery so the single working chamber can supply the body, and creates a new route for blood to reach the lungs.

Rates data updated July 2026.

How much does First-Stage Repair For Single-Chamber Heart cost?

$3,236

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $5,370 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 9 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$3,090$2,951 to $3,467
FacilityA hospital or hospital-owned outpatient department$5,370$3,236 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,047 to $8,511Professionalmedian $3,090 · 10th to 90th $2,630 to $5,248
$500$1K$2K$5K$10K$20Kfacility $5,370professional $3,090

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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$3,890.45
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,467.37
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,570.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$5,754.40
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$6,309.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,630.78
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,691.53
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,388.44
Typical High
$5,623.41

Where Pennsylvania sits

The same service costs 4.4 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.

Pennsylvania· 42nd of 51

$3,236

CA $13,183WV $3,020

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.