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Reconstruction For A Single-Chamber Heart

Montana rates for HCPCS 33622

Major open-heart surgery for a child born with only one effective pumping chamber, rebuilding the connections so that blood reaches the lungs and the body along a workable path. It is one operation in a planned series carried out over the first years of life. The heart-lung bypass machine takes over circulation while the reconstruction is done.

Rates data updated July 2026.

How much does Reconstruction For A Single-Chamber Heart cost?

$5,754

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $5,888 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$5,495$3,802 to $6,026
FacilityA hospital or hospital-owned outpatient department$5,888$5,754 to $6,026

How much rates vary

Facilitymedian $5,888 · 10th to 90th $5,754 to $6,607Professionalmedian $5,495 · 10th to 90th $3,311 to $16,982
$100$200$500$1K$2K$5K$10Kfacility $5,888professional $5,495

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
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,248.07
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,888.44
Typical High
$6,606.93
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,888.44
Typical High
$6,606.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,248.07
Typical High
$6,606.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,235.94
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,025.60
Typical High
$9,332.54

Where Montana sits

The same service costs 3.6 times more in California than in Arkansas. 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.

Montana· 16th of 51

$5,754

CA $13,183AR $3,631

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.