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Reconstruction For A Single-Chamber Heart

North Carolina 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?

$4,786

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $5,495 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$4,786$3,311 to $6,918
FacilityA hospital or hospital-owned outpatient department$5,495$3,311 to $8,318

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,660 to $13,804Professionalmedian $4,786 · 10th to 90th $3,311 to $9,550
$1K$2K$5K$10K$20Kfacility $5,495professional $4,786

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
$6,456.54
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,801.89
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,606.93
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,754.40
Typical High
$9,120.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,073.80
Typical High
$6,918.31
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
$3,388.44
Median
$4,897.79
Typical High
$8,709.64
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$20,892.96
Typical High
$20,892.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$28,840.32
Typical High
$28,840.32

Where North Carolina 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.

North Carolina· 25th of 51

$4,786

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.