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Reconstruction For A Single-Chamber Heart

New York 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?

$5,248

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $6,918 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$4,467$3,715 to $6,166
FacilityA hospital or hospital-owned outpatient department$6,918$4,266 to $12,023

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,951 to $17,378Professionalmedian $4,467 · 10th to 90th $3,162 to $10,233
$2K$5K$10K$20Kfacility $6,918professional $4,467

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
$2,570.40
Median
$5,011.87
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$9,332.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$11,481.54
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,715.35
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$5,623.41
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$6,918.31
Typical High
$16,218.10
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,248.07
Typical High
$12,302.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,897.79
Typical High
$6,606.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,890.45
Typical High
$6,165.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,128.61
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,897.79
Typical High
$12,589.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,265.80
Typical High
$8,317.64
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,265.80
Typical High
$8,511.38

Where New York 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.

New York· 20th of 51

$5,248

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.