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Reconstruction For A Single-Chamber Heart

Pennsylvania 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?

$4,074

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,890 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 8 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$3,890$3,631 to $4,266
FacilityA hospital or hospital-owned outpatient department$5,370$3,802 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $8,511Professionalmedian $3,890 · 10th to 90th $3,311 to $6,457
$1K$2K$5K$10K$20Kfacility $5,370professional $3,890

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
$3,311.31
Median
$3,801.89
Typical High
$4,786.30
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
$3,388.44
Median
$5,754.40
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,786.30
Typical High
$6,918.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,623.41
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,677.35
Typical High
$7,079.46
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
$3,311.31
Median
$3,890.45
Typical High
$6,918.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,890.45
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$3,890.45
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
$3,235.94
Median
$4,570.88
Typical High
$7,413.10

Where Pennsylvania 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.

Pennsylvania· 37th of 51

$4,074

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.