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Closure of Holes in Two Walls of the Heart

Iowa rates for HCPCS 33647

Open-heart surgery that closes both a hole in the wall between the upper chambers of the heart and a hole in the wall between the lower chambers during the same operation. Each opening is sealed with stitches or a patch so blood no longer crosses between the two sides of the heart.

Rates data updated October 2026.

How much does Closure of Holes in Two Walls of the Heart cost?

$7,053

Typical total for the visit. In Iowa, October 2026.

Insurers have agreed to pay about $7,053 for this procedure. That total is two separate charges: $3,890 to the doctor who performs it, and $3,162 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,890$2,818 to $4,786
Facility feeThe hospital or surgery center$3,162$1,514 to $4,786

How much rates vary

Facilitymedian $3,162 · 10th to 90th $603 to $6,607Professionalmedian $3,890 · 10th to 90th $2,042 to $5,623
$100$1K$10Kfacility $3,162professional $3,890

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,365.16
Typical High
$4,897.79
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,162.28
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$4,073.80
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,365.16
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,495.41
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,344.23
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,388.44
Typical High
$5,623.41
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$3,548.13
Typical High
$4,168.69

Where Iowa sits

The same service costs 8.1 times more in Alabama than in Washington. 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.

Physician feeFacility fee

Iowa· 9th of 51

$7,053

$3,890 physician + $3,162 facility

AL $20,182WA $2,502

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.