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Closure of a Hole Between the Heart's Chambers

Hawaii rates for HCPCS 33676

Open-heart surgery to close one or more holes in the muscular wall separating the heart's two pumping chambers, using patches sewn over the openings. A heart-lung machine takes over the circulation while the surgeon works inside the heart. Closing the holes stops blood leaking from the high-pressure side to the low-pressure side and eases strain on the lungs.

Rates data updated July 2026.

How much does Closure of a Hole Between the Heart's Chambers cost?

$2,399

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,399 for this service. Most negotiated rates run $1,862 to $2,818.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $2,399 · 10th to 90th $324 to $3,311
$50$100$200$500$1K$2Kfacility $2,818professional $2,399

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,162.28
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$3,090.30
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$1,737.80
Typical High
$2,570.40

Where Hawaii sits

The same service costs 5.9 times more in California than in West Virginia. 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.

Hawaii· 43rd of 51

$2,399

CA $13,183WV $2,239

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.