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Closure of a Hole Between the Heart's Chambers

Iowa 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?

$3,981

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,020 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$3,020$2,399 to $5,370
FacilityA hospital or hospital-owned outpatient department$5,370$3,981 to $6,761

How much rates vary

Facilitymedian $5,370 · 10th to 90th $3,020 to $7,943Professionalmedian $3,020 · 10th to 90th $1,995 to $10,965
$1K$2K$5K$10K$20K$50Kfacility $5,370professional $3,020

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
$3,019.95
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$5,370.32
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$6,606.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,570.88
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,168.69
Typical High
$6,760.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,786.30
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,165.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$6,456.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,890.45
Typical High
$4,570.88

Where Iowa 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.

Iowa· 9th of 51

$3,981

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.