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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 October 2026.

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

$4,169

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $3,020 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$3,090 to $5,370
FacilityA hospital or hospital-owned outpatient department$3,020$1,514 to $5,012

How much rates vary

Facilitymedian $3,020 · 10th to 90th $603 to $6,607Professionalmedian $4,365 · 10th to 90th $2,291 to $6,310
$100$1K$10Kfacility $3,020professional $4,365

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
$3,162.28
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,897.79
Typical High
$5,495.41
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,630.27
Typical High
$6,025.60
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,388.44
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$4,570.88
Typical High
$18,620.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,897.79
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,165.95
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$3,715.35
Typical High
$4,786.30
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
$2,187.76
Median
$3,715.35
Typical High
$6,309.57
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,890.45
Typical High
$4,570.88

Where Iowa sits

The same service costs 5.5 times more in Alaska than in Texas. 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· 4th of 51

$4,169

AK $8,128TX $1,479

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.