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Closure of a Hole Between the Heart's Chambers

North Dakota 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?

$3,802

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $1,950 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 5 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$2,692 to $4,467
FacilityA hospital or hospital-owned outpatient department$1,950$1,950 to $2,042

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,950 to $8,511Professionalmedian $3,890 · 10th to 90th $1,950 to $5,012
$2.0K$5.0K$10.0Kfacility $1,950professional $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
$1,949.84
Median
$1,949.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,265.80
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,801.89
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,630.78
Typical High
$4,897.79

Where North Dakota sits

The same service costs 5.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $3,802 · 12th of 51
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.