go back

Open-Heart Closure Of One Hole Between The Ventricles

Illinois rates for HCPCS 33681

Open-heart surgery that closes a single hole in the muscular wall between the heart's two lower pumping chambers. The surgeon may stitch the hole directly or cover it with a patch, depending on its size and position. It is done for a defect that is usually present from birth.

Rates data updated July 2026.

How much does Open-Heart Closure Of One Hole Between The Ventricles cost?

$5,527

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $5,527 for this procedure. That total is two separate charges: $2,291 to the doctor who performs it, and $3,236 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,291$2,042 to $3,236
Facility feeThe hospital or surgery center$3,236$1,862 to $5,623

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,148 to $10,000Professionalmedian $2,291 · 10th to 90th $1,905 to $4,365
$500$1K$2K$5K$10K$20Kfacility $3,236professional $2,291

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
$1,148.15
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$21,379.62
Typical High
$41,686.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$3,890.45
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,090.30
Typical High
$9,332.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$4,265.80

Where Illinois sits

The same service costs 12.6 times more in Indiana than in Maryland. 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

Illinois· 37th of 49

$5,527

$2,291 physician + $3,236 facility

IN $35,974MD $2,848

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.