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Open-Heart Closure Of One Hole Between The Ventricles

Kentucky 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?

$7,412

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

Insurers have agreed to pay about $7,412 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $5,370 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$2,042$1,905 to $2,630
Facility feeThe hospital or surgery center$5,370$2,291 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $851 to $11,220Professionalmedian $2,042 · 10th to 90th $1,660 to $3,715
$50$200$1K$5K$20Kfacility $5,370professional $2,042

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
$851.14
Median
$2,454.71
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,041.74
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$3,019.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$2,754.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,090.30
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,548.13
Typical High
$11,748.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$3,715.35

Where Kentucky 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

Kentucky· 18th of 49

$7,412

$2,042 physician + $5,370 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.