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Open-Heart Closure Of One Hole Between The Ventricles

Montana 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?

$5,204

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

Insurers have agreed to pay about $5,204 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $3,162 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$1,778 to $3,162
Facility feeThe hospital or surgery center$3,162$3,162 to $3,236

How much rates vary

Facilitymedian $3,162 · 10th to 90th $3,090 to $3,467Professionalmedian $2,042 · 10th to 90th $1,585 to $3,802
$100$200$500$1K$2K$5K$10Kfacility $3,162professional $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
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,884.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,162.28
Typical High
$3,467.37
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,162.28
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$3,548.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,737.80
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,162.28
Typical High
$5,011.87

Where Montana 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

Montana· 40th of 49

$5,204

$2,042 physician + $3,162 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.