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Open-Heart Closure Of One Hole Between The Ventricles

North Carolina 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?

$5,674

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $5,674 for this procedure. That total is two separate charges: $2,512 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,512$1,862 to $3,715
Facility feeThe hospital or surgery center$3,162$1,778 to $6,918

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,660 to $8,318Professionalmedian $2,512 · 10th to 90th $1,778 to $5,012
$1K$2K$5K$10Kfacility $3,162professional $2,512

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
$1,659.59
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,162.28
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,818.38
Typical High
$4,897.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$4,570.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$11,220.18
Typical High
$11,220.18
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45

Where North Carolina 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

North Carolina· 34th of 49

$5,674

$2,512 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.