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Open-Heart Closure Of One Hole Between The Ventricles

New York 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?

$9,052

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $9,052 for this procedure. That total is two separate charges: $2,291 to the doctor who performs it, and $6,761 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,291$1,950 to $3,311
Facility feeThe hospital or surgery center$6,761$3,090 to $11,482

How much rates vary

Facilitymedian $6,761 · 10th to 90th $2,291 to $15,488Professionalmedian $2,291 · 10th to 90th $1,660 to $5,495
$1K$2K$5K$10K$20Kfacility $6,761professional $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
$1,949.84
Median
$3,090.30
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$5,128.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,995.26
Typical High
$4,897.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,090.30
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,467.37
Typical High
$8,912.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,548.13
Typical High
$6,918.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$3,715.35
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$3,311.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,570.40
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,691.53
Typical High
$6,760.83
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$6,760.83
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,290.87
Typical High
$6,760.83

Where New York 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

New York· 13th of 49

$9,052

$2,291 physician + $6,761 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.