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Open-Heart Closure Of One Hole Between The Ventricles

South Dakota 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?

$6,253

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $6,253 for this procedure. That total is two separate charges: $3,090 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,090$1,862 to $3,981
Facility feeThe hospital or surgery center$3,162$2,291 to $4,365

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,778 to $4,571Professionalmedian $3,090 · 10th to 90th $1,738 to $4,898
$2K$5Kfacility $3,162professional $3,090

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,951.21
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,162.28
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$4,073.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,090.30
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$4,897.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$4,466.84

Where South Dakota 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

South Dakota· 30th of 49

$6,253

$3,090 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.