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Open-Heart Closure Of One Hole Between The Ventricles

Virginia 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?

$5,922

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

Insurers have agreed to pay about $5,922 for this procedure. That total is two separate charges: $2,291 to the doctor who performs it, and $3,631 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,291$2,089 to $2,818
Facility feeThe hospital or surgery center$3,631$2,291 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,995 to $14,791Professionalmedian $2,291 · 10th to 90th $1,738 to $4,266
$2K$5K$10K$20K$50K$100Kfacility $3,631professional $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
$2,089.30
Median
$5,370.32
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$3,235.94
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$2,454.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$4,265.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$3,890.45
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$4,073.80

Where Virginia 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

Virginia· 33rd of 49

$5,922

$2,291 physician + $3,631 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.