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Full Repair Of Tetralogy Of Fallot

Montana rates for HCPCS 33692

Open heart surgery that corrects tetralogy of Fallot, a combination of heart differences present from birth. The hole between the two pumping chambers is patched closed and the narrowed outflow towards the lungs is opened up, so blood is properly separated and reaches the lungs. It applies where that outflow is narrowed rather than completely closed off.

Rates data updated July 2026.

How much does Full Repair Of Tetralogy Of Fallot cost?

$3,311

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,388 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,236$1,778 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,388$3,311 to $3,388

How much rates vary

Facilitymedian $3,388 · 10th to 90th $3,236 to $3,715Professionalmedian $3,236 · 10th to 90th $1,585 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $3,388professional $3,236

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
$2,187.76
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$3,019.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$3,715.35
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,467.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,862.09
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$5,248.07

Where Montana sits

The same service costs 6.3 times more in California than in Rhode Island. 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.

Montana· 17th of 51

$3,311

CA $12,882RI $2,042

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.