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Repair of Tetralogy of Fallot

Colorado rates for HCPCS 33694

Open-heart surgery for a child born with tetralogy of Fallot, a combination of heart differences in which a hole between the lower chambers and a narrowed route to the lungs together mean too little blood reaches the lungs. The hole is closed with a patch and the narrowed outflow is enlarged so blood can flow properly to the lungs.

Rates data updated July 2026.

How much does Repair of Tetralogy of Fallot cost?

$7,586

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $20,893 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 7 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$2,291$2,188 to $3,090
FacilityA hospital or hospital-owned outpatient department$20,893$7,413 to $31,623

How much rates vary

Facilitymedian $20,893 · 10th to 90th $3,236 to $44,668Professionalmedian $2,291 · 10th to 90th $2,138 to $8,318
$2K$5K$10K$20K$50K$100Kfacility $20,893professional $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
$2,187.76
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,703.96
Typical High
$58,884.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$4,073.80
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$7,244.36
Typical High
$7,244.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$3,801.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$7,079.46
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$5,248.07

Where Colorado sits

The same service costs 6.2 times more in California than in Mississippi. 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.

Colorado· 2nd of 51

$7,586

CA $13,183MS $2,138

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.