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Repair of Tetralogy of Fallot

Iowa 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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$3,890

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $3,388 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,169$3,020 to $5,129
FacilityA hospital or hospital-owned outpatient department$3,388$1,514 to $4,898

How much rates vary

Facilitymedian $3,388 · 10th to 90th $603 to $6,607Professionalmedian $4,169 · 10th to 90th $2,188 to $6,166
$100$1K$10Kfacility $3,388professional $4,169

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,248.07
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$4,073.80
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,630.78
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$4,466.84
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$6,025.60
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,344.23
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,630.78
Typical High
$6,165.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$4,466.84

Where Iowa sits

The same service costs 5.8 times more in Alaska than in Texas. 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.

Iowa· 5th of 51

$3,890

AK $7,762TX $1,349

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.