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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 July 2026.

How much does Repair of Tetralogy of Fallot cost?

$3,890

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $5,495 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$2,951$2,399 to $5,129
FacilityA hospital or hospital-owned outpatient department$5,495$4,169 to $6,918

How much rates vary

Facilitymedian $5,495 · 10th to 90th $2,884 to $7,943Professionalmedian $2,951 · 10th to 90th $1,905 to $10,715
$1K$2K$5K$10K$20K$50Kfacility $5,495professional $2,951

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
$2,884.03
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$5,128.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,570.88
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,890.45
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,162.28
Typical High
$6,165.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$4,466.84

Where Iowa 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.

Iowa· 8th of 51

$3,890

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.