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Repair of Tetralogy of Fallot

Massachusetts 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?

$2,818

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,090 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$2,630$2,188 to $4,467
FacilityA hospital or hospital-owned outpatient department$3,090$2,188 to $3,715

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,259 to $5,623Professionalmedian $2,630 · 10th to 90th $1,862 to $5,754
$100$500$2K$10Kfacility $3,090professional $2,630

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
$1,258.93
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,344.23
Typical High
$9,772.37
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,801.89
Typical High
$5,370.32
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$5,754.40
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$3,467.37
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,630.27
Typical High
$5,011.87
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,754.40

Where Massachusetts 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.

Massachusetts· 28th of 51

$2,818

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.