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Repair of Tetralogy of Fallot

Michigan 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?

$2,570

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $4,898 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$2,512$2,138 to $2,692
FacilityA hospital or hospital-owned outpatient department$4,898$3,311 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,570 to $6,918Professionalmedian $2,512 · 10th to 90th $1,820 to $3,388
$500$1K$2K$5K$10Kfacility $4,898professional $2,512

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
$2,570.40
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$2,691.53
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,630.27
Typical High
$3,162.28
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$6,456.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,890.45
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,467.37

Where Michigan 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.

Michigan· 33rd of 51

$2,570

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.