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Repair of Tetralogy of Fallot

Montana 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?

$3,311

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $3,311 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$3,311$2,188 to $7,586
FacilityA hospital or hospital-owned outpatient department$3,311$3,311 to $3,388

How much rates vary

Facilitymedian $3,311 · 10th to 90th $3,236 to $3,715Professionalmedian $3,311 · 10th to 90th $1,862 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $3,311professional $3,311

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
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,019.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,715.35
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$3,801.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,862.09
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,388.44
Typical High
$5,248.07

Where Montana 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.

Montana· 19th of 51

$3,311

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.