go back

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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$3,020

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,090 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,754$1,995 to $3,090
FacilityA hospital or hospital-owned outpatient department$3,090$2,884 to $3,162

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,445 to $3,388Professionalmedian $2,754 · 10th to 90th $79 to $3,467
$100$200$500$1K$2K$5Kfacility $3,090professional $2,754

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
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$3,090.30
Typical High
$3,548.13
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,311.31
Providence
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,630.27
Typical High
$3,090.30
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$4,897.79

Where Montana 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.

Montana· 18th of 51

$3,020

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.