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Repair of Tetralogy of Fallot

New Jersey 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?

$2,344

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $6,918 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$2,188$1,950 to $2,570
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,239 to $11,749Professionalmedian $2,188 · 10th to 90th $1,778 to $5,888
$1K$2K$5K$10Kfacility $6,918professional $2,188

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
$3,235.94
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,951.21
Typical High
$3,467.37
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$5,370.32

Where New Jersey 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.

New Jersey· 42nd of 51

$2,344

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.