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Repair of Tetralogy of Fallot

New Mexico 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?

$2,951

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $3,020 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$2,884$1,905 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,020$2,570 to $5,129

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,089 to $8,318Professionalmedian $2,884 · 10th to 90th $1,905 to $9,772
$50$200$1K$5K$20Kfacility $3,020professional $2,884

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,951.21
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$3,715.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$3,090.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$3,981.07

Where New Mexico 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 Mexico· 25th of 51

$2,951

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.