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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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$2,754

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $1,820 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$2,818$2,138 to $3,388
FacilityA hospital or hospital-owned outpatient department$1,820$603 to $6,761

How much rates vary

Facilitymedian $1,820 · 10th to 90th $537 to $251,189Professionalmedian $2,818 · 10th to 90th $1,622 to $3,802
$100$1K$10K$100Kfacility $1,820professional $2,818

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
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,137.96
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$602.56
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$562.34
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$2,951.21
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,884.03
Typical High
$3,801.89
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,412.54
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$4,073.80

Where New Mexico 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.

New Mexico· 24th of 51

$2,754

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.