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Repair of Tetralogy of Fallot

South Dakota 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 South Dakota, 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 7 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$1,950 to $4,169
FacilityA hospital or hospital-owned outpatient department$3,311$2,399 to $4,365

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,905 to $4,898Professionalmedian $3,311 · 10th to 90th $1,820 to $5,129
$2K$5Kfacility $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. 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
$1,905.46
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$4,365.16
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,715.35
Typical High
$5,128.61
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$4,677.35

Where South Dakota 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.

South Dakota· 18th 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.