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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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$3,715

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $1,202 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,981$2,951 to $4,677
FacilityA hospital or hospital-owned outpatient department$1,202$759 to $3,090

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $3,631Professionalmedian $3,981 · 10th to 90th $1,995 to $5,248
$1K$2K$5K$10K$20Kfacility $1,202professional $3,981

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,570.40
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$5,011.87
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$4,365.16
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,981.07
Typical High
$5,248.07
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$4,677.35

Where South Dakota 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.

South Dakota· 6th of 51

$3,715

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.