go back

Repair of Tetralogy of Fallot

West Virginia 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?

$2,692

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $661 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$2,042 to $5,129
FacilityA hospital or hospital-owned outpatient department$661$562 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $35 to $1,413Professionalmedian $2,884 · 10th to 90th $1,622 to $6,166
$50$200$1K$5Kfacility $661professional $2,884

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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,137.96
CareSource
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$19,054.61
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$5,128.61

Where West Virginia 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.

West Virginia· 28th of 51

$2,692

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.