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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 July 2026.

How much does Repair of Tetralogy of Fallot cost?

$2,138

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $2,042 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 4 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$2,188$2,042 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,042$2,042 to $2,042

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,413 to $2,042Professionalmedian $2,188 · 10th to 90th $2,042 to $2,884
$50$200$1K$5Kfacility $2,042professional $2,188

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$2,398.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,570.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,235.94
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$3,467.37

Where West Virginia 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.

West Virginia· 50th of 51

$2,138

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.