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Complete Repair Of Tetralogy Of Fallot With Conduit

Colorado rates for HCPCS 33697

Open-heart surgery in a child born with tetralogy of Fallot in which the pathway to the lung arteries is completely blocked. The hole between the two pumping chambers is closed, and a tube is placed from the right pumping chamber to the lung artery to create a route for blood to reach the lungs.

Rates data updated July 2026.

How much does Complete Repair Of Tetralogy Of Fallot With Conduit cost?

$6,761

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $20,893 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$2,291$2,291 to $3,090
FacilityA hospital or hospital-owned outpatient department$20,893$7,413 to $31,623

How much rates vary

Facilitymedian $20,893 · 10th to 90th $3,236 to $44,668Professionalmedian $2,291 · 10th to 90th $2,138 to $3,981
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $20,893professional $2,291

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
$2,290.87
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,703.96
Typical High
$58,884.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$4,265.80
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,951.21
Typical High
$4,570.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$7,762.47
Typical High
$7,762.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,801.89
Typical High
$3,981.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$7,079.46
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,162.28
Typical High
$5,495.41

Where Colorado sits

The same service costs 5.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $6,761 · 4th of 51
CA $13,183WV $2,239

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.