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Complete Repair Of Tetralogy Of Fallot With Conduit

Georgia 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?

$3,631

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $5,370 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 5 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$2,818$2,291 to $4,266
FacilityA hospital or hospital-owned outpatient department$5,370$3,631 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $2,291 to $12,589Professionalmedian $2,818 · 10th to 90th $2,089 to $5,248
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,370professional $2,818

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
$5,248.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$5,248.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,456.54
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$5,623.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,019.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$5,623.41

Where Georgia 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.

Georgia $3,631 · 15th 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.