go back

Complete Repair Of Tetralogy Of Fallot With Conduit

Iowa 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?

$4,074

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $5,888 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$3,090$2,630 to $5,495
FacilityA hospital or hospital-owned outpatient department$5,888$4,266 to $6,761

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,020 to $7,943Professionalmedian $3,090 · 10th to 90th $2,042 to $11,220
$100.0$1.0K$10.0Kfacility $5,888professional $3,090

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
$3,019.95
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,786.30
Typical High
$5,495.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,388.44
Typical High
$6,309.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,786.30
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,073.80
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,786.30
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,311.31
Typical High
$6,760.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,677.35

Where Iowa 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.

Iowa $4,074 · 8th 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.