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Complete Repair Of Tetralogy Of Fallot With Conduit

Illinois 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?

$2,884

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,236 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 6 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$2,630$2,344 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,236$1,862 to $5,370

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,148 to $9,772Professionalmedian $2,630 · 10th to 90th $2,138 to $5,248
$100.0$1.0K$10.0Kfacility $3,236professional $2,630

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
$1,148.15
Median
$3,235.94
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$4,786.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$23,988.33
Typical High
$46,773.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$4,265.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$9,549.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,630.27
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$4,786.30

Where Illinois 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.

Illinois $2,884 · 28th 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.