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Complete Repair Of Tetralogy Of Fallot With Conduit

Indiana 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?

$3,388

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $33,884 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$2,344$2,188 to $3,236
FacilityA hospital or hospital-owned outpatient department$33,884$13,804 to $43,652

How much rates vary

Facilitymedian $33,884 · 10th to 90th $2,951 to $50,119Professionalmedian $2,344 · 10th to 90th $1,995 to $4,365
$200.0$1.0K$5.0K$20.0Kfacility $33,884professional $2,344

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
$2,187.76
Median
$2,951.21
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$36,307.81
Typical High
$52,480.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$4,897.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,754.23
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$4,073.80

Where Indiana 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.

Indiana $3,388 · 19th 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.