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Complete Repair Of Tetralogy Of Fallot With Conduit

Massachusetts 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?

$2,818

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $3,090 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$2,692$2,291 to $4,571
FacilityA hospital or hospital-owned outpatient department$3,090$2,291 to $3,715

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,380 to $5,623Professionalmedian $2,692 · 10th to 90th $1,950 to $6,026
$100.0$1.0K$10.0Kfacility $3,090professional $2,692

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
$1,380.38
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,344.23
Typical High
$6,309.57
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,019.95
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$4,073.80
Typical High
$5,623.41
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,630.27
Typical High
$3,630.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,754.23
Typical High
$5,248.07
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,019.95
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$6,025.60

Where Massachusetts 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.

Massachusetts $2,818 · 31st 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.