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Complete Repair Of Tetralogy Of Fallot With Conduit

New Mexico 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?

$3,090

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $3,162 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$3,020$1,995 to $3,715
FacilityA hospital or hospital-owned outpatient department$3,162$2,630 to $5,129

How much rates vary

Facilitymedian $3,162 · 10th to 90th $2,089 to $8,318Professionalmedian $3,020 · 10th to 90th $1,995 to $10,233
$50.0$200.0$1.0K$5.0K$20.0Kfacility $3,162professional $3,020

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,090.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,019.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$4,168.69

Where New Mexico 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.

New Mexico $3,090 · 25th 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.