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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 October 2026.

How much does Complete Repair Of Tetralogy Of Fallot With Conduit cost?

$2,884

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $1,820 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,020$2,239 to $3,548
FacilityA hospital or hospital-owned outpatient department$1,820$603 to $6,761

How much rates vary

Facilitymedian $1,820 · 10th to 90th $537 to $251,189Professionalmedian $3,020 · 10th to 90th $1,738 to $3,981
$100$1K$10K$100Kfacility $1,820professional $3,020

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$602.56
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$602.56
Typical High
$3,019.95
Providence
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$3,235.94
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$3,981.07
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,412.54
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$4,365.16

Where New Mexico sits

The same service costs 5.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 23rd of 51

$2,884

AK $8,128TX $1,549

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.