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Complete Repair Of Tetralogy Of Fallot With Conduit

New York 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?

$3,631

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $6,761 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 9 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$2,188 to $3,715
FacilityA hospital or hospital-owned outpatient department$6,761$3,162 to $11,482

How much rates vary

Facilitymedian $6,761 · 10th to 90th $2,512 to $15,488Professionalmedian $2,630 · 10th to 90th $1,862 to $6,166
$100.0$1.0K$10.0Kfacility $6,761professional $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
$2,187.76
Median
$3,162.28
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$6,456.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,187.76
Typical High
$5,495.41
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,388.44
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$10,471.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,265.80
Typical High
$7,585.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,235.94
Typical High
$4,168.69
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,344.23
Typical High
$3,715.35
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,884.03
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$7,585.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,511.89
Typical High
$7,585.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,511.89
Typical High
$7,585.78

Where New York 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 York $3,631 · 14th 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.