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Complete Repair Of Tetralogy Of Fallot With Conduit

Pennsylvania 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?

$2,455

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $5,370 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$2,344$2,188 to $2,570
FacilityA hospital or hospital-owned outpatient department$5,370$2,455 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $8,511Professionalmedian $2,344 · 10th to 90th $2,042 to $3,715
$1K$2K$5K$10K$20Kfacility $5,370professional $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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,290.87
Typical High
$2,884.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,570.40
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,388.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$4,265.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,290.87
Typical High
$4,677.35
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,162.28
Typical High
$3,162.28
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$4,365.16

Where Pennsylvania sits

The same service costs 5.9 times more in California than in West Virginia. 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.

Pennsylvania· 46th of 51

$2,455

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.