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Complete Repair Of Tetralogy Of Fallot With Conduit

Rhode Island 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?

$2,630

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $1,202 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,692$2,291 to $3,162
FacilityA hospital or hospital-owned outpatient department$1,202$575 to $3,715

How much rates vary

Facilitymedian $1,202 · 10th to 90th $372 to $6,457Professionalmedian $2,692 · 10th to 90th $2,089 to $4,266
$100$200$500$1K$2K$5Kfacility $1,202professional $2,692

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
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,691.53
Typical High
$2,691.53
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$4,265.80
BCBS Rhode Island
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$3,548.13
BCBS Rhode Island
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$109.65
Median
$158.49
Typical High
$295.12
BCBS Rhode Island
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$141.25
Median
$204.17
Typical High
$380.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$676.08
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,513.56
Typical High
$6,456.54
United
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$3,630.78

Where Rhode Island 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.

Rhode Island· 31st of 51

$2,630

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.