go back

Complete Repair Of Tetralogy Of Fallot With Conduit

West Virginia 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?

$2,818

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $661 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$3,020$2,138 to $5,495
FacilityA hospital or hospital-owned outpatient department$661$562 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $35 to $1,413Professionalmedian $3,020 · 10th to 90th $1,738 to $6,166
$50$200$1K$5K$20Kfacility $661professional $3,020

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,238.72
CareSource
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$19,952.62
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$5,495.41

Where West Virginia 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.

West Virginia· 29th of 51

$2,818

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.