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Conduit From Heart To Lung Artery Repair

Pennsylvania rates for HCPCS 33920

Open-heart surgery for a child born without a working connection between the pumping chamber and the artery to the lungs, together with a hole in the wall between the pumping chambers. A tube graft is built in, or an existing one replaced, to carry blood from the ventricle out to the lung arteries.

Rates data updated July 2026.

How much does Conduit From Heart To Lung Artery Repair cost?

$2,138

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,042 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$2,042$1,905 to $2,239
FacilityA hospital or hospital-owned outpatient department$5,370$2,138 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $8,511Professionalmedian $2,042 · 10th to 90th $1,738 to $3,311
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $5,370professional $2,042

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
$1,737.80
Median
$1,995.26
Typical High
$2,570.40
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
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,951.21
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,890.45
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
$1,737.80
Median
$1,995.26
Typical High
$3,801.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,754.23
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,235.94
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$3,235.94
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
$1,698.24
Median
$2,238.72
Typical High
$3,801.89

Where Pennsylvania sits

The same service costs 6.6 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.

Pennsylvania $2,138 · 46th of 51
CA $13,183WV $1,995

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.