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Balloon Opening Of Wall Between Heart Chambers

Pennsylvania rates for HCPCS 92992

A catheter procedure, used mainly in newborns with certain heart defects, that enlarges the natural opening in the wall between the two upper chambers of the heart. A tube is passed through a vein to the heart, and a balloon at its tip is inflated on the far side of the opening and pulled back through it to widen it, so oxygen-rich and oxygen-poor blood can mix and the baby can be stabilized.

Rates data updated July 2026.

How much rates vary

Professionalmedian $1,698 · 10th to 90th $1,698 to $2,399
$2Kprofessional $1,698

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
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,230.27