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Catheter Closure of a Hole Between Heart Chambers

West Virginia rates for HCPCS 93581

A thin tube is threaded through a blood vessel into the heart, and a small closure device is opened out across a hole in the wall between the two lower pumping chambers, sealing it. This avoids opening the chest and stopping the heart, as an open repair would need.

Rates data updated October 2026.

How much does Catheter Closure of a Hole Between Heart Chambers cost?

$10,373

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $10,373 for this procedure. That total is two separate charges: $1,862 to the doctor who performs it, and $8,511 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,862$1,349 to $3,162
Facility feeThe hospital or surgery center$8,511$3,548 to $16,596

How much rates vary

Facilitymedian $8,511 · 10th to 90th $1,950 to $18,197Professionalmedian $1,862 · 10th to 90th $1,096 to $3,981
$1K$2K$5K$10K$20K$50Kfacility $8,511professional $1,862

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
$3,548.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,412.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$8,317.64
United
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$51,286.14
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$3,162.28

Where West Virginia sits

The same service costs 11.3 times more in South Carolina than in Michigan. 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.

Physician feeFacility fee

West Virginia· 26th of 51

$10,373

$1,862 physician + $8,511 facility

SC $33,944MI $2,997

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.