33697 — Repr Tet Fallot W Pulm Atresia
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPR TET FALLOT W PULM ATRESIA (CDM 33697) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33697?code_type=CDM
MLA (9th ed.)
“REPR TET FALLOT W PULM ATRESIA (CDM 33697) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33697?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“REPR TET FALLOT W PULM ATRESIA (CDM 33697) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33697?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20–$1,552 (25th–75th percentile) across 7 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 33697 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | $6.15 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | $6.15 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | $6.15 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Bright Health | HIX | $6.97 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $7.55 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Oscar | HIX | $7.71 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Apex Health | MCR | $7.79 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Pruitt Health (AllyAlign) | MCR | $7.79 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $7.79 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Ambetter | CORE | $9.47 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Ambetter | Select | $9.51 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BCBS | NetworkP | $9.84 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Bright Health | SmallGroup | $9.84 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Humana | TRICARE | $10.25 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | NewBusiness | $11.89 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Cigna | OAP | $12.67 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | United | OptionsPPO | $13.45 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | COMM | $13.94 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Cigna | PPO | $16.20 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Centurion | PRISON | $16.89 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $18.45 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Signature Advantage | MCR | $20.50 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BGFH SingleSource | DIRECTNETWORK | $20.50 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Plumbers and Pipefitters Local 572 | COMMPPO | $20.50 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Employers Health Network | COMM | $28.70 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Odom's TN Pride Sausage | WORKERSCOMP | $30.75 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Alive Hospice, Inc. | COMM | $32.80 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Cigna Evernorth Behavioral Health | COMM | $32.80 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BGFH SingleSource | LEASEDNETWORK | $34.85 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Multiplan | COMM | $36.90 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Beech Street | COMM | $37.72 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| SARATOGA HOSPITAL BothFacility | — | — | — | $200.81 | $100.41 | 2025-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $166.00 | $166.00 | $81.34 | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $166.00 | $166.00 | $81.34 | 2026-01-01 | MRF ↗ |
| GLENS FALLS HOSPITAL BothFacility | — | — | — | $204.31 | $102.16 | 2025-01-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $529.02 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $529.02 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $581.93 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $581.93 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $611.02 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $611.02 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $634.83 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $634.83 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $634.83 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $634.83 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $652.46 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $652.46 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $652.46 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $652.46 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $666.57 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $666.57 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $717.71 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $717.71 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $987.51 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $987.51 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $1,005.14 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $1,005.14 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $1,058.04 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $1,058.04 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $1,287.29 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $1,287.29 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $1,410.72 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $1,410.72 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $1,551.80 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $1,551.80 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,675.23 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,675.23 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,675.23 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,675.23 | $1,763.40 | $1,022.78 | 2026-02-28 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $21,450.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $21,450.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $29,700.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $30,250.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $30,250.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $30,250.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $35,200.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $37,400.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $40,150.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $44,000.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $48,400.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $48,950.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $49,500.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $49,500.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $49,500.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $55,000.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $55,000.00 | $55,000.00 | $22,000.00 | 2026-01-01 | MRF ↗ |