PayerPrice
Data Platform
Sign InTry for Free

CPT 33478 Fee Schedule

Last Verified: April 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Augmentation Cardiac Outflow Tract
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Cardiovascular System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

51 - Multiple procedures

82 - Assistant surgeon - no qualified resident

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 33478

National average reimbursement for CPT 33478 by major payers:

bcbs

$2,086.68

uhc

$2,192.97

aetna

$2,282.09

cigna

$2,607.92

Preview provider-level rates for...
For billing codeCPT 33478
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 33478

United
33478$3557.001285236083 - LEXINGTON HEALTH INC, LMC NORTHEAST ASC852276567 - LEXINGTON HEALTH INCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$1064.001891257473 - WESTGATE SURGERY CENTER, LLC, WESTGATE SURGERY CENTER352651945 - (AZ) WESTGATE SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$189.001841256302 - NEW ENGLAND PAIN CARE760718172MAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$515.001285630160 - NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, LLC, WOODCREST SURGERY CENTER364111316 - (MO) NOVAMED EYE SURGERY CENTER OF NORTH COUNTY LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$105.001285767822 - ARIZONA SURGICAL SPECIALISTS CENTER, LLC760737449 - (AZ) ARIZONA SURGICAL SPECIALISTS CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$523.001942548870 - ISPM ASC AT CAMP CREEK LLC, ALLIANCE SURGERY CENTER AT CAMP CREEK461000991 - (GA) ISPM ASC AT CAMP CREEK LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$600.001619517539 - MOUNTAIN WEST DERM813253496IDAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$432.001982637492 - TOMOKA SURGERY CENTER, LLC201218596 - (FL) TOMOKA SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$1416.001730401571 - CHILDRENS SURGERY CENTER LLC, ADVENTHEALTH SURGERY CENTER MAITLAND262389638 - (FL) CHILDRENS SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$2732.001477140796 - PORTSMOUTH SURGICENTER, LLC833659705 - (NH) PORTSMOUTH SURGICENTER LLCNHAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$2721.001992058325 - SOUTH BEND SPECIALTY SURGERY CENTER, LLC460571418 - (IN) SOUTH BEND SPECIALTY SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$299.001730442559 - RETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC272247549 - (IN) RETINA INSTITUTE OF INDIANA SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$447.001689604886 - SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC270133073 - (FL) SOUTH COUNTY OUTPATIENT SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$2785.001063598597 - CLEAR CREEK SURGERY CENTER LLC200871085 - (CO) CLEAR CREEK SURGERY CENTER, LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
33478$1418.001760834295 - RESURGENS EAST SURGERY CENTER, LLC811693887 - (GA) RESURGENS EAST SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

CPT 33478 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 33478 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 33478 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
33471-CPTHighIncision Of Valve Between Lower Right Heart Chamber And Main Lung Artery, Closed Heart Procedure, Ap
33474-CPTHighValvotomy Pulmonary Open W Bypass
33475-CPTHighReplacement Pulmonary Valve
33478-CPTHighAugmentation Cardiac Outflow Tract

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33478. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 33478 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like CPT 33478) and we'll show you how you compare in 15 minutes or less.