Price AtlasInteractive atlas · All states · techysurgeon.comAnti-reflux surgery (fundoplication): what insurers pay
Laparoscopic wrap of the stomach around the lower esophagus (43280), or paraesophageal hernia repair (43281). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 43280: Anti-Reflux Surgery (Fundoplication)
1010 hospitals in 77 markets. National Medicare rate $10,860, surgery center $5,120.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 12 | $7,625 | $9,501 | $10,875 | $5,336–$18,565 |
| Alaska (statewide) | 4 | — | — | — | $7,957–$26,797 |
| Arizona (statewide) | 7 | $6,628 | $7,998 | $9,620 | $6,272–$12,328 |
| Arkansas (statewide) | 9 | $8,110 | $9,989 | $11,368 | $6,500–$14,390 |
| Atlanta GA | 6 | $7,798 | $7,798 | $10,119 | $7,798–$10,893 |
| Austin TX | 13 | $8,077 | $9,287 | $9,287 | $8,077–$15,562 |
| Boston MA | 11 | $12,363 | $16,200 | $17,176 | $8,853–$19,450 |
| California (statewide) | 52 | $14,250 | $25,080 | $39,398 | $7,844–$39,398 |
| Charlotte NC | 5 | $12,378 | $12,378 | $12,378 | $12,209–$12,378 |
| Chicago IL | 8 | $10,653 | $12,529 | $14,716 | $8,167–$18,930 |
| Cleveland OH | 10 | $8,961 | $11,062 | $16,981 | $8,037–$21,119 |
| Colorado (statewide) | 14 | $10,424 | $12,390 | $13,714 | $9,493–$20,975 |
| Dallas-Fort Worth TX | 12 | $11,061 | $15,590 | $15,958 | $9,417–$29,292 |
| Denver CO | 15 | $10,700 | $12,096 | $17,286 | $9,674–$20,744 |
| Detroit MI | 13 | $8,928 | $8,928 | $9,407 | $8,821–$15,124 |
| Florida (statewide) | 56 | $12,245 | $12,886 | $15,126 | $10,660–$22,755 |
| Georgia (statewide) | 28 | $8,844 | $10,893 | $17,120 | $5,681–$24,890 |
| Hawaii (statewide) | 3 | — | — | — | $13,228–$20,992 |
| Houston TX | 19 | $9,493 | $13,618 | $14,715 | $8,778–$20,289 |
| Idaho (statewide) | 13 | $10,740 | $17,198 | $26,445 | $9,087–$31,189 |
| Illinois (statewide) | 27 | $9,575 | $12,530 | $14,922 | $7,055–$30,931 |
| Indiana (statewide) | 27 | $18,154 | $24,261 | $37,044 | $8,910–$49,858 |
| Indianapolis IN | 2 | — | — | — | $44,217–$47,704 |
| Iowa (statewide) | 14 | $11,476 | $18,025 | $22,388 | $5,511–$28,430 |
| Kansas (statewide) | 12 | $11,134 | $13,024 | $17,168 | $9,171–$30,408 |
| Kentucky (statewide) | 14 | $7,317 | $11,566 | $12,550 | $5,073–$17,234 |
| Las Vegas NV | 2 | — | — | — | $7,618–$14,621 |
| Los Angeles CA | 17 | $13,852 | $15,228 | $19,042 | $12,118–$36,188 |
| Louisiana (statewide) | 23 | $9,734 | $11,899 | $15,730 | $8,200–$19,711 |
| Maine (statewide) | 15 | $42,660 | $48,931 | $49,527 | $26,083–$62,270 |
| Maryland (statewide) | 1 | — | — | — | $12,273–$12,273 |
| Massachusetts (statewide) | 3 | — | — | — | $9,866–$15,146 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $19,438–$19,438 |
| Michigan (statewide) | 21 | $8,928 | $11,013 | $11,372 | $5,942–$18,316 |
| Minneapolis-St. Paul MN | 7 | $8,044 | $8,110 | $11,268 | $7,641–$22,410 |
| Minnesota (statewide) | 12 | $12,909 | $27,578 | $32,186 | $7,052–$38,056 |
| Mississippi (statewide) | 13 | $8,436 | $9,611 | $10,652 | $7,653–$28,990 |
| Missouri (statewide) | 16 | $12,288 | $14,218 | $17,306 | $9,342–$20,395 |
| Montana (statewide) | 6 | $21,352 | $22,954 | $28,250 | $20,844–$30,408 |
| Nashville TN | 7 | $6,857 | $6,874 | $13,498 | $5,303–$21,004 |
| Nebraska (statewide) | 10 | $11,294 | $11,294 | $13,441 | $7,618–$23,542 |
| Nevada (statewide) | 5 | $7,907 | $7,907 | $21,679 | $7,618–$24,829 |
| New Hampshire (statewide) | 6 | $16,138 | $21,532 | $32,860 | $14,422–$47,601 |
| New Jersey (statewide) | 21 | $10,692 | $12,080 | $14,808 | $8,458–$33,809 |
| New Mexico (statewide) | 7 | $11,686 | $16,647 | $24,956 | $10,987–$33,933 |
| New York (statewide) | 27 | $15,676 | $17,233 | $22,785 | $7,791–$33,966 |
| New York City | 7 | $16,112 | $16,112 | $17,136 | $8,621–$19,324 |
| North Carolina (statewide) | 5 | $9,395 | $12,296 | $23,078 | $8,583–$26,328 |
| North Dakota (statewide) | 5 | $13,681 | $18,011 | $18,177 | $11,996–$23,519 |
| Ohio (statewide) | 36 | $13,424 | $20,562 | $24,290 | $6,630–$40,858 |
| Oklahoma (statewide) | 8 | $14,120 | $17,068 | $21,648 | $10,860–$25,456 |
| Oregon (statewide) | 8 | $26,661 | $30,422 | $37,242 | $21,386–$47,882 |
| Pennsylvania (statewide) | 26 | $15,342 | $22,307 | $35,815 | $7,920–$48,898 |
| Philadelphia PA | 11 | $9,154 | $10,400 | $13,221 | $8,704–$14,861 |
| Phoenix AZ | 6 | $10,746 | $10,746 | $10,746 | $10,746–$10,746 |
| Pittsburgh PA | 9 | $10,880 | $18,874 | $21,783 | $8,162–$26,205 |
| Portland OR | 9 | $20,708 | $20,708 | $31,998 | $18,344–$31,998 |
| Rhode Island (statewide) | 3 | — | — | — | $19,706–$21,294 |
| Richmond VA | 3 | — | — | — | $12,446–$12,992 |
| Rio Grande Valley TX | 4 | — | — | — | $9,328–$13,814 |
| Salt Lake City UT | 9 | $10,461 | $10,592 | $10,592 | $9,371–$10,722 |
| San Antonio TX | 3 | — | — | — | $8,674–$13,686 |
| San Diego CA | 3 | — | — | — | $19,346–$25,211 |
| San Francisco Bay Area CA | 5 | $14,919 | $18,763 | $20,549 | $12,589–$46,049 |
| Seattle-Tacoma WA | 16 | $27,180 | $28,521 | $36,368 | $23,910–$40,266 |
| South Carolina (statewide) | 19 | $15,040 | $21,527 | $23,496 | $11,992–$24,903 |
| South Dakota (statewide) | 3 | — | — | — | $12,795–$45,787 |
| St. Louis MO | 3 | — | — | — | $5,697–$6,187 |
| Tampa FL | 6 | $15,362 | $15,362 | $15,362 | $14,016–$23,168 |
| Tennessee (statewide) | 21 | $7,627 | $10,126 | $10,921 | $6,656–$21,611 |
| Texas (statewide) | 73 | $10,133 | $13,134 | $16,982 | $6,301–$46,675 |
| Utah (statewide) | 5 | $9,371 | $9,394 | $10,592 | $9,371–$34,623 |
| Virginia (statewide) | 19 | $20,896 | $26,244 | $30,832 | $11,982–$36,025 |
| Washington (statewide) | 11 | $23,766 | $29,639 | $36,719 | $10,604–$53,792 |
| Washington DC | 9 | $9,942 | $12,181 | $12,181 | $8,320–$12,283 |
| West Virginia (statewide) | 6 | $17,794 | $26,228 | $34,663 | $11,556–$42,150 |
| Wisconsin (statewide) | 33 | $12,996 | $12,997 | $19,813 | $7,984–$30,964 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| King'S Daughters' Medical Center | Kentucky (statewide) | $5,073 | 0.5× | 2 | 2026-09-25 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,303 | 0.5× | 1 | 2026-01-01 |
| Southeast Health Medical Center | Alabama (statewide) | $5,336 | 0.6× | 1 | 2026-03-10 |
| Wayne County Hospital | Iowa (statewide) | $5,511 | 0.5× | 1 | 2026-06-10 |
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.6× | 1 | 2025-11-19 |
| Mercy Hospital Jefferson | St. Louis MO | $5,697 | 0.5× | 13 | 2026-06-10 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $5,822 | 0.6× | 1 | 2026-02-28 |
| Oaklawn Hospital | Michigan (statewide) | $5,942 | 0.6× | 2 | 2026-03-27 |
| Henry Ford Health Providence Southfield Hospital | Michigan (statewide) | $5,983 | 0.6× | 1 | 2026-01-01 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $6,047 | 0.7× | 3 | 2026-04-01 |
| Henry Ford Genesys Hospital | Michigan (statewide) | $6,069 | 0.6× | 2 | 2026-01-01 |
| Saint Joseph Hospital | Kentucky (statewide) | $6,148 | 0.6× | 2 | 2026-02-28 |
| Mainehealth Stephens Hospital | Maine (statewide) | $47,899 | 4.6× | 1 | 2025-09-09 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $48,898 | 4.5× | 8 | 2026-07-01 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $48,931 | 4.7× | 1 | 2025-09-09 |
| Northern Light Mercy Hospital | Maine (statewide) | $49,527 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $49,527 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $49,527 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $49,527 | 4.7× | 2 | 2026-03-30 |
| Parkview Whitley Hospital | Indiana (statewide) | $49,858 | 4.4× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $51,153 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $52,164 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $53,792 | 4.3× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $62,270 | 6.0× | 1 | 2025-09-09 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 43281: Anti-Reflux Surgery (Fundoplication)
1035 hospitals in 78 markets. National Medicare rate $10,860, surgery center $5,120.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $9,838 | $10,906 | $12,234 | $5,336–$18,565 |
| Alaska (statewide) | 4 | — | — | — | $8,760–$32,166 |
| Arizona (statewide) | 9 | $9,394 | $11,725 | $12,704 | $6,636–$16,051 |
| Arkansas (statewide) | 9 | $8,110 | $9,989 | $11,368 | $5,000–$14,390 |
| Atlanta GA | 6 | $7,798 | $7,798 | $13,219 | $7,798–$15,026 |
| Austin TX | 13 | $8,077 | $9,287 | $9,287 | $8,077–$15,562 |
| Boston MA | 11 | $12,363 | $16,200 | $17,176 | $8,853–$19,450 |
| California (statewide) | 50 | $15,285 | $26,054 | $39,398 | $7,844–$39,398 |
| Charlotte NC | 5 | $12,378 | $12,378 | $12,378 | $12,209–$12,378 |
| Chicago IL | 8 | $10,653 | $12,529 | $14,716 | $8,167–$18,930 |
| Cleveland OH | 10 | $9,212 | $11,062 | $13,525 | $8,037–$19,427 |
| Colorado (statewide) | 14 | $10,408 | $12,236 | $13,386 | $5,819–$20,975 |
| Columbus OH | 1 | — | — | — | $38,233–$38,233 |
| Connecticut (statewide) | 1 | — | — | — | $44,289–$44,289 |
| Dallas-Fort Worth TX | 12 | $11,330 | $15,590 | $15,958 | $9,800–$31,372 |
| Denver CO | 15 | $10,660 | $12,526 | $17,517 | $10,284–$20,744 |
| Detroit MI | 8 | $9,407 | $9,757 | $13,324 | $8,425–$14,228 |
| Florida (statewide) | 57 | $11,883 | $12,673 | $15,316 | $6,974–$22,755 |
| Georgia (statewide) | 27 | $9,980 | $15,026 | $17,552 | $5,681–$29,417 |
| Hawaii (statewide) | 3 | — | — | — | $12,341–$14,715 |
| Houston TX | 19 | $9,493 | $13,618 | $14,789 | $9,493–$20,289 |
| Idaho (statewide) | 13 | $10,996 | $23,629 | $26,445 | $9,087–$31,189 |
| Illinois (statewide) | 27 | $10,397 | $13,567 | $15,125 | $7,055–$30,931 |
| Indiana (statewide) | 28 | $17,727 | $26,744 | $37,320 | $8,910–$49,858 |
| Indianapolis IN | 2 | — | — | — | $44,217–$47,704 |
| Iowa (statewide) | 15 | $12,684 | $16,548 | $19,842 | $5,334–$25,570 |
| Kansas (statewide) | 14 | $11,661 | $13,809 | $19,016 | $9,910–$32,166 |
| Kentucky (statewide) | 15 | $8,377 | $12,070 | $12,875 | $5,073–$17,234 |
| Las Vegas NV | 2 | — | — | — | $7,618–$15,827 |
| Los Angeles CA | 17 | $12,918 | $14,132 | $18,006 | $10,712–$33,335 |
| Louisiana (statewide) | 22 | $9,966 | $10,684 | $16,644 | $8,413–$25,611 |
| Maine (statewide) | 16 | $42,660 | $48,415 | $49,527 | $22,690–$62,270 |
| Massachusetts (statewide) | 4 | — | — | — | $8,853–$15,864 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $11,329–$11,329 |
| Michigan (statewide) | 22 | $9,582 | $10,697 | $12,425 | $5,942–$18,316 |
| Minneapolis-St. Paul MN | 7 | $8,864 | $8,864 | $14,214 | $8,686–$22,410 |
| Minnesota (statewide) | 12 | $19,291 | $27,578 | $32,186 | $8,864–$38,056 |
| Mississippi (statewide) | 14 | $8,034 | $9,244 | $10,607 | $6,757–$28,990 |
| Missouri (statewide) | 19 | $13,856 | $14,468 | $16,815 | $6,897–$20,395 |
| Montana (statewide) | 5 | $20,844 | $21,864 | $29,652 | $14,311–$30,408 |
| Nashville TN | 7 | $6,857 | $6,874 | $14,076 | $6,165–$21,460 |
| Nebraska (statewide) | 10 | $11,294 | $11,514 | $13,770 | $7,618–$23,542 |
| Nevada (statewide) | 6 | $7,907 | $14,360 | $21,462 | $7,618–$24,829 |
| New Hampshire (statewide) | 6 | $19,963 | $24,170 | $32,860 | $14,422–$47,601 |
| New Jersey (statewide) | 23 | $10,713 | $12,080 | $18,944 | $8,458–$33,809 |
| New Mexico (statewide) | 7 | $13,431 | $20,943 | $26,066 | $10,987–$33,250 |
| New York (statewide) | 29 | $13,204 | $16,112 | $22,767 | $7,974–$33,966 |
| New York City | 7 | $16,112 | $16,112 | $16,426 | $8,621–$18,160 |
| North Carolina (statewide) | 4 | — | — | — | $8,583–$26,328 |
| North Dakota (statewide) | 5 | $13,681 | $18,011 | $18,177 | $11,996–$23,519 |
| Ohio (statewide) | 36 | $13,424 | $21,241 | $24,844 | $7,656–$40,858 |
| Oklahoma (statewide) | 9 | $11,548 | $17,699 | $21,648 | $10,860–$25,456 |
| Oregon (statewide) | 8 | $26,661 | $30,422 | $37,242 | $21,386–$47,882 |
| Pennsylvania (statewide) | 30 | $14,904 | $24,048 | $36,330 | $6,757–$48,898 |
| Philadelphia PA | 11 | $8,878 | $9,751 | $11,730 | $6,757–$14,861 |
| Phoenix AZ | 8 | $8,868 | $9,394 | $9,394 | $7,292–$9,394 |
| Pittsburgh PA | 11 | $10,266 | $17,742 | $21,462 | $8,795–$26,205 |
| Portland OR | 9 | $20,708 | $20,708 | $36,651 | $18,857–$36,651 |
| Rhode Island (statewide) | 3 | — | — | — | $19,706–$21,294 |
| Richmond VA | 3 | — | — | — | $12,446–$12,992 |
| Rio Grande Valley TX | 6 | $10,323 | $13,561 | $13,814 | $9,328–$14,345 |
| Salt Lake City UT | 9 | $9,998 | $10,114 | $10,114 | $9,371–$10,229 |
| San Antonio TX | 3 | — | — | — | $8,674–$13,686 |
| San Diego CA | 3 | — | — | — | $19,346–$25,211 |
| San Francisco Bay Area CA | 6 | $15,444 | $17,199 | $18,763 | $12,589–$46,049 |
| Seattle-Tacoma WA | 16 | $28,176 | $29,454 | $36,368 | $23,910–$40,266 |
| South Carolina (statewide) | 18 | $13,213 | $16,252 | $20,341 | $10,286–$23,764 |
| South Dakota (statewide) | 3 | — | — | — | $12,795–$45,787 |
| St. Louis MO | 4 | — | — | — | $5,697–$6,187 |
| Tampa FL | 6 | $15,362 | $15,362 | $15,362 | $14,016–$23,168 |
| Tennessee (statewide) | 21 | $8,359 | $10,613 | $10,940 | $6,656–$19,188 |
| Texas (statewide) | 73 | $10,192 | $13,134 | $16,982 | $8,077–$46,675 |
| Utah (statewide) | 7 | $9,455 | $9,998 | $10,056 | $9,371–$34,623 |
| Virginia (statewide) | 20 | $18,722 | $26,244 | $30,762 | $12,325–$36,025 |
| Washington (statewide) | 10 | $27,682 | $30,268 | $39,774 | $17,965–$53,792 |
| Washington DC | 9 | $9,942 | $12,949 | $12,949 | $8,320–$13,153 |
| West Virginia (statewide) | 6 | $12,340 | $16,225 | $17,866 | $8,698–$42,150 |
| Wisconsin (statewide) | 36 | $11,464 | $12,996 | $14,539 | $5,428–$30,964 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Bradley County Medical Center | Arkansas (statewide) | $5,000 | 0.5× | 1 | 2026-04-08 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $5,073 | 0.5× | 2 | 2026-09-25 |
| Clarinda Regional Health Center | Iowa (statewide) | $5,334 | 0.5× | 1 | 2026-07-13 |
| Southeast Health Medical Center | Alabama (statewide) | $5,336 | 0.6× | 1 | 2026-03-10 |
| Ascension Ne Wisconsin - St Elizabeth Campus | Wisconsin (statewide) | $5,428 | 0.5× | 2 | 2026-01-01 |
| Ascension Calumet Hospital | Wisconsin (statewide) | $5,428 | 0.5× | 2 | 2026-01-01 |
| Ascension St Francis Hospital | Wisconsin (statewide) | $5,557 | 0.5× | 1 | 2026-01-01 |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Wisconsin (statewide) | $5,557 | 0.5× | 1 | 2026-01-01 |
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.6× | 1 | 2025-11-19 |
| Mercy Hospital Jefferson | St. Louis MO | $5,697 | 0.5× | 13 | 2026-06-10 |
| Mercy Hospital Washington | St. Louis MO | $5,697 | 0.5× | 13 | 2026-06-10 |
| Mt San Rafael Hospital | Colorado (statewide) | $5,819 | 0.5× | 4 | 2026-07-23 |
| Mainehealth Stephens Hospital | Maine (statewide) | $47,899 | 4.6× | 1 | 2025-09-09 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $48,898 | 4.5× | 8 | 2026-07-01 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $48,931 | 4.7× | 1 | 2025-09-09 |
| Northern Light Mercy Hospital | Maine (statewide) | $49,527 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $49,527 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $49,527 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $49,527 | 4.7× | 2 | 2026-03-30 |
| Parkview Whitley Hospital | Indiana (statewide) | $49,858 | 4.4× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $51,153 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $52,164 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $53,792 | 4.3× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $62,270 | 6.0× | 1 | 2025-09-09 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 328: Stomach, Esophageal and Duodenal Procedures Without Cc/McC
1447 hospitals in 83 markets. National Medicare rate $11,660.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $13,620 | $15,947 | $18,615 | $10,735–$37,940 |
| Alaska (statewide) | 3 | — | — | — | $14,206–$52,686 |
| Arizona (statewide) | 29 | $19,687 | $27,968 | $35,004 | $9,360–$46,446 |
| Arkansas (statewide) | 10 | $13,944 | $15,204 | $16,464 | $12,276–$18,811 |
| Atlanta GA | 10 | $28,754 | $30,662 | $31,654 | $28,754–$46,910 |
| Austin TX | 13 | $10,107 | $17,534 | $19,340 | $9,063–$22,448 |
| Boston MA | 12 | $13,344 | $14,821 | $18,550 | $11,363–$33,243 |
| California (statewide) | 53 | $18,205 | $22,662 | $29,158 | $10,102–$101,792 |
| Charlotte NC | 8 | $24,262 | $26,276 | $31,323 | $17,975–$31,323 |
| Chicago IL | 10 | $19,854 | $22,914 | $26,338 | $15,134–$29,803 |
| Cleveland OH | 11 | $19,841 | $22,169 | $22,453 | $18,953–$30,785 |
| Colorado (statewide) | 16 | $21,047 | $30,675 | $37,050 | $9,817–$50,378 |
| Columbus OH | 2 | — | — | — | $32,568–$42,937 |
| Connecticut (statewide) | 6 | $24,966 | $27,972 | $33,799 | $16,238–$40,549 |
| Dallas-Fort Worth TX | 15 | $15,748 | $18,124 | $21,146 | $14,139–$35,843 |
| Delaware (statewide) | 2 | — | — | — | $21,966–$35,615 |
| Denver CO | 15 | $17,824 | $20,909 | $31,826 | $13,398–$41,976 |
| Detroit MI | 16 | $21,949 | $22,214 | $32,254 | $15,962–$41,453 |
| Florida (statewide) | 89 | $15,660 | $17,720 | $32,210 | $11,896–$48,128 |
| Georgia (statewide) | 43 | $21,923 | $31,065 | $36,250 | $12,846–$46,910 |
| Hawaii (statewide) | 11 | $35,924 | $38,374 | $42,118 | $27,640–$50,163 |
| Houston TX | 19 | $16,212 | $20,370 | $25,126 | $15,564–$39,011 |
| Idaho (statewide) | 16 | $24,262 | $31,629 | $39,853 | $11,956–$44,953 |
| Illinois (statewide) | 38 | $15,338 | $17,580 | $24,174 | $12,131–$51,851 |
| Indiana (statewide) | 46 | $15,022 | $21,926 | $26,923 | $8,480–$35,026 |
| Indianapolis IN | 6 | $14,799 | $22,165 | $34,575 | $13,700–$36,323 |
| Iowa (statewide) | 16 | $15,046 | $17,644 | $19,481 | $13,522–$27,042 |
| Kansas (statewide) | 21 | $14,406 | $16,868 | $20,961 | $6,781–$52,686 |
| Kentucky (statewide) | 27 | $14,149 | $16,530 | $21,455 | $9,852–$42,636 |
| Las Vegas NV | 2 | — | — | — | $26,102–$31,182 |
| Los Angeles CA | 18 | $27,252 | $29,313 | $31,050 | $21,429–$37,091 |
| Louisiana (statewide) | 23 | $12,340 | $14,783 | $16,318 | $9,955–$21,363 |
| Maine (statewide) | 13 | $32,343 | $43,451 | $48,447 | $12,354–$48,447 |
| Maryland (statewide) | 1 | — | — | — | $23,971–$23,971 |
| Massachusetts (statewide) | 8 | $14,818 | $20,399 | $22,260 | $8,884–$26,700 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $16,272–$20,710 |
| Michigan (statewide) | 36 | $19,210 | $21,408 | $26,653 | $12,626–$36,684 |
| Minneapolis-St. Paul MN | 14 | $24,404 | $27,149 | $27,365 | $17,128–$30,225 |
| Minnesota (statewide) | 21 | $20,260 | $20,446 | $27,007 | $8,797–$33,785 |
| Mississippi (statewide) | 17 | $16,183 | $17,636 | $18,318 | $12,429–$26,545 |
| Missouri (statewide) | 26 | $15,513 | $17,037 | $20,481 | $11,650–$47,330 |
| Montana (statewide) | 7 | $19,258 | $26,656 | $35,404 | $7,607–$56,004 |
| Nashville TN | 8 | $13,913 | $14,677 | $19,629 | $13,594–$30,595 |
| Nebraska (statewide) | 14 | $26,706 | $28,031 | $30,769 | $18,656–$38,268 |
| Nevada (statewide) | 5 | $20,730 | $22,671 | $31,182 | $17,942–$31,823 |
| New Hampshire (statewide) | 8 | $20,168 | $23,012 | $26,698 | $15,856–$37,686 |
| New Jersey (statewide) | 21 | $27,194 | $30,964 | $36,521 | $15,158–$47,854 |
| New Mexico (statewide) | 10 | $15,954 | $19,088 | $24,969 | $11,181–$47,982 |
| New York (statewide) | 47 | $18,380 | $21,363 | $28,206 | $11,625–$51,094 |
| New York City | 8 | $29,286 | $30,456 | $35,266 | $14,200–$49,335 |
| North Carolina (statewide) | 27 | $12,206 | $18,532 | $31,323 | $7,676–$40,531 |
| North Dakota (statewide) | 7 | $19,640 | $20,252 | $21,016 | $16,460–$28,770 |
| Ohio (statewide) | 46 | $20,224 | $25,253 | $29,840 | $10,292–$46,000 |
| Oklahoma (statewide) | 17 | $12,861 | $16,390 | $17,361 | $8,300–$29,592 |
| Oregon (statewide) | 10 | $26,416 | $30,132 | $33,466 | $16,512–$42,652 |
| Pennsylvania (statewide) | 58 | $19,058 | $24,106 | $28,454 | $12,260–$45,651 |
| Philadelphia PA | 11 | $27,390 | $29,392 | $33,582 | $26,545–$47,854 |
| Phoenix AZ | 11 | $26,670 | $26,960 | $30,840 | $26,670–$34,040 |
| Pittsburgh PA | 7 | $20,504 | $21,728 | $24,372 | $16,827–$28,174 |
| Portland OR | 9 | $32,554 | $34,779 | $41,583 | $32,047–$41,583 |
| Research Triangle NC | 9 | $18,141 | $18,278 | $21,194 | $14,079–$24,712 |
| Rhode Island (statewide) | 6 | $18,916 | $25,633 | $32,995 | $17,140–$34,695 |
| Richmond VA | 7 | $18,519 | $34,360 | $37,516 | $16,039–$39,410 |
| Rio Grande Valley TX | 6 | $18,874 | $19,788 | $19,949 | $16,910–$23,844 |
| Salt Lake City UT | 9 | $22,453 | $22,453 | $22,453 | $22,230–$22,453 |
| San Antonio TX | 3 | — | — | — | $15,975–$37,848 |
| San Diego CA | 7 | $18,344 | $18,691 | $25,082 | $15,772–$26,876 |
| San Francisco Bay Area CA | 2 | — | — | — | $19,080–$29,934 |
| Seattle-Tacoma WA | 16 | $32,080 | $35,030 | $37,145 | $30,878–$45,216 |
| South Carolina (statewide) | 28 | $28,028 | $35,417 | $44,464 | $13,157–$51,053 |
| South Dakota (statewide) | 4 | — | — | — | $17,625–$26,061 |
| St. Louis MO | 6 | $21,906 | $21,906 | $21,906 | $8,188–$28,441 |
| Tampa FL | 11 | $31,352 | $32,210 | $33,076 | $24,772–$35,537 |
| Tennessee (statewide) | 30 | $13,792 | $16,306 | $18,744 | $12,606–$30,595 |
| Texas (statewide) | 88 | $15,652 | $18,350 | $25,857 | $7,372–$42,636 |
| Utah (statewide) | 5 | $22,453 | $30,414 | $31,645 | $11,754–$31,645 |
| Vermont (statewide) | 3 | — | — | — | $19,922–$44,036 |
| Virginia (statewide) | 24 | $25,943 | $30,286 | $33,110 | $16,134–$52,818 |
| Washington (statewide) | 13 | $26,748 | $30,594 | $33,901 | $13,108–$67,000 |
| Washington DC | 11 | $23,908 | $31,242 | $32,204 | $14,682–$33,738 |
| West Virginia (statewide) | 13 | $10,461 | $10,956 | $31,293 | $9,122–$38,593 |
| Wisconsin (statewide) | 48 | $23,088 | $30,110 | $33,328 | $13,088–$38,540 |
| Wyoming (statewide) | 1 | — | — | — | $35,492–$35,492 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $6,781 | 0.7× | 3 | 2025-12-19 |
| Ascension Providence | Texas (statewide) | $7,372 | 0.6× | 4 | 2026-01-01 |
| Mccone County Health Center | Montana (statewide) | $7,607 | 0.7× | 1 | 2026-01-01 |
| Ecu Health North Hospital | North Carolina (statewide) | $7,676 | 0.7× | 1 | 2026-04-01 |
| Mercy Hospital South | St. Louis MO | $8,188 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $8,300 | 0.8× | 4 | 2026-01-01 |
| Schneck Medical Center | Indiana (statewide) | $8,480 | 0.7× | 3 | 2024-01-24 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $8,797 | 0.8× | 1 | 2026-01-28 |
| Umass Memorial Medical Center Inc | Massachusetts (statewide) | $8,884 | 0.6× | 1 | 2026-03-26 |
| Peterson Regional Medical Center | Texas (statewide) | $8,929 | 0.8× | 1 | 2026-08-17 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,063 | 0.8× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,063 | 0.8× | 1 | 2026-01-01 |
| Cherokee Medical Center | South Carolina (statewide) | $50,495 | 4.8× | 4 | 2026-04-01 |
| Aiken Regional Medical Center | South Carolina (statewide) | $51,053 | 4.8× | 2 | 2026-09-01 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $51,094 | 3.5× | 10 | 2026-04-01 |
| Taylorville Memorial Hospital | Illinois (statewide) | $51,851 | 4.2× | 1 | 2026-09-17 |
| Providence Alaska Medical Center | Alaska (statewide) | $52,686 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $52,686 | 4.9× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $52,818 | 4.8× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $56,004 | 4.8× | 1 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $58,966 | 3.9× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $60,468 | 4.0× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $67,000 | 5.2× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $101,792 | 6.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 327: Stomach, Esophageal and Duodenal Procedures With Cc
1467 hospitals in 83 markets. National Medicare rate $17,786.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $20,885 | $24,562 | $28,200 | $16,376–$57,812 |
| Alaska (statewide) | 4 | — | — | — | $21,413–$80,285 |
| Arizona (statewide) | 27 | $35,462 | $43,439 | $55,197 | $17,113–$84,919 |
| Arkansas (statewide) | 11 | $20,643 | $22,778 | $25,057 | $14,564–$28,695 |
| Atlanta GA | 10 | $43,817 | $46,772 | $48,287 | $43,817–$71,484 |
| Austin TX | 11 | $15,710 | $24,663 | $26,245 | $15,314–$34,225 |
| Boston MA | 14 | $21,041 | $23,474 | $35,390 | $17,333–$50,710 |
| California (statewide) | 53 | $27,769 | $33,993 | $44,431 | $15,394–$118,667 |
| Charlotte NC | 8 | $36,970 | $40,038 | $47,782 | $27,419–$47,782 |
| Chicago IL | 10 | $30,263 | $34,916 | $40,143 | $23,061–$45,462 |
| Cleveland OH | 11 | $30,355 | $33,818 | $35,673 | $30,051–$56,114 |
| Colorado (statewide) | 16 | $32,106 | $45,903 | $56,518 | $14,975–$76,848 |
| Columbus OH | 2 | — | — | — | $49,681–$65,497 |
| Connecticut (statewide) | 6 | $24,966 | $35,656 | $46,424 | $16,238–$63,296 |
| Dallas-Fort Worth TX | 15 | $22,658 | $27,642 | $31,040 | $21,016–$54,615 |
| Delaware (statewide) | 2 | — | — | — | $34,412–$57,410 |
| Denver CO | 15 | $26,849 | $31,896 | $48,548 | $19,976–$64,001 |
| Detroit MI | 16 | $33,481 | $33,644 | $48,185 | $26,485–$59,340 |
| Florida (statewide) | 90 | $22,366 | $24,254 | $49,080 | $15,001–$73,416 |
| Georgia (statewide) | 44 | $33,488 | $47,621 | $54,776 | $19,276–$71,484 |
| Hawaii (statewide) | 11 | $79,565 | $82,194 | $89,641 | $42,162–$105,264 |
| Houston TX | 19 | $24,046 | $29,542 | $37,438 | $22,913–$53,597 |
| Idaho (statewide) | 16 | $37,096 | $47,798 | $60,727 | $20,334–$67,783 |
| Illinois (statewide) | 39 | $23,220 | $26,920 | $36,116 | $18,505–$99,422 |
| Indiana (statewide) | 47 | $19,604 | $33,363 | $41,070 | $15,001–$73,480 |
| Indianapolis IN | 6 | $15,001 | $29,872 | $52,741 | $14,482–$55,408 |
| Iowa (statewide) | 17 | $22,961 | $26,675 | $33,924 | $20,552–$43,454 |
| Kansas (statewide) | 23 | $23,868 | $26,297 | $33,256 | $10,344–$80,285 |
| Kentucky (statewide) | 27 | $21,503 | $24,350 | $32,728 | $14,767–$64,968 |
| Las Vegas NV | 2 | — | — | — | $39,774–$46,636 |
| Los Angeles CA | 18 | $42,204 | $45,023 | $48,302 | $32,689–$56,521 |
| Louisiana (statewide) | 23 | $19,641 | $22,526 | $24,888 | $14,571–$32,435 |
| Maine (statewide) | 13 | $49,283 | $66,282 | $73,903 | $18,845–$73,903 |
| Maryland (statewide) | 1 | — | — | — | $29,814–$29,814 |
| Massachusetts (statewide) | 7 | $32,981 | $33,358 | $43,570 | $17,426–$56,662 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $23,914–$32,156 |
| Michigan (statewide) | 37 | $29,495 | $32,849 | $40,667 | $19,261–$55,603 |
| Minneapolis-St. Paul MN | 15 | $36,555 | $41,414 | $41,700 | $25,891–$46,106 |
| Minnesota (statewide) | 21 | $30,888 | $31,190 | $41,151 | $13,419–$51,481 |
| Mississippi (statewide) | 17 | $25,107 | $26,397 | $28,621 | $18,939–$40,493 |
| Missouri (statewide) | 26 | $23,241 | $24,730 | $31,433 | $13,463–$48,819 |
| Montana (statewide) | 7 | $29,378 | $40,257 | $53,616 | $11,591–$86,531 |
| Nashville TN | 8 | $18,987 | $19,805 | $28,798 | $17,972–$46,620 |
| Nebraska (statewide) | 15 | $40,958 | $43,327 | $49,323 | $28,426–$58,375 |
| Nevada (statewide) | 6 | $28,252 | $32,202 | $43,332 | $26,329–$48,543 |
| New Hampshire (statewide) | 8 | $30,741 | $33,300 | $40,714 | $24,186–$57,488 |
| New Jersey (statewide) | 21 | $42,717 | $46,819 | $55,711 | $23,033–$73,004 |
| New Mexico (statewide) | 10 | $23,733 | $28,640 | $38,835 | $17,038–$73,116 |
| New York (statewide) | 48 | $28,098 | $32,594 | $43,025 | $17,733–$77,860 |
| New York City | 8 | $44,662 | $46,459 | $53,796 | $21,640–$75,257 |
| North Carolina (statewide) | 33 | $21,254 | $23,631 | $47,782 | $15,016–$58,891 |
| North Dakota (statewide) | 7 | $27,952 | $30,858 | $32,051 | $25,082–$43,840 |
| Ohio (statewide) | 47 | $31,220 | $38,374 | $44,352 | $15,700–$74,300 |
| Oklahoma (statewide) | 17 | $19,146 | $25,000 | $26,689 | $13,000–$45,091 |
| Oregon (statewide) | 12 | $40,135 | $44,842 | $50,039 | $21,806–$65,016 |
| Pennsylvania (statewide) | 58 | $30,225 | $37,486 | $46,737 | $18,954–$69,612 |
| Philadelphia PA | 11 | $42,634 | $46,448 | $54,537 | $40,493–$73,004 |
| Phoenix AZ | 11 | $40,684 | $43,274 | $50,008 | $40,684–$55,197 |
| Pittsburgh PA | 7 | $32,351 | $34,290 | $38,567 | $26,437–$44,442 |
| Portland OR | 9 | $48,835 | $52,138 | $64,250 | $48,523–$64,250 |
| Research Triangle NC | 9 | $27,673 | $32,294 | $33,402 | $21,452–$37,696 |
| Rhode Island (statewide) | 6 | $25,765 | $38,942 | $50,331 | $20,710–$52,924 |
| Richmond VA | 7 | $28,250 | $52,413 | $57,229 | $24,227–$66,051 |
| Rio Grande Valley TX | 6 | $25,301 | $28,299 | $31,406 | $23,130–$34,291 |
| Salt Lake City UT | 9 | $47,864 | $47,864 | $47,864 | $47,388–$47,864 |
| San Antonio TX | 3 | — | — | — | $21,799–$47,922 |
| San Diego CA | 7 | $25,689 | $27,582 | $37,534 | $23,944–$40,486 |
| San Francisco Bay Area CA | 2 | — | — | — | $28,868–$45,614 |
| Seattle-Tacoma WA | 16 | $53,960 | $54,018 | $56,601 | $49,682–$68,902 |
| South Carolina (statewide) | 30 | $45,433 | $52,796 | $67,425 | $19,462–$74,072 |
| South Dakota (statewide) | 5 | $26,886 | $31,444 | $36,382 | $16,312–$39,755 |
| St. Louis MO | 6 | $32,243 | $32,786 | $33,330 | $12,490–$43,944 |
| Tampa FL | 11 | $47,797 | $49,080 | $50,456 | $43,332–$54,210 |
| Tennessee (statewide) | 30 | $20,352 | $23,984 | $26,406 | $18,997–$46,620 |
| Texas (statewide) | 85 | $23,405 | $28,154 | $37,567 | $11,602–$64,968 |
| Utah (statewide) | 5 | $47,864 | $64,835 | $67,460 | $40,430–$67,460 |
| Vermont (statewide) | 3 | — | — | — | $30,356–$67,101 |
| Virginia (statewide) | 24 | $35,176 | $46,173 | $50,506 | $15,874–$80,571 |
| Washington (statewide) | 13 | $41,821 | $46,644 | $51,686 | $19,866–$103,050 |
| Washington DC | 11 | $36,377 | $47,605 | $49,072 | $22,396–$51,465 |
| West Virginia (statewide) | 13 | $14,502 | $15,188 | $49,079 | $12,646–$58,871 |
| Wisconsin (statewide) | 47 | $37,723 | $45,880 | $50,839 | $13,088–$58,790 |
| Wyoming (statewide) | 1 | — | — | — | $55,492–$55,492 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $10,344 | 0.7× | 3 | 2025-12-19 |
| Mccone County Health Center | Montana (statewide) | $11,591 | 0.7× | 1 | 2026-01-01 |
| Memorial Medical Center | Texas (statewide) | $11,602 | 0.7× | 1 | 2026-09-14 |
| Mercy Hospital South | St. Louis MO | $12,490 | 0.7× | 1 | 2026-06-10 |
| Wetzel County Hospital | West Virginia (statewide) | $12,646 | 0.8× | 2 | 2026-07-10 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $13,000 | 0.8× | 3 | 2026-01-01 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.8× | 2 | 2026-08-07 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $13,419 | 0.8× | 1 | 2026-01-28 |
| Lafayette Regional Health Center | Missouri (statewide) | $13,463 | 0.8× | 3 | 2026-09-01 |
| Mercy Hospital Ardmore, Inc | Oklahoma (statewide) | $13,490 | 0.8× | 2 | 2026-06-12 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $14,450 | 0.9× | 2 | 2026-07-10 |
| Camden Clark Medical Center | West Virginia (statewide) | $14,453 | 0.9× | 2 | 2026-07-09 |
| Page Hospital | Arizona (statewide) | $84,919 | 4.5× | 1 | 2026-03-02 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $86,013 | 3.8× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $86,531 | 4.9× | 1 | 2026-04-01 |
| Kohala Hospital | Hawaii (statewide) | $89,641 | 4.3× | 1 | 2026-06-15 |
| Samuel Mahelona Memorial Hospital | Hawaii (statewide) | $89,641 | 4.3× | 1 | 2026-06-15 |
| Honoka'A Hospital And Skilled Nursing | Hawaii (statewide) | $89,641 | 4.3× | 1 | 2026-06-15 |
| Kauai Veterans Memorial Hospital | Hawaii (statewide) | $96,426 | 4.6× | 1 | 2026-06-15 |
| Loma Linda University Children'S Hospital | California (statewide) | $98,360 | 4.3× | 2 | 2026-09-02 |
| Taylorville Memorial Hospital | Illinois (statewide) | $99,422 | 5.3× | 1 | 2026-09-17 |
| Providence Centralia Hospital | Washington (statewide) | $103,050 | 5.3× | 2 | 2026-04-01 |
| Wilcox Memorial Hospital | Hawaii (statewide) | $105,264 | 5.0× | 2 | 2026-02-12 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $118,667 | 5.2× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for anti-reflux surgery (fundoplication)?
Across 1010 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 43280, hospital outpatient is $14,022, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $10,648 to $21,171. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for anti-reflux surgery (fundoplication)?
Medicare's national hospital outpatient rate for CPT 43280 is $10,860 and its surgery-center rate is $5,120, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for anti-reflux surgery (fundoplication)?
Lowest medians: King'S Daughters' Medical Center ($5,073), Ascension Saint Thomas Hospital (Midtown + West) ($5,303), Southeast Health Medical Center ($5,336). Highest: Mainehealth Lincoln Hospital ($62,270), Mary Bridge Children'S Hospital ($53,792), Northern Light Mayo Hospital ($52,164). Coverage: every hospital whose price file we could read.