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.
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CPT 43280: Laparoscopy Fundoplasty
89 hospitals in 31 markets. National Medicare rate $10,860, surgery center $5,120.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,798–$7,798 |
| Austin TX | 2 | — | — | — | $8,077–$10,922 |
| Boston MA | 7 | $12,386 | $14,846 | $16,710 | $9,911–$18,556 |
| California (statewide) | 1 | — | — | — | $17,830–$17,830 |
| Chicago IL | 5 | $11,410 | $12,132 | $12,926 | $8,167–$18,930 |
| Cleveland OH | 5 | $9,457 | $19,059 | $21,772 | $7,608–$24,656 |
| Dallas-Fort Worth TX | 4 | — | — | — | $9,126–$31,558 |
| Denver CO | 7 | $9,903 | $10,166 | $15,687 | $9,648–$19,278 |
| Detroit MI | 6 | $8,848 | $8,928 | $8,928 | $8,185–$9,407 |
| Georgia (statewide) | 1 | — | — | — | $9,172–$9,172 |
| Houston TX | 1 | — | — | — | $10,072–$10,072 |
| Kansas (statewide) | 1 | — | — | — | $10,938–$10,938 |
| Las Vegas NV | 2 | — | — | — | $7,907–$13,415 |
| Los Angeles CA | 2 | — | — | — | $16,883–$36,188 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $13,619–$13,619 |
| Nashville TN | 3 | — | — | — | $5,303–$10,360 |
| New York City | 2 | — | — | — | $12,832–$19,288 |
| Ohio (statewide) | 1 | — | — | — | $14,212–$14,212 |
| Pennsylvania (statewide) | 1 | — | — | — | $29,109–$29,109 |
| Philadelphia PA | 5 | $9,374 | $10,400 | $12,334 | $8,822–$12,874 |
| Phoenix AZ | 3 | — | — | — | $10,746–$10,746 |
| Pittsburgh PA | 1 | — | — | — | $10,880–$10,880 |
| Portland OR | 6 | $20,708 | $20,708 | $25,686 | $20,708–$27,346 |
| Richmond VA | 2 | — | — | — | $12,959–$12,992 |
| San Antonio TX | 1 | — | — | — | $10,401–$10,401 |
| San Francisco Bay Area CA | 2 | — | — | — | $38,482–$46,049 |
| Seattle-Tacoma WA | 6 | $31,948 | $34,574 | $40,750 | $28,348–$45,322 |
| St. Louis MO | 3 | — | — | — | $9,418–$11,426 |
| Tampa FL | 2 | — | — | — | $9,891–$15,362 |
| Washington DC | 4 | — | — | — | $9,863–$12,949 |
| Wisconsin (statewide) | 1 | — | — | — | $12,152–$12,152 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,303 | 0.5× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,874 | 0.7× | 4 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $7,608 | 0.8× | 2 | 2026-07-14 |
| Emory University Hospital | Atlanta GA | $7,798 | 0.7× | 6 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $7,907 | 0.7× | 1 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $8,077 | 0.8× | 1 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 0.7× | 3 | 2026-04-01 |
| Mclaren Port Huron | Detroit MI | $8,185 | 0.8× | 1 | 2025-12-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $8,821 | 0.8× | 1 | 2026-01-01 |
| Bryn Mawr Hospital | Philadelphia PA | $8,822 | 0.8× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $8,928 | 0.8× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $8,928 | 0.8× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $8,928 | 0.8× | 1 | 2026-05-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $9,126 | 0.8× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,172 | 1.0× | 3 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $9,374 | 0.9× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $9,407 | 0.9× | 1 | 2026-09-02 |
| Mercy Hospital St Louis | St. Louis MO | $9,418 | 0.9× | 2 | 2026-06-04 |
| Cleveland Clinic (main campus) | Cleveland OH | $9,457 | 0.9× | 1 | 2026-06-16 |
| Mercy Hospital South | St. Louis MO | $9,620 | 0.9× | 2 | 2026-06-10 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $9,648 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $9,680 | 0.9× | 4 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $9,863 | 0.8× | 1 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $9,891 | 0.9× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $9,911 | 0.8× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $10,072 | 0.9× | 3 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $10,126 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $10,166 | 0.9× | 4 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $10,360 | 1.0× | 6 | 2025-10-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $10,400 | 0.9× | 3 | 2026-09-15 |
| Methodist Hospital | San Antonio TX | $10,401 | 1.0× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $10,627 | 1.0× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $10,627 | 1.0× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $10,746 | 0.9× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $10,746 | 0.9× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $10,746 | 0.9× | 1 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $10,880 | 1.1× | 1 | 2026-03-06 |
| St David's Medical Center | Austin TX | $10,922 | 1.0× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $10,938 | 1.1× | 4 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $11,410 | 1.0× | 2 | 2026-04-01 |
| Mercy Hospital Jefferson | St. Louis MO | $11,426 | 1.1× | 2 | 2026-06-10 |
| Medical City Mckinney | Dallas-Fort Worth TX | $11,960 | 1.1× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $12,058 | 0.9× | 3 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $12,096 | 1.1× | 3 | 2025-11-01 |
| Endeavor Health Edward Hospital | Chicago IL | $12,132 | 1.1× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $12,152 | 1.1× | 3 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $12,334 | 1.1× | 3 | 2026-09-15 |
| Winchester Hospital | Boston MA | $12,714 | 1.0× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $12,832 | 1.0× | 7 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 1.1× | 1 | 2026-03-24 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $12,926 | 1.1× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $12,949 | 1.2× | 5 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $12,959 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $12,992 | 1.3× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $13,415 | 1.2× | 7 | 2026-07-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $13,619 | 1.2× | 1 | 2026-03-31 |
| Medical City Plano | Dallas-Fort Worth TX | $14,040 | 1.3× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $14,212 | 1.4× | 4 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $14,846 | 1.2× | 1 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $15,362 | 1.4× | 2 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $16,324 | 1.3× | 2 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $16,883 | 1.2× | 5 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $17,095 | 1.3× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $17,830 | 1.3× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $18,556 | 1.5× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $18,930 | 1.7× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $19,059 | 1.9× | 1 | 2026-06-15 |
| Adventhealth Porter | Denver CO | $19,278 | 1.7× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $19,278 | 1.7× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $19,288 | 1.4× | 6 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $21,772 | 2.2× | 1 | 2026-06-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $24,656 | 2.5× | 1 | 2026-06-15 |
| Providence St Vincent Medical Center | Portland OR | $27,346 | 2.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $27,346 | 2.3× | 3 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $28,348 | 2.3× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $29,109 | 2.7× | 6 | 2026-07-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $31,558 | 3.0× | 2 | 2026-04-21 |
| St Clare Hospital | Seattle-Tacoma WA | $31,808 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $32,370 | 2.6× | 6 | 2026-02-28 |
| Cedars-Sinai Medical Center | Los Angeles CA | $36,188 | 2.6× | 3 | 2025-11-26 |
| Swedish Medical Center | Seattle-Tacoma WA | $36,779 | 3.0× | 5 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $38,482 | 2.6× | 6 | 2026-03-23 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $42,074 | 3.4× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $45,322 | 3.6× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $46,049 | 3.0× | 4 | 2026-04-01 |
CPT 43281: Lap Paraesophag Hern Repair
87 hospitals in 32 markets. National Medicare rate $10,860, surgery center $5,120.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,798–$7,798 |
| Austin TX | 2 | — | — | — | $8,077–$10,922 |
| Boston MA | 7 | $12,386 | $14,846 | $16,710 | $9,911–$18,556 |
| California (statewide) | 1 | — | — | — | $17,830–$17,830 |
| Chicago IL | 5 | $11,410 | $12,132 | $12,926 | $8,167–$18,930 |
| Cleveland OH | 4 | — | — | — | $7,608–$24,656 |
| Dallas-Fort Worth TX | 4 | — | — | — | $9,126–$31,558 |
| Denver CO | 7 | $9,903 | $10,166 | $16,008 | $9,648–$19,278 |
| Detroit MI | 3 | — | — | — | $8,425–$9,918 |
| Georgia (statewide) | 1 | — | — | — | $9,711–$9,711 |
| Houston TX | 1 | — | — | — | $10,072–$10,072 |
| Kansas (statewide) | 1 | — | — | — | $11,436–$11,436 |
| Las Vegas NV | 2 | — | — | — | $7,907–$15,768 |
| Los Angeles CA | 2 | — | — | — | $16,883–$33,335 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $8,504–$8,504 |
| Nashville TN | 3 | — | — | — | $6,165–$10,411 |
| New York (statewide) | 1 | — | — | — | $11,520–$11,520 |
| New York City | 2 | — | — | — | $12,832–$19,288 |
| Ohio (statewide) | 1 | — | — | — | $14,212–$14,212 |
| Pennsylvania (statewide) | 1 | — | — | — | $31,259–$31,259 |
| Philadelphia PA | 5 | $9,374 | $9,751 | $10,110 | $8,822–$12,874 |
| Phoenix AZ | 3 | — | — | — | $9,394–$9,394 |
| Pittsburgh PA | 1 | — | — | — | $16,897–$16,897 |
| Portland OR | 6 | $20,708 | $20,708 | $28,129 | $20,708–$30,603 |
| Richmond VA | 2 | — | — | — | $12,959–$12,992 |
| San Antonio TX | 1 | — | — | — | $10,401–$10,401 |
| San Francisco Bay Area CA | 3 | — | — | — | $32,222–$46,049 |
| Seattle-Tacoma WA | 6 | $34,446 | $35,612 | $40,750 | $28,348–$45,322 |
| St. Louis MO | 3 | — | — | — | $9,418–$11,426 |
| Tampa FL | 2 | — | — | — | $9,891–$15,362 |
| Washington DC | 4 | — | — | — | $10,614–$13,624 |
| Wisconsin (statewide) | 1 | — | — | — | $15,153–$15,153 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $6,165 | 0.6× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,874 | 0.7× | 4 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $7,608 | 0.8× | 2 | 2026-07-14 |
| Emory University Hospital | Atlanta GA | $7,798 | 0.7× | 5 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $7,907 | 0.7× | 1 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $8,077 | 0.8× | 1 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 0.7× | 3 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $8,425 | 0.8× | 16 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $8,504 | 0.8× | 2 | 2026-06-15 |
| Bryn Mawr Hospital | Philadelphia PA | $8,822 | 0.8× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $9,126 | 0.8× | 3 | 2026-06-29 |
| Riddle Memorial Hospital | Philadelphia PA | $9,374 | 0.9× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $9,394 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $9,394 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $9,394 | 0.8× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $9,407 | 0.9× | 1 | 2026-09-02 |
| Mercy Hospital St Louis | St. Louis MO | $9,418 | 0.9× | 2 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $9,620 | 0.9× | 2 | 2026-06-10 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $9,648 | 0.9× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $9,680 | 0.9× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,711 | 1.0× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,751 | 0.8× | 3 | 2026-09-15 |
| Tampa General Hospital | Tampa FL | $9,891 | 0.9× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $9,911 | 0.8× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $9,918 | 0.9× | 1 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $10,072 | 0.9× | 3 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $10,110 | 0.9× | 3 | 2026-09-15 |
| HCA HealthONE Sky Ridge | Denver CO | $10,126 | 0.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $10,166 | 0.9× | 4 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $10,401 | 1.0× | 4 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $10,411 | 1.0× | 5 | 2025-10-01 |
| George Washington Univ Hospital | Washington DC | $10,614 | 0.8× | 2 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $10,627 | 1.0× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $10,627 | 1.0× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $10,922 | 1.0× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $11,410 | 1.0× | 2 | 2026-04-01 |
| Mercy Hospital Jefferson | St. Louis MO | $11,426 | 1.1× | 2 | 2026-06-10 |
| Menorah Medical Center | Kansas (statewide) | $11,436 | 1.1× | 3 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $11,520 | 0.9× | 4 | 2026-06-10 |
| New England Baptist Hospital | Boston MA | $12,058 | 0.9× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $12,132 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $12,714 | 1.0× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $12,739 | 1.1× | 3 | 2025-11-01 |
| Montefiore Medical Center | New York City | $12,832 | 1.0× | 7 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 1.1× | 1 | 2026-03-24 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $12,926 | 1.1× | 2 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $12,959 | 1.3× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $12,992 | 1.3× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $13,624 | 1.2× | 4 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $14,167 | 1.3× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $14,212 | 1.4× | 4 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $14,846 | 1.2× | 1 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $15,153 | 1.4× | 3 | 2026-01-01 |
| Morton Plant Hospital | Tampa FL | $15,362 | 1.4× | 2 | 2026-01-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $15,768 | 1.4× | 8 | 2026-07-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $16,150 | 1.5× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $16,324 | 1.3× | 2 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $16,883 | 1.2× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $16,897 | 1.6× | 1 | 2026-03-06 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $17,095 | 1.3× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $17,830 | 1.3× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $18,556 | 1.5× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $18,930 | 1.7× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $19,059 | 1.9× | 1 | 2026-06-15 |
| Adventhealth Porter | Denver CO | $19,278 | 1.7× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $19,278 | 1.7× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $19,288 | 1.4× | 6 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $20,708 | 1.8× | 5 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $21,772 | 2.2× | 1 | 2026-06-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $24,656 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $28,348 | 2.3× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $30,603 | 2.6× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $30,603 | 2.6× | 2 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $31,259 | 2.9× | 7 | 2026-07-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $31,558 | 3.0× | 2 | 2026-04-21 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $32,222 | 2.1× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $33,335 | 2.4× | 3 | 2025-11-26 |
| St Clare Hospital | Seattle-Tacoma WA | $34,446 | 2.8× | 5 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $34,446 | 2.8× | 5 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $36,779 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $42,074 | 3.4× | 5 | 2026-08-27 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $43,398 | 2.9× | 5 | 2026-03-23 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $45,322 | 3.6× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $46,049 | 3.0× | 4 | 2026-04-01 |
MS-DRG 328: Stomach, Esophageal and Duodenal Procedures Without Cc/McC
126 hospitals in 39 markets. National Medicare rate $11,660.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $28,754–$31,851 |
| Austin TX | 2 | — | — | — | $10,433–$13,548 |
| Boston MA | 7 | $14,241 | $14,821 | $16,518 | $12,036–$23,354 |
| California (statewide) | 1 | — | — | — | $18,075–$18,075 |
| Charlotte NC | 2 | — | — | — | $26,431–$31,323 |
| Chicago IL | 7 | $18,420 | $22,241 | $24,061 | $15,134–$29,803 |
| Cleveland OH | 5 | $18,953 | $22,000 | $22,281 | $18,037–$24,234 |
| Columbus OH | 1 | — | — | — | $35,539–$35,539 |
| Dallas-Fort Worth TX | 4 | — | — | — | $21,824–$34,464 |
| Denver CO | 7 | $11,430 | $14,881 | $28,398 | $10,281–$33,727 |
| Detroit MI | 8 | $22,445 | $26,958 | $31,883 | $22,445–$33,353 |
| Florida (statewide) | 1 | — | — | — | $46,220–$46,220 |
| Georgia (statewide) | 1 | — | — | — | $31,588–$31,588 |
| Houston TX | 1 | — | — | — | $27,568–$27,568 |
| Illinois (statewide) | 1 | — | — | — | $12,766–$12,766 |
| Indianapolis IN | 3 | — | — | — | $15,520–$23,272 |
| Kansas (statewide) | 1 | — | — | — | $19,794–$19,794 |
| Las Vegas NV | 1 | — | — | — | $17,637–$17,637 |
| Los Angeles CA | 2 | — | — | — | $30,049–$49,046 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $19,571–$25,620 |
| Minneapolis-St. Paul MN | 6 | $24,404 | $25,724 | $26,793 | $19,452–$30,225 |
| Nashville TN | 4 | — | — | — | $14,993–$29,191 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $15,665–$51,423 |
| Ohio (statewide) | 1 | — | — | — | $28,027–$28,027 |
| Pennsylvania (statewide) | 1 | — | — | — | $31,278–$31,278 |
| Philadelphia PA | 5 | $28,766 | $30,051 | $39,270 | $26,792–$43,586 |
| Phoenix AZ | 3 | — | — | — | $26,670–$28,368 |
| Pittsburgh PA | 1 | — | — | — | $33,356–$33,356 |
| Portland OR | 6 | $34,048 | $34,794 | $40,025 | $33,984–$41,583 |
| Research Triangle NC | 5 | $18,141 | $18,278 | $20,523 | $14,864–$23,313 |
| Richmond VA | 4 | — | — | — | $25,090–$39,410 |
| Salt Lake City UT | 3 | — | — | — | $24,780–$25,771 |
| San Antonio TX | 1 | — | — | — | $15,975–$15,975 |
| San Diego CA | 1 | — | — | — | $18,776–$18,776 |
| Seattle-Tacoma WA | 6 | $36,066 | $36,075 | $36,084 | $31,557–$45,216 |
| St. Louis MO | 5 | $26,352 | $26,352 | $26,352 | $8,188–$34,070 |
| Tampa FL | 4 | — | — | — | $32,202–$38,084 |
| Washington DC | 6 | $21,569 | $30,188 | $33,114 | $19,048–$37,940 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $8,188 | 0.7× | 1 | 2026-06-10 |
| Hca Healthone Rose | Denver CO | $10,281 | 0.8× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $10,281 | 0.8× | 5 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $10,433 | 0.9× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $12,036 | 0.9× | 1 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $12,578 | 1.0× | 5 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $12,766 | 1.0× | 1 | 2026-06-03 |
| St David's Medical Center | Austin TX | $13,548 | 1.2× | 6 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $13,661 | 1.0× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $14,821 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $14,821 | 1.1× | 1 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $14,864 | 1.3× | 2 | 2026-02-25 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $14,881 | 1.2× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $14,993 | 1.4× | 7 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $15,134 | 1.2× | 3 | 2026-04-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.3× | 5 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $15,562 | 1.4× | 6 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $15,562 | 1.4× | 7 | 2026-01-01 |
| Montefiore Medical Center | New York City | $15,665 | 1.1× | 1 | 2026-04-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.3× | 5 | 2026-01-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $15,956 | 1.1× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $15,975 | 1.4× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $17,081 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $17,469 | 1.4× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $17,637 | 1.5× | 2 | 2026-07-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $18,037 | 1.7× | 3 | 2026-07-14 |
| Los Robles Hospital & Medical Center | California (statewide) | $18,075 | 1.2× | 3 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $18,141 | 1.6× | 3 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $18,278 | 1.6× | 4 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $18,776 | 1.3× | 5 | 2026-03-30 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $18,953 | 1.8× | 4 | 2026-06-15 |
| Reston Hospital Center | Washington DC | $19,048 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $19,048 | 1.6× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $19,372 | 1.6× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $19,452 | 1.6× | 3 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $19,571 | 1.6× | 4 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $19,794 | 1.8× | 6 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $20,523 | 1.8× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $21,824 | 1.9× | 4 | 2026-06-29 |
| Cleveland Clinic (main campus) | Cleveland OH | $22,000 | 2.0× | 5 | 2026-06-16 |
| Medical City Mckinney | Dallas-Fort Worth TX | $22,039 | 1.9× | 6 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $22,241 | 1.8× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $22,281 | 2.1× | 5 | 2026-06-15 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $22,445 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $22,445 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $22,445 | 2.0× | 3 | 2026-05-01 |
| Hendricks Regional Health | Indianapolis IN | $23,272 | 1.9× | 3 | 2026-05-20 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $23,313 | 2.1× | 3 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $23,354 | 1.7× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $23,586 | 1.9× | 4 | 2026-03-31 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $23,964 | 2.0× | 3 | 2026-03-31 |
| Medina Hospital | Cleveland OH | $24,234 | 2.3× | 4 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $24,238 | 2.1× | 6 | 2026-09-01 |
| Rush University Medical Center | Chicago IL | $24,536 | 2.0× | 4 | 2026-09-25 |
| Mckay-Dee Hospital | Salt Lake City UT | $24,780 | 2.1× | 1 | 2026-08-05 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $25,090 | 2.3× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $25,090 | 2.3× | 5 | 2026-09-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $25,620 | 2.1× | 3 | 2026-03-13 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $25,724 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $25,724 | 2.1× | 4 | 2026-06-16 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $25,771 | 2.2× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $25,771 | 2.2× | 1 | 2026-08-05 |
| Corewell Health Dearborn Hospital | Detroit MI | $26,164 | 2.3× | 2 | 2026-05-01 |
| Missouri Baptist Medical Center | St. Louis MO | $26,352 | 2.3× | 4 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $26,352 | 2.3× | 4 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $26,352 | 2.3× | 4 | 2025-12-15 |
| Atrium Health Pineville | Charlotte NC | $26,431 | 2.4× | 2 | 2025-12-05 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $26,670 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $26,670 | 2.2× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $26,792 | 2.3× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $27,149 | 2.3× | 3 | 2026-06-16 |
| Houston Methodist Hospital | Houston TX | $27,568 | 2.4× | 2 | 2026-04-01 |
| Mclaren Port Huron | Detroit MI | $27,752 | 2.4× | 1 | 2025-12-31 |
| Bethesda North | Ohio (statewide) | $28,027 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $28,368 | 2.3× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $28,398 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $28,398 | 2.4× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $28,754 | 2.5× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $28,766 | 2.5× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $29,133 | 2.1× | 3 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $29,191 | 2.7× | 6 | 2025-10-01 |
| University of Chicago Medical Center | Chicago IL | $29,803 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $30,049 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $30,051 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $30,225 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $30,259 | 2.6× | 5 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $31,065 | 2.7× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $31,242 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $31,278 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $31,323 | 2.8× | 3 | 2026-03-30 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $31,557 | 2.4× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $31,588 | 3.2× | 4 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $31,627 | 2.8× | 17 | 2026-03-31 |
| Piedmont Newnan Hospital | Atlanta GA | $31,851 | 2.8× | 5 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $32,202 | 2.7× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $32,603 | 2.7× | 5 | 2026-01-01 |
| Harper University Hospital | Detroit MI | $32,652 | 2.9× | 2 | 2026-09-02 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 2.3× | 1 | 2026-06-10 |
| Henry Ford Health Rochester Hospital | Detroit MI | $33,353 | 2.9× | 1 | 2026-01-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $33,356 | 3.0× | 1 | 2026-03-06 |
| UCHealth University of Colorado Hospital | Denver CO | $33,727 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $33,738 | 2.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $33,984 | 2.7× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $33,984 | 2.7× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $34,070 | 3.0× | 4 | 2025-12-15 |
| Legacy Good Samaritan Medical Center | Portland OR | $34,238 | 2.7× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $34,464 | 3.0× | 4 | 2026-04-21 |
| Adventhealth Tampa | Tampa FL | $34,636 | 2.9× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $35,350 | 2.8× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $35,539 | 3.2× | 3 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $36,066 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $36,066 | 2.7× | 6 | 2026-08-27 |
| St Clare Hospital | Seattle-Tacoma WA | $36,084 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $36,084 | 2.7× | 6 | 2026-02-28 |
| Medstar Georgetown University Hospital | Washington DC | $37,940 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $38,084 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $38,552 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $39,270 | 3.4× | 5 | 2026-09-15 |
| VCU Medical Center | Richmond VA | $39,410 | 3.5× | 3 | 2026-01-02 |
| Providence St Vincent Medical Center | Portland OR | $41,583 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $41,583 | 3.3× | 3 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $43,586 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $45,216 | 3.4× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $46,220 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $49,046 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $51,423 | 3.5× | 7 | 2026-01-01 |
MS-DRG 327: Stomach, Esophageal and Duodenal Procedures With Cc
126 hospitals in 39 markets. National Medicare rate $17,786.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $43,817–$48,587 |
| Austin TX | 2 | — | — | — | $15,915–$20,344 |
| Boston MA | 7 | $21,724 | $22,609 | $25,197 | $18,361–$35,624 |
| California (statewide) | 1 | — | — | — | $24,856–$24,856 |
| Charlotte NC | 2 | — | — | — | $40,274–$47,782 |
| Chicago IL | 7 | $28,070 | $33,892 | $36,684 | $23,061–$45,462 |
| Cleveland OH | 5 | $27,514 | $30,624 | $37,578 | $22,000–$38,763 |
| Columbus OH | 1 | — | — | — | $54,212–$54,212 |
| Dallas-Fort Worth TX | 4 | — | — | — | $33,272–$52,517 |
| Denver CO | 7 | $20,828 | $22,699 | $43,318 | $19,976–$51,448 |
| Detroit MI | 8 | $34,238 | $40,916 | $48,360 | $34,238–$50,555 |
| Florida (statewide) | 1 | — | — | — | $70,432–$70,432 |
| Georgia (statewide) | 1 | — | — | — | $48,135–$48,135 |
| Houston TX | 1 | — | — | — | $42,581–$42,581 |
| Illinois (statewide) | 1 | — | — | — | $19,473–$19,473 |
| Indianapolis IN | 3 | — | — | — | $15,520–$35,500 |
| Kansas (statewide) | 1 | — | — | — | $26,593–$26,593 |
| Las Vegas NV | 1 | — | — | — | $26,874–$26,874 |
| Los Angeles CA | 2 | — | — | — | $45,837–$74,817 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $29,854–$39,082 |
| Minneapolis-St. Paul MN | 6 | $37,226 | $39,241 | $40,871 | $29,673–$46,106 |
| Nashville TN | 4 | — | — | — | $19,606–$50,870 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $23,871–$78,442 |
| Ohio (statewide) | 1 | — | — | — | $42,754–$42,754 |
| Pennsylvania (statewide) | 1 | — | — | — | $47,712–$47,712 |
| Philadelphia PA | 5 | $45,841 | $46,448 | $59,904 | $42,514–$66,487 |
| Phoenix AZ | 3 | — | — | — | $40,684–$43,274 |
| Pittsburgh PA | 1 | — | — | — | $53,811–$53,811 |
| Portland OR | 6 | $51,816 | $52,162 | $61,314 | $51,816–$64,250 |
| Research Triangle NC | 5 | $27,673 | $31,272 | $33,402 | $24,896–$35,523 |
| Richmond VA | 4 | — | — | — | $28,998–$66,051 |
| Salt Lake City UT | 3 | — | — | — | $52,825–$54,937 |
| San Antonio TX | 1 | — | — | — | $21,799–$21,799 |
| San Diego CA | 1 | — | — | — | $30,103–$30,103 |
| Seattle-Tacoma WA | 6 | $54,984 | $55,348 | $55,712 | $48,139–$68,902 |
| St. Louis MO | 5 | $36,611 | $36,611 | $38,126 | $12,490–$52,192 |
| Tampa FL | 4 | — | — | — | $49,679–$58,095 |
| Washington DC | 6 | $32,903 | $46,022 | $50,500 | $29,057–$57,874 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $12,490 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 0.8× | 5 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 0.9× | 5 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $15,915 | 0.9× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $18,361 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $19,473 | 1.0× | 1 | 2026-06-03 |
| TriStar StoneCrest Medical Center | Nashville TN | $19,606 | 1.2× | 7 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $19,970 | 1.2× | 6 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $19,976 | 1.1× | 5 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $20,300 | 1.2× | 5 | 2026-01-01 |
| St David's Medical Center | Austin TX | $20,344 | 1.2× | 6 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $20,724 | 1.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $20,839 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $20,933 | 1.1× | 5 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $21,799 | 1.3× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $22,000 | 1.3× | 5 | 2026-06-16 |
| Beverly Hospital Corporation | Boston MA | $22,609 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $22,609 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $22,699 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $23,061 | 1.2× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $23,871 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $24,339 | 1.1× | 2 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $24,856 | 1.1× | 3 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $24,896 | 1.4× | 2 | 2026-02-25 |
| New England Baptist Hospital | Boston MA | $26,055 | 1.2× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $26,593 | 1.6× | 6 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $26,619 | 1.4× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $26,874 | 1.5× | 2 | 2026-07-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $27,514 | 1.7× | 3 | 2026-07-14 |
| Duke Regional Hospital | Research Triangle NC | $27,673 | 1.6× | 3 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $28,998 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $28,998 | 1.7× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $29,057 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $29,057 | 1.6× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $29,520 | 1.6× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $29,673 | 1.6× | 3 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $29,854 | 1.6× | 4 | 2026-06-15 |
| Scripps Green Hospital | San Diego CA | $30,103 | 1.3× | 6 | 2026-03-30 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $30,624 | 1.9× | 4 | 2026-06-15 |
| UNC Rex Hospital | Research Triangle NC | $31,272 | 1.8× | 3 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 1.5× | 1 | 2026-06-10 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $33,272 | 1.9× | 4 | 2026-06-29 |
| Duke University Hospital | Research Triangle NC | $33,402 | 1.9× | 3 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $33,874 | 1.9× | 6 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $33,892 | 1.8× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $34,238 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $34,238 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $34,238 | 2.0× | 3 | 2026-05-01 |
| Hendricks Regional Health | Indianapolis IN | $35,500 | 1.9× | 3 | 2026-05-20 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $35,523 | 2.0× | 3 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $35,624 | 1.7× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $35,940 | 1.9× | 4 | 2026-03-31 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $36,555 | 2.0× | 3 | 2026-03-31 |
| Missouri Baptist Medical Center | St. Louis MO | $36,611 | 2.1× | 3 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $36,611 | 2.1× | 3 | 2025-12-15 |
| Medical City Plano | Dallas-Fort Worth TX | $37,271 | 2.1× | 6 | 2026-09-01 |
| Rush University Medical Center | Chicago IL | $37,429 | 2.0× | 4 | 2026-09-25 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $37,578 | 2.3× | 5 | 2026-06-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $38,126 | 2.2× | 4 | 2025-12-15 |
| Medina Hospital | Cleveland OH | $38,763 | 2.4× | 4 | 2026-06-15 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $39,082 | 2.1× | 3 | 2026-03-13 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $39,241 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $39,241 | 2.1× | 4 | 2026-06-16 |
| Corewell Health Dearborn Hospital | Detroit MI | $39,767 | 2.3× | 2 | 2026-05-01 |
| Atrium Health Pineville | Charlotte NC | $40,274 | 2.4× | 2 | 2025-12-05 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $40,684 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $40,684 | 2.2× | 5 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $41,414 | 2.3× | 3 | 2026-06-16 |
| Mclaren Port Huron | Detroit MI | $42,065 | 2.4× | 1 | 2025-12-31 |
| Riddle Memorial Hospital | Philadelphia PA | $42,514 | 2.4× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $42,581 | 2.4× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $42,754 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $43,274 | 2.3× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $43,318 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $43,318 | 2.4× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $43,817 | 2.5× | 5 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $44,440 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $45,462 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $45,837 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $45,841 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $46,106 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $46,157 | 2.6× | 5 | 2026-07-01 |
| Bryn Mawr Hospital | Philadelphia PA | $46,448 | 2.6× | 4 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $47,388 | 2.7× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $47,605 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $47,712 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $47,782 | 2.8× | 3 | 2026-03-30 |
| Trinity Health Oakland Hospital | Detroit MI | $47,938 | 2.8× | 17 | 2026-03-31 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $48,135 | 3.2× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $48,139 | 2.4× | 6 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $48,587 | 2.8× | 5 | 2026-07-01 |
| Harper University Hospital | Detroit MI | $49,626 | 2.9× | 2 | 2026-09-02 |
| Morton Plant Hospital | Tampa FL | $49,679 | 2.7× | 5 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $50,555 | 2.9× | 1 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $50,600 | 2.8× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $50,870 | 3.0× | 6 | 2025-10-01 |
| UCHealth University of Colorado Hospital | Denver CO | $51,448 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $51,465 | 2.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $51,816 | 2.7× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $51,816 | 2.7× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $51,816 | 2.7× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $52,192 | 3.0× | 4 | 2025-12-15 |
| Legacy Emanuel Medical Center | Portland OR | $52,507 | 2.7× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $52,517 | 3.0× | 4 | 2026-04-21 |
| Mckay-Dee Hospital | Salt Lake City UT | $52,825 | 3.0× | 1 | 2026-08-05 |
| Adventhealth Tampa | Tampa FL | $52,835 | 2.9× | 4 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $53,811 | 3.2× | 1 | 2026-03-06 |
| Ohio State University Hospitals | Columbus OH | $54,212 | 3.2× | 3 | 2026-07-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $54,937 | 3.1× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $54,937 | 3.1× | 1 | 2026-08-05 |
| St Clare Hospital | Seattle-Tacoma WA | $54,984 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $54,984 | 2.7× | 6 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $55,712 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $55,712 | 2.7× | 6 | 2026-08-27 |
| Medstar Georgetown University Hospital | Washington DC | $57,874 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $58,095 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $58,808 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $59,904 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $64,250 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $64,250 | 3.3× | 3 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $66,051 | 3.9× | 3 | 2026-01-02 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $66,487 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $68,902 | 3.4× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $70,432 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $74,817 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $78,442 | 3.5× | 7 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for anti-reflux surgery (fundoplication)?
Across 89 hospitals in 31 metro areas that post a usable dollar rate, the median commercial rate for CPT 43280, hospital outpatient is $12,132, 1.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $9,863 to $19,059. 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: Ascension Saint Thomas Hospital (Midtown + West) ($5,303), TriStar StoneCrest Medical Center ($6,874), University Hospitals - Elyria Medical Center ($7,608). Highest: Stanford Health Care ($46,049), Multicare Good Samaritan Hospital ($45,322), Tacoma General Allenmore Hospital ($42,074). Coverage is limited to the markets listed on this page.