Price AtlasInteractive atlas · All states · techysurgeon.comAnti-reflux surgery (fundoplication) in Boston MA
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 43280
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| South Shore Hospital median $8,853 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,853 | 0.7× | 2 |
| Tufts Health | $9,620 | 0.8× | 5 |
| UnitedHealthcare | $6,535 | 0.5× | 1 |
| Emerson Hospital - median $11,509 · local Medicare $12,739 · file 2026-05-18 | |||
| BCBS Massachusetts | $11,509 | 0.9× | 2 |
| Hphc | $16,165 | 1.3× | 1 |
| Tufts PPO | $8,871 | 0.7× | 1 |
| New England Baptist Hospital median $11,916 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,058 | 0.9× | 2 |
| Elevance/Anthem/Empire | $13,904 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $11,775 | 0.9× | 1 |
| UnitedHealthcare | $9,012 | 0.7× | 1 |
| Beverly Hospital Corporation median $12,810 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,810 | 1.0× | 1 |
| Harvard Pilgrim Healthcare | $15,956 | 1.3× | 1 |
| UnitedHealthcare | $7,012 | 0.6× | 1 |
| Winchester Hospital median $13,017 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,412 | 1.0× | 2 |
| Harvard Pilgrim Healthcare | $17,001 | 1.3× | 1 |
| UnitedHealthcare | $13,017 | 1.0× | 1 |
| Mount Auburn Hospital median $16,200 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $15,121 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $17,279 | 1.4× | 1 |
| Anna Jaques Hospital median $16,324 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $13,386 | 1.1× | 1 |
| UnitedHealthcare | $19,261 | 1.5× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $16,829 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $14,846 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $18,812 | 1.5× | 2 |
| Beth Israel Deaconess Hospital - Needham median $17,522 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $14,908 | 1.2× | 1 |
| Harvard Pilgrim Healthcare | $20,136 | 1.6× | 1 |
| Lahey Hospital & Medical Center, Burlington median $18,860 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $17,095 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $20,624 | 1.6× | 1 |
| Beth Israel Deaconess Medical Center median $19,450 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $18,556 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $20,345 | 1.6× | 1 |
CPT 43281
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| South Shore Hospital median $8,853 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,853 | 0.7× | 2 |
| Tufts Health | $9,620 | 0.8× | 5 |
| UnitedHealthcare | $6,535 | 0.5× | 1 |
| Emerson Hospital - median $11,509 · local Medicare $12,739 · file 2026-05-18 | |||
| BCBS Massachusetts | $11,509 | 0.9× | 2 |
| Hphc | $16,165 | 1.3× | 1 |
| Tufts PPO | $8,871 | 0.7× | 1 |
| New England Baptist Hospital median $11,916 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,058 | 0.9× | 2 |
| Elevance/Anthem/Empire | $13,904 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $11,775 | 0.9× | 1 |
| UnitedHealthcare | $9,012 | 0.7× | 1 |
| Beverly Hospital Corporation median $12,810 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,810 | 1.0× | 1 |
| Harvard Pilgrim Healthcare | $15,956 | 1.3× | 1 |
| UnitedHealthcare | $7,012 | 0.6× | 1 |
| Winchester Hospital median $13,017 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,412 | 1.0× | 2 |
| Harvard Pilgrim Healthcare | $17,001 | 1.3× | 1 |
| UnitedHealthcare | $13,017 | 1.0× | 1 |
| Mount Auburn Hospital median $16,200 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $15,121 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $17,279 | 1.4× | 1 |
| Anna Jaques Hospital median $16,324 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $13,386 | 1.1× | 1 |
| UnitedHealthcare | $19,261 | 1.5× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $16,829 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $14,846 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $18,812 | 1.5× | 2 |
| Beth Israel Deaconess Hospital - Needham median $17,522 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $14,908 | 1.2× | 1 |
| Harvard Pilgrim Healthcare | $20,136 | 1.6× | 1 |
| Lahey Hospital & Medical Center, Burlington median $18,860 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $17,095 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $20,624 | 1.6× | 1 |
| Beth Israel Deaconess Medical Center median $19,450 · local Medicare $12,739 · file 2026-04-01 | |||
| BCBS Massachusetts | $18,556 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $20,345 | 1.6× | 1 |
MS-DRG 328
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Emerson Hospital - median $11,363 · local Medicare $13,878 · file 2026-05-18 | |||
| Aetna | $11,363 | 0.8× | 1 |
| Anna Jaques Hospital median $12,036 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $12,036 | 0.9× | 1 |
| Beth Israel Deaconess Hospital - Needham median $12,392 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $12,392 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $31,693 | 2.3× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $13,661 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $13,661 | 1.0× | 1 |
| Mount Auburn Hospital median $14,192 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $14,192 | 1.0× | 1 |
| Beverly Hospital Corporation median $14,821 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $14,821 | 1.1× | 1 |
| Winchester Hospital median $14,821 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $14,821 | 1.1× | 1 |
| Beth Israel Deaconess Medical Center median $15,956 · local Medicare $13,878 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $15,956 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $31,693 | 2.3× | 1 |
| New England Baptist Hospital median $17,081 · local Medicare $13,878 · file 2026-04-01 | |||
| Cigna | $17,908 | 1.3× | 1 |
| Elevance/Anthem/Empire | $17,081 | 1.2× | 1 |
| UnitedHealthcare | $16,231 | 1.2× | 1 |
| Lowell General Hospital median $22,958 · local Medicare $13,878 · file 2026-04-01 | |||
| Cigna | $24,438 | 1.8× | 1 |
| Commonwealth Care Alliance | $14,717 | 1.1× | 1 |
| Elevance/Anthem/Empire | $19,982 | 1.4× | 1 |
| Fallon Health | $22,958 | 1.7× | 1 |
| Fallon Health Connectorcare | $22,958 | 1.7× | 1 |
| Lahey Hospital & Medical Center, Burlington median $23,354 · local Medicare $13,878 · file 2026-04-01 | |||
| BCBS Massachusetts | $26,790 | 1.9× | 1 |
| Cigna | $23,354 | 1.7× | 1 |
| Elevance/Anthem/Empire | $15,755 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $33,419 | 2.4× | 1 |
| Tufts Medical Center median $33,243 · local Medicare $13,878 · file 2026-04-01 | |||
| Aetna | $20,280 | 1.5× | 3 |
| Commonwealth Care Alliance | $15,517 | 1.1× | 1 |
| Elevance/Anthem/Empire | $33,243 | 2.4× | 1 |
| Fallon Health | $36,350 | 2.6× | 1 |
| Fallon Health Connectorcare | $36,350 | 2.6× | 1 |
MS-DRG 327
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Emerson Hospital - median $17,333 · local Medicare $21,170 · file 2026-05-18 | |||
| Aetna | $17,333 | 0.8× | 1 |
| Anna Jaques Hospital median $18,361 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $18,361 | 0.9× | 1 |
| Beth Israel Deaconess Hospital - Needham median $18,903 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $18,903 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $48,346 | 2.3× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $20,839 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $20,839 | 1.0× | 1 |
| Mount Auburn Hospital median $21,648 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $21,648 | 1.0× | 1 |
| Beverly Hospital Corporation median $22,609 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $22,609 | 1.1× | 1 |
| Winchester Hospital median $22,609 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $22,609 | 1.1× | 1 |
| Beth Israel Deaconess Medical Center median $24,339 · local Medicare $21,170 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $24,339 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $48,346 | 2.3× | 1 |
| New England Baptist Hospital median $26,055 · local Medicare $21,170 · file 2026-04-01 | |||
| Cigna | $27,318 | 1.3× | 1 |
| Elevance/Anthem/Empire | $26,055 | 1.2× | 1 |
| UnitedHealthcare | $24,760 | 1.2× | 1 |
| Lowell General Hospital median $34,689 · local Medicare $21,170 · file 2026-04-01 | |||
| Cigna | $37,279 | 1.8× | 1 |
| Commonwealth Care Alliance | $22,236 | 1.1× | 1 |
| Elevance/Anthem/Empire | $30,482 | 1.4× | 1 |
| Fallon Health | $34,689 | 1.6× | 1 |
| Fallon Health Connectorcare | $34,689 | 1.6× | 1 |
| Lahey Hospital & Medical Center, Burlington median $35,624 · local Medicare $21,170 · file 2026-04-01 | |||
| BCBS Massachusetts | $40,866 | 1.9× | 1 |
| Cigna | $35,624 | 1.7× | 1 |
| Elevance/Anthem/Empire | $24,034 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $50,979 | 2.4× | 1 |
| Brigham and Women's Hospital median $36,642 · local Medicare $21,170 · file 2026-03-27 | |||
| Elevance/Anthem/Empire | $36,642 | 1.7× | 1 |
| Massachusetts General Hospital median $38,286 · local Medicare $21,170 · file 2026-03-27 | |||
| Elevance/Anthem/Empire | $38,286 | 1.8× | 1 |
| Tufts Medical Center median $50,710 · local Medicare $21,170 · file 2026-04-01 | |||
| Aetna | $30,936 | 1.5× | 3 |
| Commonwealth Care Alliance | $23,374 | 1.1× | 1 |
| Elevance/Anthem/Empire | $50,710 | 2.4× | 1 |
| Fallon Health | $54,913 | 2.6× | 1 |
| Fallon Health Connectorcare | $54,913 | 2.6× | 1 |
Questions
How much does anti-reflux surgery (fundoplication) cost with commercial insurance in Boston MA?
11 Boston MA hospitals post usable commercial rates for CPT 43280, hospital outpatient. The median across hospitals is $16,200; hospital medians range from $8,853 to $19,450. Your cost depends on your plan's deductible and coinsurance.