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Anti-reflux surgery (fundoplication) in California: what insurers pay

Posted commercial rates at 7 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
Keck Hospital Of Usc Los Angeles$16,8831.2×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$17,8301.3×52026-09-01
Cedars-Sinai Medical Center Los Angeles$36,1882.6×32025-11-26
John Muir Medical Center - Walnut Creek Campus Walnut Creek$38,4822.6×62026-03-23
Stanford Health Care Stanford$46,0493.0×42026-04-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Keck Hospital Of Usc Los Angeles$16,8831.2×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$17,8301.3×52026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$32,2222.1×62026-03-23
Cedars-Sinai Medical Center Los Angeles$33,3352.4×32025-11-26
John Muir Medical Center - Concord Campus Concord$43,3982.9×52026-03-23
Stanford Health Care Stanford$46,0493.0×42026-04-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$18,0751.2×32026-09-01
Scripps Green Hospital La Jolla$18,7761.3×52026-03-30
Cedars-Sinai Medical Center Los Angeles$30,0492.0×12025-11-26
Keck Hospital Of Usc Los Angeles$49,0463.3×72026-04-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.1×32026-09-01
Scripps Green Hospital La Jolla$30,1031.3×62026-03-30
Cedars-Sinai Medical Center Los Angeles$45,8372.0×12025-11-26
Keck Hospital Of Usc Los Angeles$74,8173.3×72026-04-01

Questions

How much do insurers pay for anti-reflux surgery (fundoplication) in California?

7 California hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 5 hospitals is $36,188, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.