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Anti-reflux surgery (fundoplication) in Cleveland OH

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
University Hospitals St. John Medical Center median $8,037 · local Medicare $10,057 · file 2026-07-14
Aetna	$5,958	0.6×	1
Elevance/Anthem/Empire	$6,933	0.7×	1
Medical Mutual of Ohio	$9,339	0.9×	3
UnitedHealthcare	$9,141	0.9×	2
University Hospitals - Elyria Medical Center median $8,512 · local Medicare $10,057 · file 2026-07-14
Aetna	$5,958	0.6×	1
Medical Mutual of Ohio	$8,512	0.8×	3
UnitedHealthcare	$9,257	0.9×	2
University Hospitals Ahuja Medical Center median $8,596 · local Medicare $10,057 · file 2026-07-14
Aetna	$5,582	0.6×	2
Elevance/Anthem/Empire	$7,562	0.8×	2
Medical Mutual of Ohio	$13,901	1.4×	3
UnitedHealthcare	$9,630	1.0×	2
Cleveland Clinic (main campus) median $10,057 · local Medicare $10,057 · file 2026-06-16
Pphp	$11,062	1.1×	1
UnitedHealthcare	$9,457	0.9×	1
Valor	$10,057	1.0×	1
Cleveland Clinic Lutheran Hospital median $11,062 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$21,772	2.2×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Marymount Hospital median $11,062 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$21,772	2.2×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Medina Hospital median $14,346 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$19,059	1.9×	3
MMO	$17,629	1.8×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Cleveland Clinic Fairview Hospital median $17,859 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$24,656	2.5×	2
MMO	$27,656	2.7×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Cleveland Clinic Hillcrest Hospital median $17,859 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$24,656	2.5×	2
MMO	$27,656	2.7×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
MetroHealth System median $21,119 · local Medicare $10,057 · file 2026-04-01
Clarity Health	$26,147	2.6×	1
Elevance/Anthem/Empire	$38,342	3.8×	1
Health E Ohio	$21,119	2.1×	1
Medical Mutual	$17,735	1.8×	4
UnitedHealthcare	$6,700	0.7×	1

CPT 43281

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals St. John Medical Center median $8,037 · local Medicare $10,057 · file 2026-07-14
Aetna	$5,958	0.6×	1
Elevance/Anthem/Empire	$6,933	0.7×	1
Medical Mutual of Ohio	$9,339	0.9×	3
UnitedHealthcare	$9,141	0.9×	2
University Hospitals - Elyria Medical Center median $8,512 · local Medicare $10,057 · file 2026-07-14
Aetna	$5,958	0.6×	1
Medical Mutual of Ohio	$8,512	0.8×	3
UnitedHealthcare	$9,257	0.9×	2
University Hospitals Ahuja Medical Center median $8,596 · local Medicare $10,057 · file 2026-07-14
Aetna	$5,582	0.6×	2
Elevance/Anthem/Empire	$7,562	0.8×	2
Medical Mutual of Ohio	$13,901	1.4×	3
UnitedHealthcare	$9,630	1.0×	2
Cleveland Clinic Fairview Hospital median $11,062 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$24,656	2.5×	2
MMO	$27,656	2.7×	1
Pphp	$11,062	1.1×	1
UnitedHealthcare	$9,608	1.0×	1
Valor	$10,057	1.0×	1
Cleveland Clinic Lutheran Hospital median $11,062 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$21,772	2.2×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Marymount Hospital median $11,062 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$21,772	2.2×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Cleveland Clinic (main campus) median $11,062 · local Medicare $10,057 · file 2026-06-16
MMO	$26,873	2.7×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Medina Hospital median $14,346 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$19,059	1.9×	3
MMO	$17,629	1.8×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
Cleveland Clinic Hillcrest Hospital median $17,859 · local Medicare $10,057 · file 2026-06-15
Elevance/Anthem/Empire	$24,656	2.5×	2
MMO	$27,656	2.7×	1
Pphp	$11,062	1.1×	1
Valor	$10,057	1.0×	1
MetroHealth System median $19,427 · local Medicare $10,057 · file 2026-04-01
Cigna	$5,081	0.5×	1
Clarity Health	$26,147	2.6×	1
Elevance/Anthem/Empire	$38,342	3.8×	1
Health E Ohio	$21,119	2.1×	1
Medical Mutual	$17,735	1.8×	4
UnitedHealthcare	$6,700	0.7×	1

MS-DRG 328

Hospital · insurer	Rate	× Medicare	Plans
Cleveland Clinic Fairview Hospital median $18,953 · local Medicare $10,760 · file 2026-06-15
Aetna	$21,290	2.0×	3
Elevance/Anthem/Empire	$16,616	1.5×	2
Humana	$12,005	1.1×	1
MMO	$23,017	2.1×	1
Medical Benefit	$46,000	4.3×	1
Pphp	$13,993	1.3×	1
UnitedHealthcare	$26,723	2.5×	1
Valor	$12,721	1.2×	1
Cleveland Clinic Hillcrest Hospital median $18,953 · local Medicare $10,760 · file 2026-06-15
Aetna	$21,290	2.0×	3
Elevance/Anthem/Empire	$16,616	1.5×	2
Humana	$11,193	1.0×	1
MMO	$23,017	2.1×	1
Medical Benefit	$46,000	4.3×	1
Pphp	$12,858	1.2×	1
UnitedHealthcare	$26,723	2.5×	1
Valor	$11,689	1.1×	1
University Hospitals St. John Medical Center median $19,700 · local Medicare $10,760 · file 2026-07-14
Aetna	$22,065	2.1×	1
AultCare	$19,982	1.9×	1
Cigna	$15,382	1.4×	1
Elevance/Anthem/Empire	$10,014	0.9×	1
JP Farley	$10,978	1.0×	1
Medical Mutual of Ohio	$19,700	1.8×	3
SummaCare	$21,663	2.0×	1
The Health Plan	$20,630	1.9×	1
University Health Employee Plan (Contigo)	$15,190	1.4×	1
University Hospitals - Elyria Medical Center median $19,982 · local Medicare $10,760 · file 2026-07-14
Aetna	$22,065	2.1×	1
AultCare	$19,982	1.9×	1
Cigna	$14,901	1.4×	1
Elevance/Anthem/Empire	$18,037	1.7×	2
JP Farley	$17,590	1.6×	1
Medical Mutual of Ohio	$21,575	2.0×	4
SummaCare	$21,663	2.0×	1
The Health Plan	$20,630	1.9×	1
University Health Employee Plan (Contigo)	$15,190	1.4×	1
University Hospitals Ahuja Medical Center median $20,784 · local Medicare $10,760 · file 2026-07-14
Aetna	$20,963	1.9×	2
AultCare	$19,982	1.9×	1
Cigna	$19,228	1.8×	1
Elevance/Anthem/Empire	$20,939	1.9×	2
JP Farley	$19,136	1.8×	1
Medical Mutual of Ohio	$23,805	2.2×	3
SummaCare	$21,663	2.0×	1
The Health Plan	$20,630	1.9×	1
UnitedHealthcare	$23,077	2.1×	2
University Health Employee Plan (Contigo)	$15,190	1.4×	1
MetroHealth System median $22,169 · local Medicare $10,760 · file 2026-04-01
Aetna	$18,170	1.7×	2
Cigna	$18,744	1.7×	1
Clarity Health	$26,921	2.5×	1
Elevance/Anthem/Empire	$22,169	2.1×	1
Health E Ohio	$31,063	2.9×	1
Medical Mutual	$18,159	1.7×	2
Metrohealth	$25,886	2.4×	2
Ohio Health Choice	$9,614	0.9×	1
UnitedHealthcare	$22,352	2.1×	1
Cleveland Clinic Lutheran Hospital median $22,281 · local Medicare $10,760 · file 2026-06-15
Aetna	$22,281	2.1×	3
Cigna	$27,319	2.5×	1
Elevance/Anthem/Empire	$20,806	1.9×	1
Humana	$12,783	1.2×	1
MMO	$22,969	2.1×	1
Medical Benefit	$46,000	4.3×	1
Pphp	$15,006	1.4×	1
UnitedHealthcare	$26,188	2.4×	1
Valor	$13,642	1.3×	1
Marymount Hospital median $22,281 · local Medicare $10,760 · file 2026-06-15
Aetna	$22,281	2.1×	3
Cigna	$27,319	2.5×	1
Elevance/Anthem/Empire	$20,806	1.9×	1
Humana	$11,092	1.0×	1
MMO	$22,969	2.1×	1
Medical Benefit	$46,000	4.3×	1
Pphp	$12,721	1.2×	1
UnitedHealthcare	$26,188	2.4×	1
Valor	$11,564	1.1×	1
Medina Hospital median $22,625 · local Medicare $10,760 · file 2026-06-15
Aetna	$22,281	2.1×	3
Cigna	$27,319	2.5×	1
Elevance/Anthem/Empire	$17,644	1.6×	3
MMO	$22,969	2.1×	1
Medical Benefit	$46,000	4.3×	1
Pphp	$11,708	1.1×	1
UnitedHealthcare	$26,188	2.4×	1
Valor	$10,643	1.0×	1
University Hospitals Cleveland Medical Center median $27,036 · local Medicare $10,760 · file 2026-07-14
Aetna	$26,016	2.4×	2
AultCare	$26,673	2.5×	1
Cigna	$27,399	2.5×	1
Elevance/Anthem/Empire	$26,591	2.5×	2
JP Farley	$22,608	2.1×	1
Medical Mutual of Ohio	$29,859	2.8×	3
SummaCare	$29,545	2.7×	1
The Health Plan	$28,048	2.6×	1
UnitedHealthcare	$34,235	3.2×	2
University Health Employee Plan (Contigo)	$18,830	1.8×	1
Cleveland Clinic (main campus) median $30,785 · local Medicare $10,760 · file 2026-06-16
Aetna	$30,785	2.9×	3
Cigna	$22,000	2.0×	1
Elevance/Anthem/Empire	$17,927	1.7×	2
Humana	$14,502	1.3×	1
MMO	$29,436	2.7×	1
Medical Benefit	$46,000	4.3×	1
Ohio Healthy	$46,000	4.3×	1
Parkview Health Plan	$46,000	4.3×	1
Pphp	$16,777	1.6×	1
Quality Care Partners	$36,950	3.4×	2
The Health Plan	$40,700	3.8×	1
UnitedHealthcare	$43,009	4.0×	2
Valor	$15,252	1.4×	1

MS-DRG 327

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals St. John Medical Center median $30,051 · local Medicare $16,414 · file 2026-07-14
Aetna	$33,659	2.1×	1
AultCare	$30,482	1.9×	1
Cigna	$23,464	1.4×	1
Elevance/Anthem/Empire	$15,276	0.9×	1
JP Farley	$10,978	0.7×	1
Medical Mutual of Ohio	$30,051	1.8×	3
SummaCare	$33,046	2.0×	1
The Health Plan	$31,469	1.9×	1
University Health Employee Plan (Contigo)	$23,171	1.4×	1
Cleveland Clinic Fairview Hospital median $30,228 · local Medicare $16,414 · file 2026-06-15
Aetna	$35,901	2.2×	3
Elevance/Anthem/Empire	$25,346	1.5×	2
Humana	$18,049	1.1×	1
MMO	$35,111	2.1×	1
Medical Benefit	$74,300	4.5×	1
Pphp	$20,998	1.3×	1
UnitedHealthcare	$40,764	2.5×	1
Valor	$19,089	1.2×	1
Cleveland Clinic Hillcrest Hospital median $30,228 · local Medicare $16,414 · file 2026-06-15
Aetna	$35,901	2.2×	3
Elevance/Anthem/Empire	$25,346	1.5×	2
Humana	$16,897	1.0×	1
MMO	$35,111	2.1×	1
Medical Benefit	$74,300	4.5×	1
Pphp	$19,398	1.2×	1
UnitedHealthcare	$40,764	2.5×	1
Valor	$17,635	1.1×	1
University Hospitals - Elyria Medical Center median $30,482 · local Medicare $16,414 · file 2026-07-14
Aetna	$33,659	2.1×	1
AultCare	$30,482	1.9×	1
Cigna	$22,731	1.4×	1
Elevance/Anthem/Empire	$27,514	1.7×	2
JP Farley	$26,832	1.6×	1
Medical Mutual of Ohio	$32,911	2.0×	4
SummaCare	$33,046	2.0×	1
The Health Plan	$31,469	1.9×	1
University Health Employee Plan (Contigo)	$23,171	1.4×	1
University Hospitals Ahuja Medical Center median $31,705 · local Medicare $16,414 · file 2026-07-14
Aetna	$31,977	1.9×	2
AultCare	$30,482	1.9×	1
Cigna	$29,330	1.8×	1
Elevance/Anthem/Empire	$31,941	1.9×	2
JP Farley	$29,191	1.8×	1
Medical Mutual of Ohio	$36,313	2.2×	3
SummaCare	$33,046	2.0×	1
The Health Plan	$31,469	1.9×	1
UnitedHealthcare	$35,203	2.1×	2
University Health Employee Plan (Contigo)	$23,171	1.4×	1
MetroHealth System median $33,818 · local Medicare $16,414 · file 2026-04-01
Aetna	$27,717	1.7×	2
Cigna	$28,592	1.7×	1
Clarity Health	$37,432	2.3×	1
Elevance/Anthem/Empire	$33,818	2.1×	1
Health E Ohio	$43,191	2.6×	1
Medical Mutual	$27,700	1.7×	2
Metrohealth	$35,992	2.2×	2
Ohio Health Choice	$14,665	0.9×	1
UnitedHealthcare	$34,097	2.1×	1
Cleveland Clinic Lutheran Hospital median $35,038 · local Medicare $16,414 · file 2026-06-15
Aetna	$37,578	2.3×	3
Cigna	$41,674	2.5×	1
Elevance/Anthem/Empire	$31,738	1.9×	1
Humana	$18,722	1.1×	1
MMO	$35,038	2.1×	1
Medical Benefit	$74,300	4.5×	1
Pphp	$21,858	1.3×	1
UnitedHealthcare	$39,948	2.4×	1
Valor	$19,871	1.2×	1
Marymount Hospital median $35,038 · local Medicare $16,414 · file 2026-06-15
Aetna	$37,578	2.3×	3
Cigna	$41,674	2.5×	1
Elevance/Anthem/Empire	$31,738	1.9×	1
Humana	$16,604	1.0×	1
MMO	$35,038	2.1×	1
Medical Benefit	$74,300	4.5×	1
Pphp	$18,996	1.2×	1
UnitedHealthcare	$39,948	2.4×	1
Valor	$17,269	1.1×	1
Medina Hospital median $36,308 · local Medicare $16,414 · file 2026-06-15
Aetna	$37,578	2.3×	3
Cigna	$41,674	2.5×	1
Elevance/Anthem/Empire	$26,914	1.6×	3
MMO	$35,038	2.1×	1
Medical Benefit	$74,300	4.5×	1
Pphp	$17,859	1.1×	1
UnitedHealthcare	$39,948	2.4×	1
Valor	$16,236	1.0×	1
University Hospitals Cleveland Medical Center median $41,242 · local Medicare $16,414 · file 2026-07-14
Aetna	$39,685	2.4×	2
AultCare	$40,689	2.5×	1
Cigna	$41,796	2.5×	1
Elevance/Anthem/Empire	$40,563	2.5×	2
JP Farley	$34,488	2.1×	1
Medical Mutual of Ohio	$45,548	2.8×	3
SummaCare	$45,069	2.7×	1
The Health Plan	$42,786	2.6×	1
UnitedHealthcare	$52,223	3.2×	2
University Health Employee Plan (Contigo)	$28,724	1.7×	1
Cleveland Clinic (main campus) median $56,114 · local Medicare $16,414 · file 2026-06-16
Aetna	$56,114	3.4×	3
Cigna	$22,000	1.3×	1
Elevance/Anthem/Empire	$17,927	1.1×	2
Humana	$21,681	1.3×	1
MMO	$44,902	2.7×	1
Medical Benefit	$74,300	4.5×	1
Ohio Healthy	$74,300	4.5×	1
Parkview Health Plan	$74,300	4.5×	1
Pphp	$24,973	1.5×	1
Quality Care Partners	$59,800	3.6×	2
The Health Plan	$68,700	4.2×	1
UnitedHealthcare	$65,607	4.0×	2
Valor	$22,702	1.4×	1

Questions

How much does anti-reflux surgery (fundoplication) cost with commercial insurance in Cleveland OH?

10 Cleveland OH hospitals post usable commercial rates for CPT 43280, hospital outpatient. The median across hospitals is $11,062; hospital medians range from $8,037 to $21,119. Your cost depends on your plan's deductible and coinsurance.