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Anti-reflux surgery (fundoplication) in Detroit MI

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
Henry Ford Health Rochester Hospital median $8,821 · local Medicare $10,592 · file 2026-01-01
BCBS Michigan	$8,821	0.8×	4
Corewell Health Dearborn Hospital median $8,928 · local Medicare $10,592 · file 2026-05-01
Priority Health	$8,928	0.8×	1
Corewell Health Beaumont Grosse Pointe Hospital median $8,928 · local Medicare $10,592 · file 2026-05-01
Cigna	$8,928	0.8×	1
Priority Health	$8,928	0.8×	1
Corewell Health William Beaumont University Hospit median $8,928 · local Medicare $10,592 · file 2026-05-01
Cigna	$8,928	0.8×	1
Priority Health	$8,928	0.8×	1
Corewell Health Wayne Hospital median $8,928 · local Medicare $10,592 · file 2026-05-01
Cigna	$8,928	0.8×	1
Priority Health	$8,928	0.8×	1
Corewell Health Farmington Hills Hospital median $8,928 · local Medicare $10,592 · file 2026-05-01
Cigna	$8,928	0.8×	1
Priority Health	$8,928	0.8×	1
Corewell Health Trenton Hospital median $8,928 · local Medicare $10,592 · file 2026-05-01
Cigna	$8,928	0.8×	1
Priority Health	$8,928	0.8×	1
Mclaren Port Huron median $9,170 · local Medicare $10,592 · file 2025-12-31
BCBS Michigan	$8,185	0.8×	1
MI Amish Medical Board	$10,154	1.0×	1
Harper University Hospital median $9,407 · local Medicare $10,592 · file 2026-09-02
UnitedHealthcare	$9,407	0.9×	1
Huron Valley-Sinai Hospital median $9,407 · local Medicare $10,592 · file 2026-05-20
UnitedHealthcare	$9,407	0.9×	1
Mclaren Lapeer Region median $9,789 · local Medicare $10,592 · file 2025-12-31
BCBS Michigan	$9,424	0.9×	1
MI Amish Medical Board	$10,154	1.0×	1
Henry Ford Health Macomb Hospital median $12,382 · local Medicare $10,592 · file 2026-06-28
BCBS Michigan	$12,055	1.1×	3
Bcn	$12,055	1.1×	1
HAP	$12,710	1.2×	1
Nomi	$19,489	1.8×	1
Priority Health	$17,308	1.6×	1
ScriptGuideRX	$5,539	0.5×	1
UnitedHealthcare	$10,592	1.0×	1
Vitalcore	$24,361	2.3×	1
Henry Ford Health Hospital median $15,124 · local Medicare $10,592 · file 2026-06-28
BCBS Michigan	$14,004	1.3×	4
Bcn	$16,243	1.5×	1
HAP	$12,710	1.2×	1
Nomi	$20,654	1.9×	1
Priority Health	$17,308	1.6×	1
ScriptGuideRX	$5,539	0.5×	1
UnitedHealthcare	$10,592	1.0×	1
Vitalcore	$24,361	2.3×	1

CPT 43281

Hospital · insurer	Rate	× Medicare	Plans
Trinity Health Oakland Hospital median $8,425 · local Medicare $10,592 · file 2026-03-31
BCBS (other)	$8,425	0.8×	1
BCBS AZ	$8,425	0.8×	1
BCBS MN	$8,425	0.8×	1
BCBS Michigan	$8,425	0.8×	28
BCBS NC	$8,425	0.8×	1
BCBS TN	$8,425	0.8×	1
Bcn Domestic	$8,425	0.8×	1
CareFirst BCBS	$8,425	0.8×	2
Elevance/Anthem/Empire	$8,425	0.8×	13
Employee Benefit Logistic	$24,436	2.3×	1
Excellus BCBS	$8,425	0.8×	1
Health Cost Solutions	$16,417	1.5×	1
Highmark BCBS	$8,425	0.8×	5
Horizon BCBS NJ	$8,425	0.8×	1
Independence Blue Cross	$8,425	0.8×	1
Kaiser Permanente	$8,425	0.8×	1
Premera Blue Cross	$8,425	0.8×	2
Priority Health	$7,395	0.7×	2
Regence BlueShield	$8,425	0.8×	4
Vitalcore	$16,417	1.5×	1
Wellmark BCBS	$8,425	0.8×	2
Wellpath	$16,417	1.5×	1
Harper University Hospital median $9,407 · local Medicare $10,592 · file 2026-09-02
UnitedHealthcare	$9,407	0.9×	1
Huron Valley-Sinai Hospital median $9,407 · local Medicare $10,592 · file 2026-05-20
UnitedHealthcare	$9,407	0.9×	1
Trinity Health Livonia Hospital median $9,596 · local Medicare $10,592 · file 2026-03-31
BCBS (other)	$9,596	0.9×	1
BCBS AZ	$9,596	0.9×	1
BCBS MN	$9,596	0.9×	1
BCBS Michigan	$9,596	0.9×	29
BCBS NC	$9,596	0.9×	1
BCBS TN	$9,596	0.9×	1
Bcn Domestic	$9,596	0.9×	1
CareFirst BCBS	$9,596	0.9×	2
Elevance/Anthem/Empire	$9,596	0.9×	13
Employee Benefit Logistic	$23,841	2.3×	1
Excellus BCBS	$9,596	0.9×	1
Health Cost Solutions	$16,424	1.6×	1
Highmark BCBS	$9,596	0.9×	5
Horizon BCBS NJ	$9,596	0.9×	1
Independence Blue Cross	$9,596	0.9×	1
Kaiser Permanente	$9,596	0.9×	1
Premera Blue Cross	$9,596	0.9×	2
Priority Health	$7,825	0.7×	2
Regence BlueShield	$9,596	0.9×	4
Vitalcore	$16,424	1.6×	1
Wellmark BCBS	$9,596	0.9×	2
Wellpath	$16,424	1.6×	1
Henry Ford Health Rochester Hospital median $9,918 · local Medicare $10,592 · file 2026-01-01
BCBS Michigan	$9,918	0.9×	4
Trinity Health Livingston Hospital median $13,248 · local Medicare $10,592 · file 2026-03-31
BCBS (other)	$13,248	1.3×	1
BCBS AZ	$13,248	1.3×	1
BCBS MN	$13,248	1.3×	1
BCBS Michigan	$13,248	1.3×	29
BCBS NC	$13,248	1.3×	1
BCBS TN	$13,248	1.3×	1
Bcn Domestic	$14,848	1.4×	1
CareFirst BCBS	$13,248	1.3×	2
Elevance/Anthem/Empire	$13,248	1.3×	13
Employee Benefit Logistic	$23,882	2.3×	1
Excellus BCBS	$13,248	1.3×	1
Health Cost Solutions	$16,452	1.6×	1
Highmark BCBS	$13,248	1.3×	5
Horizon BCBS NJ	$13,248	1.3×	1
Independence Blue Cross	$13,248	1.3×	1
Kaiser Permanente	$13,248	1.3×	1
Premera Blue Cross	$13,248	1.3×	2
Priority Health	$8,216	0.8×	2
Regence BlueShield	$13,248	1.3×	4
Vitalcore	$16,452	1.6×	1
Wellmark BCBS	$13,248	1.3×	2
Wellpath	$16,452	1.6×	2
Henry Ford Health Macomb Hospital median $13,554 · local Medicare $10,592 · file 2026-06-28
BCBS Michigan	$13,554	1.3×	3
Bcn	$13,554	1.3×	1
HAP	$12,710	1.2×	1
Priority Health	$17,308	1.6×	1
ScriptGuideRX	$5,539	0.5×	1
UnitedHealthcare	$10,592	1.0×	1
Vitalcore	$24,361	2.3×	1
Henry Ford Health Hospital median $14,228 · local Medicare $10,592 · file 2026-06-28
Aetna	$5,757	0.5×	1
BCBS Michigan	$15,746	1.5×	4
Bcn	$18,263	1.7×	1
HAP	$12,710	1.2×	1
Priority Health	$17,308	1.6×	1
ScriptGuideRX	$5,539	0.5×	1
UnitedHealthcare	$10,872	1.0×	2
Vitalcore	$24,361	2.3×	1

MS-DRG 328

Hospital · insurer	Rate	× Medicare	Plans
Henry Ford Health -St John Hospital median $15,962 · local Medicare $11,359 · file 2026-01-01
Aetna	$9,410	0.8×	1
Humana	$8,400	0.7×	1
MultiPlan/PHCS (rental network)	$9,410	0.8×	2
Ppom	$15,962	1.4×	1
Priority HMO	$19,777	1.7×	1
Priority PPO	$19,777	1.7×	1
Smarthealth	$17,362	1.5×	1
UnitedHealthcare	$10,828	1.0×	4
Corewell Health Beaumont Grosse Pointe Hospital median $21,949 · local Medicare $11,359 · file 2026-05-01
Aetna	$22,445	2.0×	1
BCBS Michigan	$28,814	2.5×	1
Cigna	$21,949	1.9×	1
Health Alliance Plan	$17,793	1.6×	2
Priority Health	$21,949	1.9×	1
Corewell Health William Beaumont University Hospit median $21,949 · local Medicare $11,359 · file 2026-05-01
Aetna	$22,445	2.0×	1
BCBS Michigan	$29,064	2.6×	1
Cigna	$21,949	1.9×	1
Health Alliance Plan	$20,193	1.8×	2
Priority Health	$21,949	1.9×	1
Corewell Health Wayne Hospital median $21,949 · local Medicare $11,359 · file 2026-05-01
Aetna	$22,445	2.0×	1
BCBS Michigan	$30,774	2.7×	1
Cigna	$21,949	1.9×	1
Health Alliance Plan	$18,629	1.6×	1
Priority Health	$21,949	1.9×	1
Corewell Health Farmington Hills Hospital median $21,949 · local Medicare $11,359 · file 2026-05-01
Aetna	$22,445	2.0×	1
BCBS Michigan	$30,692	2.7×	1
Cigna	$21,949	1.9×	1
Health Alliance Plan	$16,611	1.5×	3
MultiPlan/PHCS (rental network)	$13,146	1.2×	1
Priority Health	$21,949	1.9×	1
Corewell Health Trenton Hospital median $21,949 · local Medicare $11,359 · file 2026-05-01
Aetna	$22,445	2.0×	1
BCBS Michigan	$28,707	2.5×	1
Cigna	$21,949	1.9×	1
Health Alliance Plan	$18,629	1.6×	1
Priority Health	$21,949	1.9×	1
Henry Ford Health Rochester Hospital median $22,099 · local Medicare $11,359 · file 2026-01-01
BCBS Michigan	$33,353	2.9×	4
Smarthealth	$10,845	1.0×	1
Corewell Health Dearborn Hospital median $22,197 · local Medicare $11,359 · file 2026-05-01
Aetna	$22,445	2.0×	1
BCBS Michigan	$29,884	2.6×	1
Health Alliance Plan	$18,629	1.6×	1
Priority Health	$21,949	1.9×	1
Henry Ford Health Macomb Hospital median $22,232 · local Medicare $11,359 · file 2026-06-28
Aetna	$21,237	1.9×	1
BCBS Michigan	$28,624	2.5×	3
Bcn	$28,624	2.5×	1
Cofinity (rental network)	$16,633	1.5×	1
HAP	$15,578	1.4×	3
Nomi	$22,527	2.0×	1
Priority Health	$22,473	2.0×	1
UnitedHealthcare	$20,059	1.8×	3
Vitalcore	$21,990	1.9×	1
Mclaren Port Huron median $27,752 · local Medicare $11,359 · file 2025-12-31
BCBS Michigan	$27,752	2.4×	1
Trinity Health Oakland Hospital median $31,627 · local Medicare $11,359 · file 2026-03-31
Aetna	$23,897	2.1×	4
Asr Health Benefits	$26,218	2.3×	1
BCBS (other)	$31,627	2.8×	1
BCBS AZ	$31,627	2.8×	1
BCBS MN	$31,627	2.8×	1
BCBS Michigan	$31,627	2.8×	29
BCBS NC	$31,627	2.8×	1
BCBS TN	$31,627	2.8×	1
Bcn Domestic	$31,627	2.8×	1
CareFirst BCBS	$31,627	2.8×	2
Elevance/Anthem/Empire	$31,627	2.8×	13
Employee Benefit Logistic	$14,260	1.3×	1
Excellus BCBS	$31,627	2.8×	1
HAP	$26,218	2.3×	2
Highmark BCBS	$31,627	2.8×	5
Horizon BCBS NJ	$31,627	2.8×	1
Independence Blue Cross	$31,627	2.8×	1
Kaiser Permanente	$31,627	2.8×	1
Premera Blue Cross	$31,627	2.8×	2
Priority Health	$24,763	2.2×	2
Regence BlueShield	$31,627	2.8×	4
U Of M Health Plan	$22,560	2.0×	1
Varipro	$26,218	2.3×	1
Wellmark BCBS	$31,627	2.8×	2
Huron Valley-Sinai Hospital median $32,184 · local Medicare $11,359 · file 2026-05-20
BCBS Michigan	$35,017	3.1×	1
UnitedHealthcare	$29,352	2.6×	4
Henry Ford Health Hospital median $32,466 · local Medicare $11,359 · file 2026-06-28
Aetna	$33,740	3.0×	1
BCBS Michigan	$42,221	3.7×	3
Bcn	$42,221	3.7×	1
Cofinity (rental network)	$29,590	2.6×	1
HAP	$20,961	1.8×	3
Nomi	$31,192	2.7×	1
Priority Health	$27,623	2.4×	1
UnitedHealthcare	$58,063	5.1×	3
Vitalcore	$25,261	2.2×	1
Harper University Hospital median $32,652 · local Medicare $11,359 · file 2026-09-02
BCBS Michigan	$37,898	3.3×	1
UnitedHealthcare	$27,407	2.4×	4
Trinity Health Livonia Hospital median $39,149 · local Medicare $11,359 · file 2026-03-31
Aetna	$25,315	2.2×	4
Asr Health Benefits	$27,590	2.4×	1
BCBS (other)	$39,149	3.4×	1
BCBS AZ	$39,149	3.4×	1
BCBS MN	$39,149	3.4×	1
BCBS Michigan	$39,149	3.4×	29
BCBS NC	$39,149	3.4×	1
BCBS TN	$39,149	3.4×	1
Bcn Domestic	$39,149	3.4×	1
CareFirst BCBS	$39,149	3.4×	2
Elevance/Anthem/Empire	$39,149	3.4×	13
Employee Benefit Logistic	$26,514	2.3×	1
Excellus BCBS	$39,149	3.4×	1
HAP	$27,590	2.4×	2
Highmark BCBS	$39,149	3.4×	5
Horizon BCBS NJ	$39,149	3.4×	1
Independence Blue Cross	$39,149	3.4×	1
Kaiser Permanente	$39,149	3.4×	1
Premera Blue Cross	$39,149	3.4×	2
Priority Health	$26,058	2.3×	2
Regence BlueShield	$39,149	3.4×	4
U Of M Health Plan	$23,741	2.1×	1
Varipro	$27,590	2.4×	1
Wellmark BCBS	$39,149	3.4×	2
Trinity Health Livingston Hospital median $41,453 · local Medicare $11,359 · file 2026-03-31
Aetna	$23,799	2.1×	3
Asr Health Benefits	$24,456	2.2×	1
BCBS (other)	$41,453	3.6×	1
BCBS AZ	$41,453	3.6×	1
BCBS MN	$41,453	3.6×	1
BCBS Michigan	$41,453	3.6×	29
BCBS NC	$41,453	3.6×	1
BCBS TN	$41,453	3.6×	1
Bcn Domestic	$41,453	3.6×	1
CareFirst BCBS	$41,453	3.6×	2
Elevance/Anthem/Empire	$41,453	3.6×	13
Employee Benefit Logistic	$26,314	2.3×	1
Excellus BCBS	$41,453	3.6×	1
HAP	$24,456	2.2×	2
Health Cost Solutions	$18,127	1.6×	1
Highmark BCBS	$41,453	3.6×	5
Horizon BCBS NJ	$41,453	3.6×	1
Independence Blue Cross	$41,453	3.6×	1
Kaiser Permanente	$41,453	3.6×	1
Premera Blue Cross	$41,453	3.6×	2
Priority Health	$24,774	2.2×	2
Regence BlueShield	$41,453	3.6×	4
U Of M Health Plan	$22,572	2.0×	1
Varipro	$24,456	2.2×	1
Wellmark BCBS	$41,453	3.6×	2
Wellpath	$18,127	1.6×	1

MS-DRG 327

Hospital · insurer	Rate	× Medicare	Plans
Henry Ford Health -St John Hospital median $26,485 · local Medicare $17,328 · file 2026-01-01
Ppom	$25,714	1.5×	1
Priority HMO	$31,861	1.8×	1
Priority PPO	$31,861	1.8×	1
Smarthealth	$26,485	1.5×	1
UnitedHealthcare	$10,828	0.6×	4
Mclaren Lapeer Region median $29,886 · local Medicare $17,328 · file 2025-12-31
BCBS Michigan	$34,677	2.0×	1
MI Amish Medical Board	$25,094	1.4×	1
Corewell Health Beaumont Grosse Pointe Hospital median $33,481 · local Medicare $17,328 · file 2026-05-01
Aetna	$34,238	2.0×	1
BCBS Michigan	$43,674	2.5×	1
Cigna	$33,481	1.9×	1
Health Alliance Plan	$27,142	1.6×	2
Priority Health	$33,481	1.9×	1
Corewell Health William Beaumont University Hospit median $33,481 · local Medicare $17,328 · file 2026-05-01
Aetna	$34,238	2.0×	1
BCBS Michigan	$44,053	2.5×	1
Cigna	$33,481	1.9×	1
Health Alliance Plan	$30,804	1.8×	2
Priority Health	$33,481	1.9×	1
Corewell Health Wayne Hospital median $33,481 · local Medicare $17,328 · file 2026-05-01
Aetna	$34,238	2.0×	1
BCBS Michigan	$46,645	2.7×	1
Cigna	$33,481	1.9×	1
Health Alliance Plan	$28,418	1.6×	1
Priority Health	$33,481	1.9×	1
Corewell Health Farmington Hills Hospital median $33,481 · local Medicare $17,328 · file 2026-05-01
Aetna	$34,238	2.0×	1
BCBS Michigan	$46,521	2.7×	1
Cigna	$33,481	1.9×	1
Health Alliance Plan	$25,338	1.5×	3
MultiPlan/PHCS (rental network)	$20,032	1.2×	1
Priority Health	$33,481	1.9×	1
Corewell Health Trenton Hospital median $33,481 · local Medicare $17,328 · file 2026-05-01
Aetna	$34,238	2.0×	1
BCBS Michigan	$43,512	2.5×	1
Cigna	$33,481	1.9×	1
Health Alliance Plan	$28,418	1.6×	1
Priority Health	$33,481	1.9×	1
Henry Ford Health Rochester Hospital median $33,550 · local Medicare $17,328 · file 2026-01-01
BCBS Michigan	$50,555	2.9×	4
Smarthealth	$16,544	1.0×	1
Henry Ford Health Macomb Hospital median $33,738 · local Medicare $17,328 · file 2026-06-28
Aetna	$32,395	1.9×	1
BCBS Michigan	$43,386	2.5×	3
Bcn	$43,386	2.5×	1
Cofinity (rental network)	$25,373	1.5×	1
HAP	$23,763	1.4×	3
Nomi	$34,363	2.0×	1
Priority Health	$34,246	2.0×	1
UnitedHealthcare	$30,599	1.8×	3
Vitalcore	$33,229	1.9×	1
Corewell Health Dearborn Hospital median $33,860 · local Medicare $17,328 · file 2026-05-01
Aetna	$34,238	2.0×	1
BCBS Michigan	$45,296	2.6×	1
Health Alliance Plan	$28,418	1.6×	1
Priority Health	$33,481	1.9×	1
Mclaren Port Huron median $42,065 · local Medicare $17,328 · file 2025-12-31
BCBS Michigan	$42,065	2.4×	1
Trinity Health Oakland Hospital median $47,938 · local Medicare $17,328 · file 2026-03-31
Aetna	$36,453	2.1×	4
Asr Health Benefits	$39,994	2.3×	1
BCBS (other)	$47,938	2.8×	1
BCBS AZ	$47,938	2.8×	1
BCBS MN	$47,938	2.8×	1
BCBS Michigan	$47,938	2.8×	29
BCBS NC	$47,938	2.8×	1
BCBS TN	$47,938	2.8×	1
Bcn Domestic	$47,938	2.8×	1
CareFirst BCBS	$47,938	2.8×	2
Elevance/Anthem/Empire	$47,938	2.8×	13
Employee Benefit Logistic	$21,753	1.3×	1
Excellus BCBS	$47,938	2.8×	1
HAP	$39,994	2.3×	2
Highmark BCBS	$47,938	2.8×	5
Horizon BCBS NJ	$47,938	2.8×	1
Independence Blue Cross	$47,938	2.8×	1
Kaiser Permanente	$47,938	2.8×	1
Premera Blue Cross	$47,938	2.8×	2
Priority Health	$37,774	2.2×	2
Regence BlueShield	$47,938	2.8×	4
U Of M Health Plan	$34,414	2.0×	1
Varipro	$39,994	2.3×	1
Wellmark BCBS	$47,938	2.8×	2
Huron Valley-Sinai Hospital median $48,926 · local Medicare $17,328 · file 2026-05-20
BCBS Michigan	$53,077	3.1×	1
UnitedHealthcare	$44,774	2.6×	4
Henry Ford Health Hospital median $49,524 · local Medicare $17,328 · file 2026-06-28
Aetna	$51,468	3.0×	1
BCBS Michigan	$63,996	3.7×	3
Bcn	$63,996	3.7×	1
Cofinity (rental network)	$45,137	2.6×	1
HAP	$31,975	1.8×	3
Nomi	$47,581	2.7×	1
Priority Health	$42,094	2.4×	1
UnitedHealthcare	$56,989	3.3×	3
Vitalcore	$37,311	2.2×	1
Harper University Hospital median $49,626 · local Medicare $17,328 · file 2026-09-02
BCBS Michigan	$57,444	3.3×	1
UnitedHealthcare	$41,807	2.4×	4
Trinity Health Livonia Hospital median $59,340 · local Medicare $17,328 · file 2026-03-31
Aetna	$38,616	2.2×	4
Asr Health Benefits	$42,087	2.4×	1
BCBS (other)	$59,340	3.4×	1
BCBS AZ	$59,340	3.4×	1
BCBS MN	$59,340	3.4×	1
BCBS Michigan	$59,340	3.4×	29
BCBS NC	$59,340	3.4×	1
BCBS TN	$59,340	3.4×	1
Bcn Domestic	$59,340	3.4×	1
CareFirst BCBS	$59,340	3.4×	2
Elevance/Anthem/Empire	$59,340	3.4×	13
Employee Benefit Logistic	$40,112	2.3×	1
Excellus BCBS	$59,340	3.4×	1
HAP	$42,087	2.4×	2
Highmark BCBS	$59,340	3.4×	5
Horizon BCBS NJ	$59,340	3.4×	1
Independence Blue Cross	$59,340	3.4×	1
Kaiser Permanente	$59,340	3.4×	1
Premera Blue Cross	$59,340	3.4×	2
Priority Health	$39,750	2.3×	2
Regence BlueShield	$59,340	3.4×	4
U Of M Health Plan	$36,216	2.1×	1
Varipro	$42,087	2.4×	1
Wellmark BCBS	$59,340	3.4×	2

Questions

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

13 Detroit MI hospitals post usable commercial rates for CPT 43280, hospital outpatient. The median across hospitals is $8,928; hospital medians range from $8,821 to $15,124. Your cost depends on your plan's deductible and coinsurance.