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

Posted commercial rates at 17 Idaho 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
St Joseph Regional Medical Center Lewiston$9,0870.9×12026-04-01
North Canyon Medical Center Gooding$10,4111.0×12026-04-13
Kootenai Health Coeur D'Alene$10,5521.0×32026-03-27
Treasure Valley Hospital Boise$10,7401.0×32026-09-02
Northwest Specialty Hospital Post Falls$13,2781.2×42026-03-05
Mountain View Hospital Idaho Falls$16,2901.6×22026-03-16
Saint Alphonsus Regional Medical Center Boise$17,1981.6×22026-03-31
Idaho Falls Community Hospital, Llc Idaho Falls$23,6292.3×32026-03-16
St Luke'S Nampa Medical Center Nampa$26,4452.5×72026-03-25
St Luke'S Jerome Jerome$26,4452.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$26,4452.5×82026-03-25
West Valley Medical Center Caldwell$26,6672.5×32026-09-01
St Luke'S Regional Medical Center Boise$31,1892.9×32026-03-25

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$9,0870.9×12026-04-01
Saint Alphonsus Regional Medical Center Boise$9,3200.9×22026-03-31
North Canyon Medical Center Gooding$10,4111.0×12026-04-13
Treasure Valley Hospital Boise$10,9961.0×22026-09-02
Northwest Specialty Hospital Post Falls$13,2781.2×42026-03-05
Mountain View Hospital Idaho Falls$16,0741.5×22026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$23,6292.3×32026-03-16
Kootenai Health Coeur D'Alene$24,6802.3×22026-03-27
St Luke'S Nampa Medical Center Nampa$26,4452.5×72026-03-25
St Luke'S Jerome Jerome$26,4452.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$26,4452.5×82026-03-25
West Valley Medical Center Caldwell$26,6672.5×32026-09-01
St Luke'S Regional Medical Center Boise$31,1892.9×32026-03-25

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$11,9561.0×22026-03-05
Treasure Valley Hospital Boise$16,8241.5×52026-09-02
Bonner General Hospital Sandpoint$17,0131.5×42026-08-01
West Valley Medical Center Caldwell$22,7622.0×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$24,7622.2×22026-03-16
Mountain View Hospital Idaho Falls$26,8052.4×22026-03-16
St Joseph Regional Medical Center Lewiston$29,9932.7×12026-04-01
Kootenai Health Coeur D'Alene$30,4802.6×42026-03-27
Saint Alphonsus Regional Medical Center Boise$32,7782.8×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$32,7782.8×242026-03-31
Intermountain Health Cassia Regional Hospital Burley$36,3393.2×12026-08-05
St Luke'S Regional Medical Center Boise$39,8533.5×32026-03-25
St Luke'S Nampa Medical Center Nampa$39,8533.5×32026-03-25
St Luke'S Jerome Jerome$39,8533.5×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$39,8533.5×32026-03-25
St Luke'S Wood River Medical Center Ketchum$44,9534.0×22026-03-25

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Bonner General Hospital Sandpoint$20,3341.2×42026-08-01
Northwest Specialty Hospital Post Falls$25,2201.4×12026-03-05
Treasure Valley Hospital Boise$25,6641.5×52026-09-02
West Valley Medical Center Caldwell$33,3161.9×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$38,3562.2×22026-03-16
Mountain View Hospital Idaho Falls$41,3292.4×22026-03-16
St Joseph Regional Medical Center Lewiston$45,4962.6×12026-04-01
Kootenai Health Coeur D'Alene$46,1692.6×42026-03-27
Saint Alphonsus Regional Medical Center Boise$49,4262.8×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$49,4262.8×242026-03-31
Intermountain Health Cassia Regional Hospital Burley$54,7943.2×12026-08-05
St Luke'S Regional Medical Center Boise$60,7273.5×32026-03-25
St Luke'S Nampa Medical Center Nampa$60,7273.5×32026-03-25
St Luke'S Jerome Jerome$60,7273.5×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$60,7273.5×32026-03-25
St Luke'S Wood River Medical Center Ketchum$67,7834.0×22026-03-25

Questions

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

17 Idaho hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 13 hospitals is $17,198, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.