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

Posted commercial rates at 56 Illinois 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
Northwestern Medicine Mchenry Hospital McHenry$7,0550.6×12026-04-01
Northwestern Lake Forest Hospital Lake Forest$7,0550.6×12026-04-01
Northwestern Medicine Delnor Community Hospital Geneva$7,0550.6×12026-04-01
Mt Sinai Hospital Medical Center Chicago$7,6070.7×72026-09-22
Holy Cross Hospital Chicago$7,6070.7×92026-09-22
Endeavor Health Evanston Hospital Evanston$8,1670.7×32026-04-01
Northwestern Memorial Hospital Chicago$8,3820.7×12026-04-01
West Suburban Medical Center Oak Park$9,0460.8×22025-03-17
Hammond Henry Hospital Geneseo$9,1800.8×12026-01-22
Carle Richland Memorial Hospital Olney$9,9700.9×12026-04-15
Uchicago Medicine Adventhealth La Grange La Grange$10,3970.9×22026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$10,3970.9×22026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$10,3970.9×22026-04-01
Morrison Community Hospital Morrison$10,7360.9×32026-03-13
Endeavor Health Northwest Community Hospital Arlington Heights$11,4101.0×22026-04-01
Endeavor Health Edward Hospital Naperville$12,1321.1×22026-04-01
Advocate Sherman Hospital Elgin$12,3281.1×12025-11-04
Ingalls Memorial Hospital Harvey$12,5301.1×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$12,9261.1×22026-04-01
Uchicago Medicine Adventhealth Hinsdale Hinsdale$13,1001.1×32026-04-01
Advocate Condell Medical Center Libertyville$13,5671.2×12025-11-04
Advocate Trinity Hospital Chicago$14,7161.3×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$14,7161.3×12025-11-04
Advocate Christ Medical Center Oak Lawn$14,7161.3×12025-11-04
Advocate Lutheran General Hospital Park Ridge$14,7161.3×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$14,7161.3×12025-11-04
Advocate Good Shepherd Hospital Barrington$14,7161.3×12025-11-04
Swedish Hospital Chicago$15,1271.3×32026-04-01
Deaconess Illinois Medical Center Marion$17,9071.6×52026-02-03
University of Chicago Medical Center Chicago$18,9301.7×22026-04-01
Carle Health Proctor Hospital Peoria$24,7532.2×12026-04-15
Carle Health Pekin Hospital Pekin$24,7532.2×12026-04-15
Carle Health Methodist Hospital Peoria$24,7532.2×12026-04-15
Trinity Rock Island Rock Island$26,2712.3×32026-01-28
Deaconess Illinois Crossroads Mount Vernon$30,9312.7×32026-02-03

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Northwestern Medicine Mchenry Hospital McHenry$7,0550.6×12026-04-01
Northwestern Lake Forest Hospital Lake Forest$7,0550.6×12026-04-01
Northwestern Medicine Delnor Community Hospital Geneva$7,0550.6×12026-04-01
Endeavor Health Evanston Hospital Evanston$8,1670.7×32026-04-01
Northwestern Memorial Hospital Chicago$8,3820.7×12026-04-01
West Suburban Medical Center Oak Park$9,0460.8×22025-03-17
Mt Sinai Hospital Medical Center Chicago$9,9670.9×42026-09-22
Holy Cross Hospital Chicago$9,9670.9×62026-09-22
Uchicago Medicine Adventhealth La Grange La Grange$10,3970.9×22026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$10,3970.9×22026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$10,3970.9×22026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$11,4101.0×22026-04-01
Hammond Henry Hospital Geneseo$12,0291.1×12026-01-22
Endeavor Health Edward Hospital Naperville$12,1321.1×22026-04-01
Advocate Sherman Hospital Elgin$12,3281.1×12025-11-04
Ingalls Memorial Hospital Harvey$12,5301.1×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$12,9261.1×22026-04-01
Uchicago Medicine Adventhealth Hinsdale Hinsdale$13,1001.1×32026-04-01
Advocate Condell Medical Center Libertyville$13,5671.2×12025-11-04
Morrison Community Hospital Morrison$14,1911.3×32026-03-13
Advocate Trinity Hospital Chicago$14,7161.3×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$14,7161.3×12025-11-04
Advocate Christ Medical Center Oak Lawn$14,7161.3×12025-11-04
Advocate Lutheran General Hospital Park Ridge$14,7161.3×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$14,7161.3×12025-11-04
Advocate Good Shepherd Hospital Barrington$14,7161.3×12025-11-04
Trinity Rock Island Rock Island$15,1231.3×52026-01-28
Swedish Hospital Chicago$15,1271.3×32026-04-01
Deaconess Illinois Medical Center Marion$17,9071.6×52026-02-03
University of Chicago Medical Center Chicago$18,9301.7×22026-04-01
St Marys Hospital Decatur$20,7491.8×12025-01-01
Carle Health Proctor Hospital Peoria$24,7532.2×12026-04-15
Carle Health Pekin Hospital Pekin$24,7532.2×12026-04-15
Carle Health Methodist Hospital Peoria$24,7532.2×12026-04-15
Deaconess Illinois Crossroads Mount Vernon$30,9312.7×32026-02-03

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Northwestern Medicine Delnor Community Hospital Geneva$12,1311.0×12026-04-01
Sarah Bush Lincoln Health Center Mattoon$12,7661.0×12026-06-03
Northwestern Medicine Mchenry Hospital McHenry$12,8171.0×22026-04-01
Decatur Memorial Hospital Decatur$13,5691.1×132026-09-17
Alexian Brothers Medical Center 1 Elk Grove Village$13,6921.1×42026-01-01
St Alexius Medical Center Hoffman Estates$14,2531.2×12026-01-01
Trinity Rock Island Rock Island$14,2781.2×52026-01-28
Riverside Medical Center Kankakee$14,6461.2×12026-03-15
Ingalls Memorial Hospital Harvey$14,8211.2×52026-04-01
Swedish Hospital Chicago$15,1131.2×32026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$15,1341.2×32026-04-01
Mercy Medical Center Aurora$16,0141.3×42026-09-01
Saint Francis Hospital-Evanston Evanston$16,3071.3×52026-09-01
Mt Sinai Hospital Medical Center Chicago$16,3911.3×62026-09-22
Uchicago Medicine Adventhealth La Grange La Grange$16,5781.4×52026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$16,5781.4×52026-04-01
Presence Saint Joseph Hospital - Chicago Chicago$16,6571.4×32026-01-01
Community First Medical Center Chicago$17,0341.4×52026-04-01
Carle Health Methodist Hospital Peoria$17,3951.4×52026-04-15
Endeavor Health Edward Hospital Naperville$17,4691.4×32026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$17,5111.4×62026-04-01
Carle Health Proctor Hospital Peoria$17,6481.4×52026-04-15
Carle Health Pekin Hospital Pekin$17,6481.4×52026-04-15
Uchicago Medicine Adventhealth Hinsdale Hinsdale$19,0041.6×72026-04-01
Carle Eureka Hospital Eureka$19,0561.6×52026-04-15
Endeavor Health Elmhurst Hospital Elmhurst$19,3721.6×32026-04-01
Advocate Sherman Hospital Elgin$19,6481.6×52025-11-04
Loyola Gottlieb Memorial Hospital Melrose Park$19,8631.6×52026-03-31
Advocate Condell Medical Center Libertyville$20,2001.6×42025-11-04
West Suburban Medical Center Oak Park$20,8781.7×52025-03-17
Northwestern Medicine Central DuPage Hospital Winfield$21,2991.7×12026-04-01
Alton Memorial Hospital Alton$21,9061.8×72025-12-15
Endeavor Health Evanston Hospital Evanston$22,2411.8×32026-04-01
Deaconess Illinois Medical Center Marion$22,8711.9×62026-02-03
Loyola University Medical Center Maywood$23,5861.9×42026-03-31
Rush University Medical Center Chicago$24,5362.0×42026-09-25
Advocate Illinois Masonic Medical Center Chicago$24,6082.0×42025-11-04
Jacksonville Memorial Hospital Jacksonville$24,7742.0×32026-09-17
Hoopeston Community Memorial Hospital Hoopeston$25,4962.1×12026-04-15
Advocate Good Shepherd Hospital Barrington$25,9092.1×42025-11-04
Advocate Trinity Hospital Chicago$26,0522.1×42025-11-04
Advocate Good Samaritan Hospital Downers Grove$26,0522.1×42025-11-04
Advocate Christ Medical Center Oak Lawn$26,9382.2×42025-11-04
Advocate Lutheran General Hospital Park Ridge$26,9382.2×42025-11-04
The Carle Foundation Hospital Urbana$27,1192.2×42026-04-15
St Marys Hospital Decatur$27,5802.2×22025-01-01
Deaconess Illinois Crossroads Mount Vernon$29,3792.4×42026-02-03
University of Chicago Medical Center Chicago$29,8032.4×52026-04-01
Taylorville Memorial Hospital Taylorville$51,8514.2×12026-09-17

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Northwestern Medicine Delnor Community Hospital Geneva$18,5051.0×12026-04-01
Sarah Bush Lincoln Health Center Mattoon$19,4731.0×12026-06-03
Northwestern Medicine Mchenry Hospital McHenry$19,5511.0×22026-04-01
Decatur Memorial Hospital Decatur$20,6981.1×132026-09-17
Alexian Brothers Medical Center 1 Elk Grove Village$20,8861.1×42026-01-01
St Alexius Medical Center Hoffman Estates$21,7411.2×12026-01-01
Trinity Rock Island Rock Island$21,7561.2×52026-01-28
Riverside Medical Center Kankakee$22,3171.2×12026-03-15
Ingalls Memorial Hospital Harvey$22,6091.2×52026-04-01
Swedish Hospital Chicago$23,0291.2×32026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$23,0611.2×32026-04-01
Mercy Medical Center Aurora$23,4121.3×42026-09-01
Rush Oak Park Hospital Oak Park$24,7251.3×42026-09-26
Saint Francis Hospital-Evanston Evanston$24,8751.3×52026-09-01
Uchicago Medicine Adventhealth La Grange La Grange$25,2641.4×52026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$25,2641.4×52026-04-01
Mt Sinai Hospital Medical Center Chicago$25,2961.4×62026-09-22
Presence Saint Joseph Hospital - Chicago Chicago$25,4091.4×32026-01-01
Endeavor Health Edward Hospital Naperville$26,6191.4×32026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$26,6851.4×62026-04-01
Carle Health Proctor Hospital Peoria$26,9201.4×52026-04-15
Carle Health Pekin Hospital Pekin$26,9201.4×52026-04-15
Carle Health Methodist Hospital Peoria$28,7831.5×52026-04-15
Uchicago Medicine Adventhealth Hinsdale Hinsdale$28,9591.5×72026-04-01
Northwestern Lake Forest Hospital Lake Forest$29,0271.6×12026-04-01
Carle Eureka Hospital Eureka$29,0521.6×52026-04-15
Endeavor Health Elmhurst Hospital Elmhurst$29,5201.6×32026-04-01
Advocate Sherman Hospital Elgin$29,9401.6×52025-11-04
Loyola Gottlieb Memorial Hospital Melrose Park$30,2661.6×52026-03-31
Advocate Condell Medical Center Libertyville$30,7801.6×42025-11-04
West Suburban Medical Center Oak Park$31,8131.7×52025-03-17
Northwestern Medicine Central DuPage Hospital Winfield$32,4911.7×12026-04-01
Alton Memorial Hospital Alton$33,3301.8×72025-12-15
Endeavor Health Evanston Hospital Evanston$33,8921.8×32026-04-01
Deaconess Illinois Medical Center Marion$34,7361.9×62026-02-03
Loyola University Medical Center Maywood$35,9401.9×42026-03-31
Rush University Medical Center Chicago$37,4292.0×42026-09-25
Advocate Illinois Masonic Medical Center Chicago$37,4962.0×42025-11-04
Jacksonville Memorial Hospital Jacksonville$37,7912.0×32026-09-17
Hoopeston Community Memorial Hospital Hoopeston$38,8502.1×12026-04-15
Advocate Good Shepherd Hospital Barrington$39,4782.1×42025-11-04
Advocate Trinity Hospital Chicago$39,6972.1×42025-11-04
Advocate Good Samaritan Hospital Downers Grove$39,6972.1×42025-11-04
Advocate Christ Medical Center Oak Lawn$41,0482.2×42025-11-04
Advocate Lutheran General Hospital Park Ridge$41,0482.2×42025-11-04
The Carle Foundation Hospital Urbana$41,3682.2×42026-04-15
St Marys Hospital Decatur$42,6302.3×22025-01-01
Deaconess Illinois Crossroads Mount Vernon$44,1802.4×42026-02-03
University of Chicago Medical Center Chicago$45,4622.4×52026-04-01
Taylorville Memorial Hospital Taylorville$99,4225.3×12026-09-17

Questions

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

56 Illinois hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 35 hospitals is $12,530, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.