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

Posted commercial rates at 24 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
South Shore Hospital South Weymouth$8,8530.7×32026-04-01
Umass Memorial Health-Milford Regional Medical Ctr Milford$9,8660.8×22026-04-01
Emerson Hospital - W Concord$11,5090.9×32026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$11,5350.9×12026-04-01
New England Baptist Hospital Boston$11,9160.9×42026-04-01
Beverly Hospital Corporation Beverly$12,8101.0×32026-04-01
Winchester Hospital Winchester$13,0171.0×32026-04-01
Signature Healthcare Brockton Hospital Brockton$15,1461.2×52026-01-28
Mount Auburn Hospital Cambridge$16,2001.3×22026-04-01
Anna Jaques Hospital Newburyport$16,3241.3×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$16,8291.3×22026-04-01
Beth Israel Deaconess Hospital - Needham Needham$17,5221.4×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$18,8601.5×22026-04-01
Beth Israel Deaconess Medical Center Boston$19,4501.5×22026-04-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Medical Ctr Springfield$8,8530.7×272026-03-31
South Shore Hospital South Weymouth$8,8530.7×32026-04-01
Emerson Hospital - W Concord$11,5090.9×32026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$11,5350.9×12026-04-01
New England Baptist Hospital Boston$11,9160.9×42026-04-01
Umass Memorial Health-Milford Regional Medical Ctr Milford$12,6241.0×12026-04-01
Beverly Hospital Corporation Beverly$12,8101.0×32026-04-01
Winchester Hospital Winchester$13,0171.0×32026-04-01
Signature Healthcare Brockton Hospital Brockton$15,8641.3×42026-01-28
Mount Auburn Hospital Cambridge$16,2001.3×22026-04-01
Anna Jaques Hospital Newburyport$16,3241.3×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$16,8291.3×22026-04-01
Beth Israel Deaconess Hospital - Needham Needham$17,5221.4×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$18,8601.5×22026-04-01
Beth Israel Deaconess Medical Center Boston$19,4501.5×22026-04-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Umass Memorial Medical Center Inc Worcester$8,8840.6×12026-03-26
Emerson Hospital - W Concord$11,3630.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$11,4240.8×22026-04-01
Anna Jaques Hospital Newburyport$12,0360.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$12,3920.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$13,6611.0×12026-04-01
Mount Auburn Hospital Cambridge$14,1921.0×12026-04-01
Beverly Hospital Corporation Beverly$14,8211.1×12026-04-01
Winchester Hospital Winchester$14,8211.1×12026-04-01
Holyoke Medical Center Holyoke$15,9501.1×62026-05-01
Beth Israel Deaconess Medical Center Boston$15,9561.1×22026-04-01
New England Baptist Hospital Boston$17,0811.2×32026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$18,9301.4×32026-03-25
Fairview Hospital Great Barrington$21,8681.6×12026-03-25
North Adams Regional Hospital North Adams$21,8681.6×12026-03-25
Lowell General Hospital Lowell$22,9581.6×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$23,3541.7×42026-04-01
Signature Healthcare Brockton Hospital Brockton$23,4381.7×42026-01-28
Mercy Medical Ctr Springfield$26,7001.9×92026-03-31
Tufts Medical Center Boston$33,2432.4×52026-04-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$17,3330.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$17,4260.8×22026-04-01
Anna Jaques Hospital Newburyport$18,3610.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$18,9030.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$20,8391.0×12026-04-01
Mount Auburn Hospital Cambridge$21,6481.0×12026-04-01
Beverly Hospital Corporation Beverly$22,6091.1×12026-04-01
Winchester Hospital Winchester$22,6091.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$24,3391.1×22026-04-01
New England Baptist Hospital Boston$26,0551.2×32026-04-01
Signature Healthcare Brockton Hospital Brockton$32,6041.5×42026-01-28
Fairview Hospital Great Barrington$33,3581.6×12026-03-25
North Adams Regional Hospital North Adams$33,3581.6×12026-03-25
Lowell General Hospital Lowell$34,6891.6×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$35,6241.7×42026-04-01
Brigham and Women's Hospital Boston$36,6421.7×12026-03-27
Massachusetts General Hospital Boston$38,2861.8×12026-03-27
Berkshire Medical Center Inc - 1 Pittsfield$41,8672.0×32026-03-25
Mercy Medical Ctr Springfield$45,2742.1×82026-03-31
Tufts Medical Center Boston$50,7102.4×52026-04-01
Holyoke Medical Center Holyoke$56,6622.7×62026-05-01

Questions

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

24 Massachusetts hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 14 hospitals is $14,082, 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.