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

Posted commercial rates at 8 Michigan 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
Mclaren Port Huron Port Huron$8,1850.8×12025-12-31
Henry Ford Health Rochester Hospital Rochester$8,8210.8×12026-01-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$8,9280.8×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$8,9280.8×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$8,9280.8×12026-05-01
Harper University Hospital Detroit$9,4070.9×12026-09-02

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Trinity Health Oakland Hospital Pontiac$8,4250.8×162026-03-31
Harper University Hospital Detroit$9,4070.9×12026-09-02
Henry Ford Health Rochester Hospital Rochester$9,9180.9×12026-01-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$22,4452.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$22,4452.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$22,4452.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$26,1642.3×22026-05-01
Mclaren Port Huron Port Huron$27,7522.4×12025-12-31
Trinity Health Oakland Hospital Pontiac$31,6272.8×172026-03-31
Harper University Hospital Detroit$32,6522.9×22026-09-02
Henry Ford Health Rochester Hospital Rochester$33,3532.9×12026-01-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$34,2382.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$34,2382.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$34,2382.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$39,7672.3×22026-05-01
Mclaren Port Huron Port Huron$42,0652.4×12025-12-31
Trinity Health Oakland Hospital Pontiac$47,9382.8×172026-03-31
Harper University Hospital Detroit$49,6262.9×22026-09-02
Henry Ford Health Rochester Hospital Rochester$50,5552.9×12026-01-01

Questions

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

8 Michigan hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 6 hospitals is $8,928, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.