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

Posted commercial rates at 3 New York 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
Montefiore Medical Center Bronx$12,8321.0×72026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$19,2881.4×62026-01-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$11,5200.9×42026-06-10
Montefiore Medical Center Bronx$12,8321.0×72026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$19,2881.4×62026-01-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$15,6651.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.3×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$51,4233.5×72026-01-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$23,8711.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.5×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$78,4423.5×72026-01-01

Questions

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

3 New York hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 2 hospitals is $16,060, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.