Price AtlasInteractive atlas · All states · techysurgeon.comAnti-reflux surgery (fundoplication) in New York City
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 43280
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Maimonides Medical Center median $8,621 · local Medicare $13,269 · file 2026-04-01 | |||
| 1199SEIU | $8,232 | 0.6× | 1 |
| Aetna | $7,597 | 0.6× | 3 |
| Centivo | $9,010 | 0.7× | 1 |
| Elevance/Anthem/Empire | $12,297 | 0.9× | 2 |
| EmblemHealth | $40,338 | 3.0× | 1 |
| Magnacare (rental network) | $9,222 | 0.7× | 1 |
| UnitedHealthcare | $7,945 | 0.6× | 7 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| Jacobi Medical Center median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| Elmhurst Hospital Center median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| South Brooklyn Health median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $18,160 · local Medicare $13,269 · file 2026-01-01 | |||
| 1199SEIU | $20,415 | 1.5× | 3 |
| Aetna | $16,624 | 1.3× | 24 |
| BCBS (other) | $26,526 | 2.0× | 16 |
| Centerlight | $12,566 | 0.9× | 2 |
| Elevance/Anthem/Empire | $26,526 | 2.0× | 32 |
| EmblemHealth | $8,427 | 0.6× | 69 |
| Magnacare (rental network) | $25,798 | 1.9× | 10 |
| UnitedHealthcare | $18,160 | 1.4× | 24 |
| Montefiore Medical Center median $19,324 · local Medicare $13,269 · file 2026-04-01 | |||
| 1199SEIU | $12,832 | 1.0× | 1 |
| Aetna | $24,470 | 1.8× | 2 |
| Christian Brothers | $25,839 | 1.9× | 1 |
| Cigna | $10,280 | 0.8× | 2 |
| Elevance/Anthem/Empire | $11,622 | 0.9× | 7 |
| EmblemHealth | $16,741 | 1.3× | 6 |
| Healthfirst | $11,279 | 0.9× | 1 |
| Nat Assoc Letter Carriers | $25,839 | 1.9× | 1 |
| Nippon Life Insurance | $25,839 | 1.9× | 1 |
| Northwell | $41,001 | 3.1× | 1 |
| Point Comfort | $13,269 | 1.0× | 1 |
| UnitedHealthcare | $21,908 | 1.7× | 4 |
CPT 43281
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Maimonides Medical Center median $8,621 · local Medicare $13,269 · file 2026-04-01 | |||
| 1199SEIU | $8,232 | 0.6× | 1 |
| Aetna | $7,597 | 0.6× | 3 |
| Centivo | $9,010 | 0.7× | 1 |
| Elevance/Anthem/Empire | $12,297 | 0.9× | 2 |
| EmblemHealth | $40,338 | 3.0× | 1 |
| Magnacare (rental network) | $9,222 | 0.7× | 1 |
| UnitedHealthcare | $7,945 | 0.6× | 7 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| Jacobi Medical Center median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| Elmhurst Hospital Center median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| South Brooklyn Health median $16,112 · local Medicare $13,269 · file 2026-09-05 | |||
| Magnacare (rental network) | $14,784 | 1.1× | 4 |
| Oscar | $19,904 | 1.5× | 1 |
| Vaccn | $12,320 | 0.9× | 1 |
| Montefiore Medical Center median $16,741 · local Medicare $13,269 · file 2026-04-01 | |||
| 1199SEIU | $12,832 | 1.0× | 1 |
| Aetna | $24,470 | 1.8× | 3 |
| Christian Brothers | $25,839 | 1.9× | 1 |
| Cigna | $7,811 | 0.6× | 2 |
| Elevance/Anthem/Empire | $11,308 | 0.9× | 12 |
| EmblemHealth | $16,741 | 1.3× | 8 |
| Healthfirst | $11,279 | 0.9× | 1 |
| Mvp | $7,811 | 0.6× | 1 |
| Nat Assoc Letter Carriers | $25,839 | 1.9× | 1 |
| Nippon Life Insurance | $25,839 | 1.9× | 1 |
| Northwell | $41,001 | 3.1× | 1 |
| Point Comfort | $13,269 | 1.0× | 1 |
| UnitedHealthcare | $21,908 | 1.7× | 5 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $18,160 · local Medicare $13,269 · file 2026-01-01 | |||
| 1199SEIU | $20,415 | 1.5× | 3 |
| Aetna | $16,624 | 1.3× | 24 |
| BCBS (other) | $26,526 | 2.0× | 16 |
| Centerlight | $12,566 | 0.9× | 2 |
| Elevance/Anthem/Empire | $26,526 | 2.0× | 32 |
| EmblemHealth | $8,427 | 0.6× | 69 |
| Magnacare (rental network) | $25,798 | 1.9× | 10 |
| UnitedHealthcare | $18,160 | 1.4× | 24 |
MS-DRG 328
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $14,200 · local Medicare $14,501 · file 2026-04-01 | |||
| EmblemHealth | $15,665 | 1.1× | 1 |
| Point Comfort | $12,736 | 0.9× | 1 |
| Jamaica Hospital Medical Center median $27,128 · local Medicare $14,501 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $26,027 | 1.8× | 1 |
| Aetna | $28,228 | 1.9× | 4 |
| Centerlight Healthcare | $23,701 | 1.6× | 1 |
| Centivo | $29,827 | 2.1× | 1 |
| Cigna | $28,331 | 2.0× | 1 |
| Create Health Plan | $37,779 | 2.6× | 1 |
| Elderplan | $23,701 | 1.6× | 1 |
| EmblemHealth | $25,966 | 1.8× | 3 |
| South Brooklyn Health median $30,005 · local Medicare $14,501 · file 2026-09-05 | |||
| 1199SEIU | $21,120 | 1.5× | 1 |
| Aetna | $30,005 | 2.1× | 1 |
| Cigna | $31,463 | 2.2× | 1 |
| EmblemHealth | $31,867 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $33,687 | 2.3× | 1 |
| Oscar | $30,050 | 2.1× | 1 |
| UnitedHealthcare | $29,654 | 2.0× | 3 |
| Vaccn | $27,225 | 1.9× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $30,050 · local Medicare $14,501 · file 2026-09-05 | |||
| 1199SEIU | $21,120 | 1.5× | 1 |
| Aetna | $30,005 | 2.1× | 1 |
| Cigna | $31,463 | 2.2× | 1 |
| EmblemHealth | $31,867 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $31,245 | 2.2× | 1 |
| Oscar | $30,050 | 2.1× | 1 |
| UnitedHealthcare | $25,267 | 1.7× | 3 |
| Vaccn | $48,913 | 3.4× | 1 |
| Elmhurst Hospital Center median $30,863 · local Medicare $14,501 · file 2026-09-05 | |||
| 1199SEIU | $21,120 | 1.5× | 1 |
| Aetna | $30,005 | 2.1× | 1 |
| Cigna | $31,463 | 2.2× | 1 |
| EmblemHealth | $31,867 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $42,866 | 3.0× | 1 |
| Oscar | $30,050 | 2.1× | 1 |
| UnitedHealthcare | $30,863 | 2.1× | 4 |
| Vaccn | $46,430 | 3.2× | 1 |
| Jacobi Medical Center median $31,463 · local Medicare $14,501 · file 2026-09-05 | |||
| 1199SEIU | $21,120 | 1.5× | 1 |
| Aetna | $37,667 | 2.6× | 1 |
| Cigna | $31,463 | 2.2× | 1 |
| EmblemHealth | $31,867 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $43,269 | 3.0× | 1 |
| Oscar | $30,050 | 2.1× | 1 |
| UnitedHealthcare | $44,594 | 3.1× | 3 |
| Vaccn | $31,442 | 2.2× | 1 |
| Maimonides Medical Center median $46,673 · local Medicare $14,501 · file 2026-04-01 | |||
| 1199SEIU | $27,539 | 1.9× | 1 |
| Aetna | $46,720 | 3.2× | 3 |
| Centivo | $49,255 | 3.4× | 1 |
| Cigna | $46,149 | 3.2× | 3 |
| Elevance/Anthem/Empire | $49,378 | 3.4× | 2 |
| EmblemHealth | $46,000 | 3.2× | 3 |
| Magnacare (rental network) | $55,199 | 3.8× | 1 |
| UnitedHealthcare | $46,673 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $49,335 · local Medicare $14,501 · file 2026-01-01 | |||
| 1199SEIU | $51,423 | 3.5× | 3 |
| Aetna | $41,794 | 2.9× | 24 |
| BCBS (other) | $66,141 | 4.6× | 16 |
| Centerlight | $16,622 | 1.1× | 2 |
| Cigna | $46,480 | 3.2× | 22 |
| Elevance/Anthem/Empire | $66,141 | 4.6× | 32 |
| EmblemHealth | $47,247 | 3.3× | 40 |
| Magnacare (rental network) | $69,692 | 4.8× | 9 |
| UnitedHealthcare | $61,208 | 4.2× | 24 |
MS-DRG 327
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $21,640 · local Medicare $22,121 · file 2026-04-01 | |||
| EmblemHealth | $23,871 | 1.1× | 1 |
| Point Comfort | $19,408 | 0.9× | 1 |
| Jamaica Hospital Medical Center median $41,336 · local Medicare $22,121 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $39,658 | 1.8× | 1 |
| Aetna | $43,013 | 1.9× | 4 |
| Centerlight Healthcare | $34,521 | 1.6× | 1 |
| Centivo | $45,449 | 2.1× | 1 |
| Cigna | $43,169 | 2.0× | 1 |
| Create Health Plan | $57,565 | 2.6× | 1 |
| Elderplan | $34,521 | 1.6× | 1 |
| EmblemHealth | $39,566 | 1.8× | 3 |
| South Brooklyn Health median $45,770 · local Medicare $22,121 · file 2026-09-05 | |||
| 1199SEIU | $32,217 | 1.5× | 1 |
| Aetna | $45,770 | 2.1× | 1 |
| Cigna | $47,995 | 2.2× | 1 |
| EmblemHealth | $48,610 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $51,387 | 2.3× | 1 |
| Oscar | $45,839 | 2.1× | 1 |
| UnitedHealthcare | $45,235 | 2.0× | 3 |
| Vaccn | $38,244 | 1.7× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $45,839 · local Medicare $22,121 · file 2026-09-05 | |||
| 1199SEIU | $32,217 | 1.5× | 1 |
| Aetna | $45,770 | 2.1× | 1 |
| Cigna | $47,995 | 2.2× | 1 |
| EmblemHealth | $48,610 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $47,662 | 2.2× | 1 |
| Oscar | $45,839 | 2.1× | 1 |
| UnitedHealthcare | $38,543 | 1.7× | 3 |
| Vaccn | $61,214 | 2.8× | 1 |
| Elmhurst Hospital Center median $47,079 · local Medicare $22,121 · file 2026-09-05 | |||
| 1199SEIU | $32,217 | 1.5× | 1 |
| Aetna | $45,770 | 2.1× | 1 |
| Cigna | $47,995 | 2.2× | 1 |
| EmblemHealth | $48,610 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $65,390 | 3.0× | 1 |
| Oscar | $45,839 | 2.1× | 1 |
| UnitedHealthcare | $47,079 | 2.1× | 4 |
| Vaccn | $57,414 | 2.6× | 1 |
| Jacobi Medical Center median $47,995 · local Medicare $22,121 · file 2026-09-05 | |||
| 1199SEIU | $32,217 | 1.5× | 1 |
| Aetna | $57,458 | 2.6× | 1 |
| Cigna | $47,995 | 2.2× | 1 |
| EmblemHealth | $48,610 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $66,003 | 3.0× | 1 |
| Oscar | $45,839 | 2.1× | 1 |
| UnitedHealthcare | $68,025 | 3.1× | 3 |
| Vaccn | $42,441 | 1.9× | 1 |
| Maimonides Medical Center median $71,197 · local Medicare $22,121 · file 2026-04-01 | |||
| 1199SEIU | $42,008 | 1.9× | 1 |
| Aetna | $71,268 | 3.2× | 3 |
| Centivo | $75,135 | 3.4× | 1 |
| Cigna | $70,398 | 3.2× | 3 |
| Elevance/Anthem/Empire | $75,323 | 3.4× | 2 |
| EmblemHealth | $70,171 | 3.2× | 3 |
| Magnacare (rental network) | $84,203 | 3.8× | 1 |
| UnitedHealthcare | $71,197 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $75,257 · local Medicare $22,121 · file 2026-01-01 | |||
| 1199SEIU | $78,442 | 3.5× | 3 |
| Aetna | $63,755 | 2.9× | 24 |
| BCBS (other) | $100,894 | 4.6× | 25 |
| Centerlight | $25,062 | 1.1× | 2 |
| Cigna | $70,901 | 3.2× | 22 |
| Elevance/Anthem/Empire | $100,894 | 4.6× | 56 |
| EmblemHealth | $72,072 | 3.3× | 40 |
| Magnacare (rental network) | $106,310 | 4.8× | 17 |
| UnitedHealthcare | $93,368 | 4.2× | 24 |
Questions
How much does anti-reflux surgery (fundoplication) cost with commercial insurance in New York City?
7 New York City hospitals post usable commercial rates for CPT 43280, hospital outpatient. The median across hospitals is $16,112; hospital medians range from $8,621 to $19,324. Your cost depends on your plan's deductible and coinsurance.