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

Posted commercial rates at 86 Pennsylvania 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
Holy Redeemer Hospital And Medical Center Meadowbrook$7,9200.8×52026-09-21
Upmc East Monroeville$8,1620.8×22026-03-06
Paoli Hospital Paoli$8,7040.8×22026-04-01
Upmc Hamot Erie$8,7440.8×32026-03-06
Bryn Mawr Hospital Bryn Mawr$8,8220.8×22026-04-01
Lankenau Medical Center Wynnewood$8,9340.9×22026-04-01
Riddle Memorial Hospital Media$9,3740.9×22026-04-01
Jefferson Abington Hospital Abington$9,6110.9×52026-09-15
Jefferson Lansdale Hospital Lansdale$9,7200.9×52026-09-15
Upmc Mercy Pittsburgh$9,9891.0×22026-03-06
Wellspan York Hospital York$10,1941.0×32026-01-01
Upmc Altoona Altoona$10,2891.0×12026-03-06
Upmc Presbyterian Shadyside Pittsburgh$10,8801.1×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$10,9211.0×42026-04-08
Jefferson Einstein Montgomery Hospital East Norriton$11,2661.1×62026-09-15
Thomas Jefferson University Hospital Philadelphia$13,5681.2×42026-09-15
Temple University Hospital Philadelphia$14,3521.3×92026-04-13
Hospital Of The Fox Chase Cancer Center Philadelphia$14,5611.3×62026-04-08
Jefferson Health-Northeast Philadelphia$14,8611.4×52026-09-15
St Luke'S Hospital Bethlehem Bethlehem$17,6841.6×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$17,6841.7×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$17,6841.6×32026-02-27
Upmc Washington Washington$17,7421.7×42026-03-06
Saint Vincent Hospital Erie$18,5581.8×62026-04-14
Jefferson Hospital Jefferson Hills$18,8741.8×62026-04-14
Allegheny Valley Hospital Natrona$21,1422.0×62026-04-14
Canonsburg General Hospital Canonsburg$21,1962.0×62026-04-14
Grove City Hospital Grove City$21,3042.1×52026-04-14
Forbes Hospital Monroeville$21,7832.1×62026-04-14
Ahn Wexford Hospital Wexford$22,7992.2×62026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$23,3102.3×22026-02-26
St Clair Hospital Pittsburgh$23,7592.3×72026-03-31
Allegheny General Hospital Pittsburgh$26,2052.5×62026-04-14
West Penn Hospital Pittsburgh$26,3272.5×62026-04-14
Lehigh Valley Hospital Allentown$29,1092.7×62026-07-01
St Luke'S Hospital - Easton Campus Easton$32,4123.0×22026-02-26
Penn State Health Hampden Medical Center Enola$35,5223.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$35,9133.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$36,4693.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$37,5843.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$42,6384.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$42,9304.2×82026-07-01
Penn State Health St. Joseph Reading$47,0084.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$48,8984.5×82026-07-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Lansdale Hospital Lansdale$6,7570.7×52026-09-15
Jefferson Abington Hospital Abington$6,7570.7×52026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$7,9200.8×52026-09-21
Paoli Hospital Paoli$8,7040.8×22026-04-01
Upmc Mercy Pittsburgh$8,7950.8×22026-03-06
Bryn Mawr Hospital Bryn Mawr$8,8220.8×22026-04-01
Lankenau Medical Center Wynnewood$8,9340.9×22026-04-01
Upmc Passavant Pittsburgh$9,2120.9×12026-03-07
Riddle Memorial Hospital Media$9,3740.9×22026-04-01
Upmc East Monroeville$9,8740.9×22026-03-06
Wellspan York Hospital York$10,1941.0×32026-01-01
Thomas Jefferson University Hospital Philadelphia$10,2500.9×42026-09-15
Upmc Altoona Altoona$10,2891.0×12026-03-06
Wellspan Evangelical Community Hospital Lewisburg$10,5171.0×62026-01-01
Jefferson Einstein Montgomery Hospital East Norriton$10,5861.0×62026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$10,6581.0×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$10,9211.0×42026-04-08
Upmc Hamot Erie$11,6941.1×32026-03-06
Temple University Hospital Philadelphia$14,3521.3×92026-04-13
Hospital Of The Fox Chase Cancer Center Philadelphia$14,5611.3×62026-04-08
Jefferson Health-Northeast Philadelphia$14,8611.4×52026-09-15
Upmc Carlisle Carlisle$15,9351.5×32026-03-06
Upmc Presbyterian Shadyside Pittsburgh$16,8971.6×12026-03-06
Upmc Washington Washington$17,7421.7×42026-03-06
Saint Vincent Hospital Erie$18,5581.8×62026-04-14
Jefferson Hospital Jefferson Hills$18,8741.8×62026-04-14
Allegheny Valley Hospital Natrona$21,1422.0×62026-04-14
Canonsburg General Hospital Canonsburg$21,1962.0×62026-04-14
Grove City Hospital Grove City$21,3042.1×52026-04-14
Forbes Hospital Monroeville$21,7832.1×62026-04-14
Upmc Memorial York$22,3092.1×52026-03-06
Ahn Wexford Hospital Wexford$22,7992.2×62026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$23,3102.3×22026-02-26
St Clair Hospital Pittsburgh$23,7592.3×72026-03-31
Wellspan Ephrata Community Hospital Ephrata$24,3362.4×22026-01-01
St Luke'S Hospital - Monroe Campus Stroudsburg$25,8442.5×32026-02-27
Allegheny General Hospital Pittsburgh$26,2052.5×62026-04-14
West Penn Hospital Pittsburgh$26,3272.5×62026-04-14
Lehigh Valley Hospital Allentown$31,2592.9×72026-07-01
St Luke'S Hospital Bethlehem Bethlehem$31,3982.9×32026-02-26
Penn State Health Hampden Medical Center Enola$35,5223.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$35,9133.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$36,4693.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$37,5843.6×82026-07-01
St Luke'S Hospital - Easton Campus Easton$39,2703.6×22026-02-26
Wellspan Chambersburg Hospital Chambersburg$42,2404.0×22026-01-01
Lehigh Valley Hospital - Pocono East Stroudsburg$42,6384.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$42,9304.2×82026-07-01
Penn State Health St. Joseph Reading$47,0084.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$48,8984.5×82026-07-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Miners Medical Center Hastings$12,2601.1×52026-07-30
Conemaugh Meyersdale Medical Center Meyersdale$12,4251.1×32026-08-06
Upmc Horizon Greenville$13,5921.2×32026-03-06
Punxsutawney Area Hospital Punxsutawney$13,8301.3×72026-03-02
Conemaugh Nason Medical Center Roaring Spring$14,0601.3×72026-07-30
Upmc Somerset Somerset$14,8211.3×52026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$14,9101.3×72026-07-01
Upmc Jameson New Castle$15,1711.4×42026-03-06
Upmc Cole Coudersport$15,5601.4×32026-03-06
Titusville Area Hospital Titusville$15,9231.4×52026-09-11
Upmc Hamot Erie$16,3781.5×32026-03-06
Upmc Northwest Seneca$16,4161.5×22026-03-06
Upmc Washington Washington$16,8271.5×72026-03-06
Upmc Bedford Memorial Everett$16,9221.5×22026-03-06
Troy Community Hospital Troy$17,8481.6×52026-03-31
Wayne Memorial Hospital Honesdale$18,8881.7×62026-09-16
Roxborough Memorial Hospital Philadelphia$19,5701.7×62024-06-21
Upmc Kane Kane$19,7131.8×32026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$20,0291.7×82026-04-08
Upmc East Monroeville$20,0641.8×22026-03-06
Uniontown Hospital Uniontown$20,1341.8×62026-07-09
Lower Bucks Hospital Bristol$20,2001.8×62026-09-01
Upmc Mckeesport Mc Keesport$20,2161.8×22026-03-06
Upmc Altoona Altoona$20,7791.9×52026-03-06
Conemaugh Memorial Medical Center Johnstown$20,9401.9×82026-04-15
Upmc St Margaret Pittsburgh$20,9451.9×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$21,6391.9×62026-09-21
Upmc Mercy Pittsburgh$21,7282.0×22026-03-06
St Clair Hospital Pittsburgh$22,1782.0×62026-03-31
Upmc Passavant Pittsburgh$22,4232.0×22026-03-07
Robert Packer Hospital Sayre$22,7382.0×92026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$23,4582.1×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$23,5502.1×52026-02-27
Jefferson Lansdale Hospital Lansdale$24,0342.2×92026-09-15
Upmc Wellsboro Wellsboro$24,1772.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$24,2572.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$24,2572.1×52026-02-27
Geisinger-Lewistown Hospital Lewistown$25,3212.3×72026-07-01
Upmc Muncy Muncy$25,9532.3×32026-03-06
St Mary Medical Center Langhorne$26,1142.4×202026-03-31
Upmc Presbyterian Shadyside Pittsburgh$26,3202.4×22026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$26,4472.4×52026-02-27
Jefferson Abington Hospital Abington$26,5452.4×92026-09-15
Paoli Hospital Paoli$26,5502.4×42026-04-01
Wellspan Good Samaritan Hospital Lebanon$26,7562.3×52026-01-01
Riddle Memorial Hospital Media$26,7922.3×42026-04-01
Lehigh Valley Hospital - Hazleton Hazleton$26,8112.4×92026-07-01
Upmc Williamsport Williamsport$27,3452.5×32026-03-06
Geisinger St. Luke'S Hospital Orwigsburg$27,3702.5×42026-02-26
Lehigh Valley Hospital - Macungie Macungie$28,0502.4×102026-07-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$28,1742.5×22026-03-06
Lehigh Valley Hospital - Dickson City Dickson City$28,2512.5×92026-07-01
Upmc Memorial York$28,3502.5×82026-03-06
Hospital Of The Fox Chase Cancer Center Philadelphia$28,4892.4×52026-04-08
Upmc Carlisle Carlisle$28,4972.5×72026-03-06
Bryn Mawr Hospital Bryn Mawr$28,7662.5×42026-04-01
St Luke'S Hospital - Easton Campus Easton$28,9122.5×42026-02-26
Upmc Lititz Lititz$28,9172.6×72026-03-06
Lehigh Valley Hospital - Pocono East Stroudsburg$29,3302.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$29,3922.6×62026-09-15
Penn State Health Lancaster Medical Center Lancaster$30,2022.7×42026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$30,3642.6×42026-03-27
Upmc Hanover Hanover$30,5422.7×72026-03-06
Penn State Health Hampden Medical Center Enola$30,6462.7×42026-03-27
Lehigh Valley Hospital Allentown$31,2782.7×52026-07-01
Wilkes-Barre General Hospital Wilkes-Barre$31,3402.8×72026-07-01
Nazareth Hospital Philadelphia$31,3622.7×202026-03-31
Penn State Health St. Joseph Reading$31,5262.7×42026-03-27
Jefferson Health-Northeast Philadelphia$33,0072.8×62026-09-15
Lankenau Medical Center Wynnewood$33,4703.0×42026-04-01
Temple University Hospital Philadelphia$33,6932.9×102026-04-13
Geisinger Community Medical Center Scranton$35,5143.2×82026-07-01
Thomas Jefferson University Hospital Philadelphia$42,6203.6×92026-09-15
Wellspan York Hospital York$45,6514.1×42026-01-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$18,9541.1×32026-08-06
Upmc Horizon Greenville$20,7341.2×32026-03-06
Troy Community Hospital Troy$21,0631.2×22026-03-31
Conemaugh Nason Medical Center Roaring Spring$22,2061.3×62026-07-30
Upmc Jameson New Castle$22,9801.4×42026-03-06
Upmc Somerset Somerset$23,4951.4×42026-03-06
Upmc Cole Coudersport$23,7361.4×32026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$24,0531.4×72026-07-01
Titusville Area Hospital Titusville$24,2621.4×52026-09-11
Upmc Hamot Erie$24,8911.5×32026-03-06
Punxsutawney Area Hospital Punxsutawney$25,6641.5×72026-03-02
Upmc Northwest Seneca$25,8841.5×22026-03-06
Upmc Washington Washington$26,4371.6×72026-03-06
Upmc Bedford Memorial Everett$26,4841.6×22026-03-06
Upmc Kane Kane$30,0381.8×32026-03-06
Wayne Memorial Hospital Honesdale$30,1161.8×62026-09-16
Temple Health - Chestnut Hill Hospital Philadelphia$30,5521.7×82026-04-08
Roxborough Memorial Hospital Philadelphia$30,9301.7×62024-06-21
Lower Bucks Hospital Bristol$31,1331.8×62026-09-01
Upmc East Monroeville$31,6371.9×22026-03-06
Upmc Mckeesport Mc Keesport$31,6761.9×22026-03-06
Upmc Altoona Altoona$31,6971.9×52026-03-06
Conemaugh Memorial Medical Center Johnstown$31,9081.9×82026-04-15
Uniontown Hospital Uniontown$32,0461.9×62026-07-09
Upmc St Margaret Pittsburgh$33,0651.9×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$33,1182.0×62026-09-21
St Clair Hospital Pittsburgh$33,8302.0×62026-03-31
Upmc Mercy Pittsburgh$34,2902.0×22026-03-06
Robert Packer Hospital Sayre$34,6472.0×92026-03-31
Upmc Passavant Pittsburgh$35,5202.1×22026-03-07
Jefferson Lansdale Hospital Lansdale$36,6622.2×92026-09-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$37,0032.2×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$37,0032.1×52026-02-27
Upmc Wellsboro Wellsboro$37,4742.2×32026-03-06
St Luke'S Miners Memorial Hospital Coaldale$37,4982.2×42026-02-27
St Luke'S Hospital Bethlehem Bethlehem$38,0452.1×52026-02-26
St Mary Medical Center Langhorne$40,0132.4×202026-03-31
St Luke'S Hospital - Monroe Campus Stroudsburg$40,3442.4×52026-02-27
Jefferson Abington Hospital Abington$40,4932.4×92026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$40,6072.4×92026-07-01
Geisinger-Lewistown Hospital Lewistown$40,8492.4×72026-07-01
Upmc Presbyterian Shadyside Pittsburgh$41,6142.5×22026-03-06
Upmc Williamsport Williamsport$41,7132.5×32026-03-06
Upmc Muncy Muncy$41,7132.5×32026-03-06
Riddle Memorial Hospital Media$42,5142.4×42026-04-01
Paoli Hospital Paoli$42,5752.5×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$42,7882.4×102026-07-01
Geisinger St. Luke'S Hospital Orwigsburg$42,9942.5×42026-02-26
Lehigh Valley Hospital - Dickson City Dickson City$43,0952.5×92026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$43,4582.4×52026-04-08
Magee Womens Hospital Of Upmc Health System Pittsburgh$44,4422.6×22026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$44,8362.6×62026-09-15
Penn State Health Lancaster Medical Center Lancaster$46,3182.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$46,4482.6×42026-04-01
Lehigh Valley Hospital - Pocono East Stroudsburg$46,6872.8×92026-07-01
Upmc Lititz Lititz$46,7542.8×72026-03-06
Penn State Health Holy Spirit Medical Center Camp Hill$47,6102.7×42026-03-27
Lehigh Valley Hospital Allentown$47,7122.7×52026-07-01
Wilkes-Barre General Hospital Wilkes-Barre$47,8072.8×72026-07-01
Penn State Health Hampden Medical Center Enola$48,0642.8×42026-03-27
Nazareth Hospital Philadelphia$48,1682.7×202026-03-31
Upmc Memorial York$48,9322.9×82026-03-06
Penn State Health St. Joseph Reading$49,4632.8×42026-03-27
St Luke'S Hospital - Easton Campus Easton$49,6522.8×42026-02-26
Jefferson Health-Northeast Philadelphia$50,3502.8×62026-09-15
Upmc Carlisle Carlisle$51,6803.0×72026-03-06
Upmc Hanover Hanover$51,6803.0×72026-03-06
Conemaugh Miners Medical Center Hastings$52,0463.1×52026-07-30
Temple University Hospital Philadelphia$54,4383.0×102026-04-13
Lankenau Medical Center Wynnewood$54,6363.2×42026-04-01
Geisinger Community Medical Center Scranton$60,4603.6×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$62,0413.5×32026-01-01
Thomas Jefferson University Hospital Philadelphia$65,0133.6×92026-09-15
Wellspan York Hospital York$69,6124.1×42026-01-01

Questions

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

86 Pennsylvania hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 44 hospitals is $17,713, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.