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

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$8,8220.8×22026-04-01
Riddle Memorial Hospital Media$9,3740.9×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$10,8801.1×12026-03-06
Thomas Jefferson University Hospital Philadelphia$12,3341.1×32026-09-15
Lehigh Valley Hospital Allentown$29,1092.7×62026-07-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$8,8220.8×22026-04-01
Riddle Memorial Hospital Media$9,3740.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$10,1100.9×32026-09-15
Upmc Presbyterian Shadyside Pittsburgh$16,8971.6×12026-03-06
Lehigh Valley Hospital Allentown$31,2592.9×72026-07-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$26,7922.3×42026-04-01
Bryn Mawr Hospital Bryn Mawr$28,7662.5×42026-04-01
Lehigh Valley Hospital Allentown$31,2782.7×52026-07-01
Upmc Presbyterian Shadyside Pittsburgh$33,3563.0×12026-03-06
Thomas Jefferson University Hospital Philadelphia$39,2703.4×52026-09-15

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$42,5142.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$46,4482.6×42026-04-01
Lehigh Valley Hospital Allentown$47,7122.7×52026-07-01
Upmc Presbyterian Shadyside Pittsburgh$53,8113.2×12026-03-06
Thomas Jefferson University Hospital Philadelphia$59,9043.4×52026-09-15

Questions

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

5 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 5 hospitals is $10,880, 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.