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

Posted commercial rates at 6 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
Newport Hospital Newport$19,7061.6×42026-04-01
The Miriam Hospital Providence$19,9861.7×32026-04-01
Rhode Island Hospital Providence$21,2941.8×52026-04-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Newport Hospital Newport$19,7061.6×42026-04-01
The Miriam Hospital Providence$19,9861.7×32026-04-01
Rhode Island Hospital Providence$21,2941.8×52026-04-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$17,1401.3×132026-09-19
Kent County Memorial Hospital Warwick$18,3541.4×42026-02-28
Landmark Medical Center Woonsocket$20,6001.6×42026-09-01
Newport Hospital Newport$30,6662.4×22026-04-01
Rhode Island Hospital Providence$33,7712.6×22026-04-01
The Miriam Hospital Providence$34,6952.7×22026-04-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$20,7101.1×132026-09-19
Kent County Memorial Hospital Warwick$23,9851.2×42026-02-28
Landmark Medical Center Woonsocket$31,1051.6×42026-09-01
Newport Hospital Newport$46,7802.4×22026-04-01
Rhode Island Hospital Providence$51,5152.6×22026-04-01
The Miriam Hospital Providence$52,9242.7×22026-04-01

Questions

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

6 Rhode Island hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 3 hospitals is $19,986, 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.