Price AtlasInteractive atlas · All states · techysurgeon.comAnti-reflux surgery (fundoplication) in San Diego CA
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 |
|---|---|---|---|
| Tri-City Medical Center median $19,346 · local Medicare $13,672 · file 2026-05-29 | |||
| Blue Shield of California | $9,181 | 0.7× | 1 |
| Bright Health | $21,875 | 1.6× | 1 |
| Elevance/Anthem/Empire | $21,601 | 1.6× | 1 |
| Health Net | $19,551 | 1.4× | 1 |
| Kaiser Permanente | $13,672 | 1.0× | 1 |
| Providence Health Plan | $19,140 | 1.4× | 1 |
| Palomar Health Downtown Campus median $23,543 · local Medicare $13,672 · file 2026-04-01 | |||
| Health Net | $25,211 | 1.8× | 1 |
| Scripps | $21,875 | 1.6× | 1 |
| Palomar Medical Center Poway median $25,211 · local Medicare $13,672 · file 2026-04-01 | |||
| Health Net | $25,211 | 1.8× | 1 |
CPT 43281
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $19,346 · local Medicare $13,672 · file 2026-05-29 | |||
| Blue Shield of California | $9,181 | 0.7× | 1 |
| Bright Health | $21,875 | 1.6× | 1 |
| Elevance/Anthem/Empire | $21,601 | 1.6× | 1 |
| Health Net | $19,551 | 1.4× | 1 |
| Kaiser Permanente | $13,672 | 1.0× | 1 |
| Providence Health Plan | $19,140 | 1.4× | 1 |
| Palomar Health Downtown Campus median $23,543 · local Medicare $13,672 · file 2026-04-01 | |||
| Health Net | $25,211 | 1.8× | 1 |
| Scripps | $21,875 | 1.6× | 1 |
| Palomar Medical Center Poway median $25,211 · local Medicare $13,672 · file 2026-04-01 | |||
| Health Net | $25,211 | 1.8× | 1 |
MS-DRG 328
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital - Encinitas median $15,772 · local Medicare $14,975 · file 2026-03-30 | |||
| Aetna | $20,918 | 1.4× | 5 |
| Blue Shield of California | $15,655 | 1.0× | 2 |
| Centivo | $22,432 | 1.5× | 1 |
| Cigna | $18,776 | 1.3× | 5 |
| Elevance/Anthem/Empire | $15,655 | 1.0× | 1 |
| Health Net | $15,772 | 1.1× | 2 |
| Mc Alignment | $15,655 | 1.0× | 1 |
| Mc Health Net | $15,655 | 1.0× | 1 |
| Mc Scan | $15,655 | 1.0× | 1 |
| Mpmg | $18,606 | 1.2× | 1 |
| Prime Healthcare | $15,772 | 1.1× | 1 |
| Ucsd | $36,768 | 2.5× | 1 |
| UnitedHealthcare | $29,402 | 2.0× | 6 |
| Scripps Green Hospital median $18,082 · local Medicare $14,975 · file 2026-03-30 | |||
| Aetna | $20,918 | 1.4× | 5 |
| Blue Shield of California | $15,525 | 1.0× | 2 |
| Centivo | $22,432 | 1.5× | 1 |
| Cigna | $18,776 | 1.3× | 5 |
| Elevance/Anthem/Empire | $15,525 | 1.0× | 1 |
| Health Net | $18,082 | 1.2× | 2 |
| Mc Alignment | $15,525 | 1.0× | 1 |
| Mc Health Net | $15,525 | 1.0× | 1 |
| Mc Scan | $15,525 | 1.0× | 1 |
| Mpmg | $18,606 | 1.2× | 1 |
| Prime Healthcare | $18,082 | 1.2× | 1 |
| Prospect Med Group | $18,082 | 1.2× | 1 |
| Ucsd | $36,768 | 2.5× | 1 |
| UnitedHealthcare | $29,402 | 2.0× | 6 |
| Scripps Mercy Hospital median $18,606 · local Medicare $14,975 · file 2026-03-30 | |||
| Aetna | $20,918 | 1.4× | 5 |
| Blue Shield of California | $17,366 | 1.2× | 2 |
| Centivo | $22,432 | 1.5× | 1 |
| Cigna | $18,776 | 1.3× | 5 |
| Elevance/Anthem/Empire | $22,927 | 1.5× | 11 |
| Health Net | $18,606 | 1.2× | 2 |
| HealthPartners | $22,927 | 1.5× | 1 |
| Mc Alignment | $17,366 | 1.2× | 1 |
| Mc Health Net | $17,366 | 1.2× | 1 |
| Mc Scan | $17,366 | 1.2× | 1 |
| Mpmg | $18,606 | 1.2× | 1 |
| Prime Healthcare | $18,606 | 1.2× | 1 |
| Prospect Med Group | $18,606 | 1.2× | 1 |
| Ucsd | $36,768 | 2.5× | 1 |
| UnitedHealthcare | $29,402 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $18,691 · local Medicare $14,975 · file 2026-03-30 | |||
| Aetna | $20,918 | 1.4× | 5 |
| Blue Shield of California | $15,596 | 1.0× | 2 |
| Centivo | $22,432 | 1.5× | 1 |
| Cigna | $18,776 | 1.3× | 5 |
| Elevance/Anthem/Empire | $15,596 | 1.0× | 1 |
| Health Net | $15,596 | 1.0× | 2 |
| Mc Alignment | $15,596 | 1.0× | 1 |
| Mc Health Net | $15,596 | 1.0× | 1 |
| Mc Scan | $15,596 | 1.0× | 1 |
| Mpmg | $18,606 | 1.2× | 1 |
| Prime Healthcare | $26,512 | 1.8× | 1 |
| Prospect Med Group | $27,292 | 1.8× | 1 |
| Ucsd | $36,768 | 2.5× | 1 |
| UnitedHealthcare | $29,402 | 2.0× | 6 |
| Tri-City Medical Center median $23,482 · local Medicare $14,975 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $24,275 | 1.6× | 1 |
| Health Net | $22,688 | 1.5× | 1 |
| Kaiser Permanente | $26,972 | 1.8× | 1 |
| Providence Health Plan | $22,212 | 1.5× | 1 |
| Palomar Health Downtown Campus median $26,681 · local Medicare $14,975 · file 2026-04-01 | |||
| Health Net | $32,134 | 2.1× | 1 |
| Prospect | $22,512 | 1.5× | 1 |
| Scripps | $26,681 | 1.8× | 1 |
| Palomar Medical Center Poway median $26,876 · local Medicare $14,975 · file 2026-04-01 | |||
| Health Net | $31,609 | 2.1× | 1 |
| Prospect | $22,144 | 1.5× | 1 |
MS-DRG 327
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital - Encinitas median $23,944 · local Medicare $22,843 · file 2026-03-30 | |||
| Aetna | $25,232 | 1.1× | 5 |
| Blue Shield of California | $23,765 | 1.0× | 2 |
| Centivo | $34,219 | 1.5× | 1 |
| Cigna | $18,776 | 0.8× | 4 |
| Elevance/Anthem/Empire | $23,765 | 1.0× | 1 |
| Health Net | $23,944 | 1.0× | 2 |
| Mc Alignment | $23,765 | 1.0× | 1 |
| Mc Health Net | $23,765 | 1.0× | 1 |
| Mc Scan | $23,765 | 1.0× | 1 |
| Mpmg | $27,876 | 1.2× | 1 |
| Prime Healthcare | $23,944 | 1.0× | 1 |
| Ucsd | $56,087 | 2.5× | 1 |
| UnitedHealthcare | $44,851 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $24,448 · local Medicare $22,843 · file 2026-03-30 | |||
| Aetna | $25,232 | 1.1× | 5 |
| Blue Shield of California | $23,665 | 1.0× | 2 |
| Centivo | $34,219 | 1.5× | 1 |
| Cigna | $18,776 | 0.8× | 4 |
| Elevance/Anthem/Empire | $23,665 | 1.0× | 1 |
| Health Net | $23,665 | 1.0× | 2 |
| Mc Alignment | $23,665 | 1.0× | 1 |
| Mc Health Net | $23,665 | 1.0× | 1 |
| Mc Scan | $23,665 | 1.0× | 1 |
| Mpmg | $27,876 | 1.2× | 1 |
| Prime Healthcare | $40,230 | 1.8× | 1 |
| Prospect Med Group | $41,413 | 1.8× | 1 |
| Ucsd | $56,087 | 2.5× | 1 |
| UnitedHealthcare | $44,851 | 2.0× | 6 |
| Scripps Mercy Hospital median $26,930 · local Medicare $22,843 · file 2026-03-30 | |||
| Aetna | $25,232 | 1.1× | 5 |
| Blue Shield of California | $25,985 | 1.1× | 2 |
| Centivo | $34,219 | 1.5× | 1 |
| Cigna | $18,776 | 0.8× | 4 |
| Elevance/Anthem/Empire | $25,985 | 1.1× | 1 |
| Health Net | $27,876 | 1.2× | 2 |
| Mc Alignment | $25,985 | 1.1× | 1 |
| Mc Health Net | $25,985 | 1.1× | 1 |
| Mc Scan | $25,985 | 1.1× | 1 |
| Mpmg | $27,876 | 1.2× | 1 |
| Prime Healthcare | $27,876 | 1.2× | 1 |
| Prospect Med Group | $27,876 | 1.2× | 1 |
| Ucsd | $56,087 | 2.5× | 1 |
| UnitedHealthcare | $44,851 | 2.0× | 6 |
| Scripps Green Hospital median $27,582 · local Medicare $22,843 · file 2026-03-30 | |||
| Aetna | $25,232 | 1.1× | 5 |
| Blue Shield of California | $23,683 | 1.0× | 2 |
| Centivo | $34,219 | 1.5× | 1 |
| Cigna | $18,776 | 0.8× | 5 |
| Elevance/Anthem/Empire | $34,974 | 1.5× | 11 |
| Health Net | $27,582 | 1.2× | 2 |
| HealthPartners | $34,974 | 1.5× | 1 |
| Mc Alignment | $23,683 | 1.0× | 1 |
| Mc Health Net | $23,683 | 1.0× | 1 |
| Mc Scan | $23,683 | 1.0× | 1 |
| Mpmg | $27,876 | 1.2× | 1 |
| Prime Healthcare | $27,582 | 1.2× | 1 |
| Prospect Med Group | $27,582 | 1.2× | 1 |
| Ucsd | $56,087 | 2.5× | 1 |
| UnitedHealthcare | $44,851 | 2.0× | 6 |
| Tri-City Medical Center median $35,196 · local Medicare $22,843 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $36,385 | 1.6× | 1 |
| Health Net | $34,007 | 1.5× | 1 |
| Kaiser Permanente | $40,427 | 1.8× | 1 |
| Providence Health Plan | $33,293 | 1.5× | 1 |
| Palomar Health Downtown Campus median $39,872 · local Medicare $22,843 · file 2026-04-01 | |||
| Health Net | $48,021 | 2.1× | 1 |
| Prospect | $33,642 | 1.5× | 1 |
| Scripps | $39,872 | 1.7× | 1 |
| Palomar Medical Center Poway median $40,486 · local Medicare $22,843 · file 2026-04-01 | |||
| Health Net | $47,615 | 2.1× | 1 |
| Prospect | $33,358 | 1.5× | 1 |
Questions
How much does anti-reflux surgery (fundoplication) cost with commercial insurance in San Diego CA?
3 San Diego CA hospitals post usable commercial rates for CPT 43280, hospital outpatient. The median across hospitals is $23,543; hospital medians range from $19,346 to $25,211. Your cost depends on your plan's deductible and coinsurance.