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

Posted commercial rates at 4 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,3030.5×12026-01-01
TriStar StoneCrest Medical Center Smyrna$6,8740.7×42026-09-01
Vanderbilt University Medical Center Nashville$10,3601.0×62025-10-01

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$6,1650.6×12026-01-01
TriStar StoneCrest Medical Center Smyrna$6,8740.7×42026-09-01
Vanderbilt University Medical Center Nashville$10,4111.0×52025-10-01

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$14,9931.4×72026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$15,5621.4×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$15,5621.4×72026-01-01
Vanderbilt University Medical Center Nashville$29,1912.7×62025-10-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$19,6061.2×72026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$19,9701.2×62026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$20,3001.2×52026-01-01
Vanderbilt University Medical Center Nashville$50,8703.0×62025-10-01

Questions

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

4 Tennessee 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 $6,874, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.