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

Posted commercial rates at 8 Texas 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
Ascension Seton Medical Center Austin Austin$8,0770.8×12026-01-01
Baylor University Medical Center Dallas$9,1260.8×32026-06-29
Houston Methodist Hospital Houston$10,0720.9×32026-04-01
Methodist Hospital San Antonio$10,4011.0×42026-09-01
St David's Medical Center Austin$10,9221.0×52026-09-01
Medical City Mckinney McKinney$11,9601.1×52026-09-01
Medical City Plano Plano$14,0401.3×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$31,5583.0×22026-04-21

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$8,0770.8×12026-01-01
Baylor University Medical Center Dallas$9,1260.8×32026-06-29
Houston Methodist Hospital Houston$10,0720.9×32026-04-01
Methodist Hospital San Antonio$10,4011.0×42026-09-01
St David's Medical Center Austin$10,9221.0×52026-09-01
Medical City Plano Plano$14,1671.3×52026-09-01
Medical City Mckinney McKinney$16,1501.5×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$31,5583.0×22026-04-21

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$10,4330.9×12026-01-01
St David's Medical Center Austin$13,5481.2×62026-09-01
Methodist Hospital San Antonio$15,9751.4×52026-09-01
Baylor University Medical Center Dallas$21,8241.9×42026-06-29
Medical City Mckinney McKinney$22,0391.9×62026-09-01
Medical City Plano Plano$24,2382.1×62026-09-01
Houston Methodist Hospital Houston$27,5682.4×22026-04-01
Texas Health Presbyterian Hospital Dallas Dallas$34,4643.0×42026-04-21

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$15,9150.9×12026-01-01
St David's Medical Center Austin$20,3441.2×62026-09-01
Methodist Hospital San Antonio$21,7991.3×52026-09-01
Baylor University Medical Center Dallas$33,2721.9×42026-06-29
Medical City Mckinney McKinney$33,8741.9×62026-09-01
Medical City Plano Plano$37,2712.1×62026-09-01
Houston Methodist Hospital Houston$42,5812.4×22026-04-01
Texas Health Presbyterian Hospital Dallas Dallas$52,5173.0×42026-04-21

Questions

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

8 Texas hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 8 hospitals is $10,662, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.