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

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

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CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$28,3482.3×52026-04-01
St Clare Hospital Lakewood$31,8082.6×62026-02-28
St Anthony Hospital Gig Harbor$32,3702.6×62026-02-28
Swedish Medical Center Seattle$36,7793.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$42,0743.4×52026-08-27
Multicare Good Samaritan Hospital Puyallup$45,3223.6×42026-08-27

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$28,3482.3×52026-04-01
St Clare Hospital Lakewood$34,4462.8×52026-02-28
St Anthony Hospital Gig Harbor$34,4462.8×52026-02-28
Swedish Medical Center Seattle$36,7793.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$42,0743.4×52026-08-27
Multicare Good Samaritan Hospital Puyallup$45,3223.6×42026-08-27

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$31,5572.4×62026-04-01
Multicare Good Samaritan Hospital Puyallup$36,0662.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$36,0662.7×62026-08-27
St Clare Hospital Lakewood$36,0842.7×62026-02-28
St Anthony Hospital Gig Harbor$36,0842.7×62026-02-28
Swedish Medical Center Seattle$45,2163.4×52026-04-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$48,1392.4×62026-04-01
St Clare Hospital Lakewood$54,9842.7×62026-02-28
St Anthony Hospital Gig Harbor$54,9842.7×62026-02-28
Multicare Good Samaritan Hospital Puyallup$55,7122.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$55,7122.7×62026-08-27
Swedish Medical Center Seattle$68,9023.4×52026-04-01

Questions

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

6 Washington hospitals post usable commercial rates for anti-reflux surgery (fundoplication) in their federal price-transparency files. For CPT 43280, hospital outpatient, the median across 6 hospitals is $34,575, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.