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

Posted commercial rates at 31 Washington hospitals, each next to its own Medicare base rate.

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CPT 43280

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$10,6040.9×32026-04-01
Providence St Mary Medical Center Walla Walla$17,9651.5×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$18,3441.6×72026-04-01
St Elizabeth Hospital Enumclaw$19,6211.6×72026-02-28
Providence Regional Medical Center Everett Everett$23,9102.0×72026-04-01
Overlake Hospital Medical Center Bellevue$26,7942.2×62026-04-01
Swedish Issaquah Issaquah$27,0882.2×72026-04-01
St Clare Hospital Lakewood$27,1802.2×92026-02-28
St Joseph Medical Center Tacoma$27,1802.2×92026-02-28
St Francis Community Hospital Federal Way$27,1802.2×92026-02-28
St Anthony Hospital Gig Harbor$27,1802.2×92026-02-28
St Anne Hospital Burien$27,3062.2×82026-02-28
Multicare Capital Medical Center Olympia$27,9122.4×82026-08-27
Kadlec Regional Medical Center Richland$29,5732.5×42026-04-01
Providence Holy Family Hospital Spokane$29,6392.5×62026-04-01
Swedish Edmonds Hospital Edmonds$29,7362.5×62026-04-01
Multicare Deaconess Hospital Spokane$30,4862.6×52026-08-27
Multicare Valley Hospital Spokane$30,6102.6×62026-08-27
Virginia Mason Medical Center Seattle$32,1512.6×62026-01-01
Multicare Auburn Medical Center Auburn$36,3683.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$36,3682.9×82026-08-27
Multicare Covington Medical Center Covington$36,3683.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$36,4373.0×72026-04-01
Swedish Medical Center Seattle$37,3953.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$40,2663.3×62026-08-27
St Michael Medical Center Bremerton$42,8283.5×32026-02-28
Providence Centralia Hospital Centralia$47,6204.0×42026-04-01
Mary Bridge Children'S Hospital Tacoma$53,7924.3×52026-08-27

CPT 43281

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Mary Medical Center Walla Walla$17,9651.5×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$18,8571.6×72026-04-01
St Elizabeth Hospital Enumclaw$22,5301.8×62026-02-28
Providence Regional Medical Center Everett Everett$23,9102.0×72026-04-01
Overlake Hospital Medical Center Bellevue$26,7942.2×62026-04-01
Multicare Capital Medical Center Olympia$27,0522.3×92026-08-27
Swedish Issaquah Issaquah$27,0882.2×72026-04-01
St Clare Hospital Lakewood$28,1762.3×82026-02-28
St Joseph Medical Center Tacoma$28,1762.3×82026-02-28
St Francis Community Hospital Federal Way$28,1762.3×82026-02-28
St Anthony Hospital Gig Harbor$28,7382.3×82026-02-28
St Anne Hospital Burien$29,1712.4×72026-02-28
Kadlec Regional Medical Center Richland$29,5732.5×42026-04-01
Swedish Edmonds Hospital Edmonds$29,7362.5×62026-04-01
Providence Holy Family Hospital Spokane$30,0512.5×52026-04-01
Multicare Deaconess Hospital Spokane$30,4862.6×52026-08-27
Multicare Valley Hospital Spokane$30,6102.6×62026-08-27
Virginia Mason Medical Center Seattle$32,1512.6×62026-01-01
Multicare Auburn Medical Center Auburn$36,3683.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$36,3682.9×82026-08-27
Multicare Covington Medical Center Covington$36,3683.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$36,4373.0×72026-04-01
Swedish Medical Center Seattle$37,3953.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$40,2663.3×62026-08-27
St Michael Medical Center Bremerton$42,8283.5×32026-02-28
Providence Centralia Hospital Centralia$47,6204.0×42026-04-01
Mary Bridge Children'S Hospital Tacoma$53,7924.3×52026-08-27

MS-DRG 328

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$13,1081.0×72026-07-17
Skagit Valley Hospital Mount Vernon$23,4151.8×42026-03-26
Confluence Health Hospital Wenatchee$24,7881.9×22026-04-21
Kadlec Regional Medical Center Richland$26,7482.1×32026-04-01
Multicare Capital Medical Center Olympia$29,5132.3×92026-08-27
Providence St Mary Medical Center Walla Walla$29,9342.3×32026-04-01
Multicare Valley Hospital Spokane$30,5942.4×82026-08-27
St Anne Hospital Burien$30,8782.3×82026-02-28
St Elizabeth Hospital Enumclaw$30,9172.3×72026-02-28
St Clare Hospital Lakewood$31,2542.3×92026-02-28
St Joseph Medical Center Tacoma$31,2542.3×92026-02-28
St Francis Community Hospital Federal Way$31,2542.3×92026-02-28
Overlake Hospital Medical Center Bellevue$32,3562.4×72026-04-01
Providence Holy Family Hospital Spokane$32,4522.5×62026-04-01
Multicare Deaconess Hospital Spokane$33,9012.6×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$34,4062.7×62026-04-01
St Anthony Hospital Gig Harbor$34,5372.6×92026-02-28
Multicare Auburn Medical Center Auburn$35,0302.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$35,0302.6×92026-08-27
Multicare Covington Medical Center Covington$35,0302.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$35,1112.6×92026-08-27
Swedish Edmonds Hospital Edmonds$35,8382.8×72026-04-01
Virginia Mason Medical Center Seattle$37,0882.8×72026-01-01
Providence Regional Medical Center Everett Everett$37,3172.9×72026-04-01
Swedish Issaquah Issaquah$38,0272.8×62026-04-01
St Michael Medical Center Bremerton$39,9013.0×32026-02-28
Mary Bridge Children'S Hospital Tacoma$44,8433.3×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$45,2163.4×72026-04-01
Swedish Medical Center Seattle$45,2163.4×72026-04-01
Providence Centralia Hospital Centralia$67,0005.2×22026-04-01

MS-DRG 327

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$19,8661.0×72026-07-17
Skagit Valley Hospital Mount Vernon$36,4021.9×42026-03-26
Confluence Health Hospital Wenatchee$37,3201.9×22026-04-21
Kadlec Regional Medical Center Richland$41,8212.1×32026-04-01
Multicare Capital Medical Center Olympia$44,9712.3×92026-08-27
Providence St Mary Medical Center Walla Walla$45,6142.3×32026-04-01
Multicare Valley Hospital Spokane$46,6442.4×82026-08-27
St Elizabeth Hospital Enumclaw$48,4092.4×72026-02-28
Overlake Hospital Medical Center Bellevue$49,6822.4×72026-04-01
Providence Holy Family Hospital Spokane$49,7822.5×62026-04-01
St Anne Hospital Burien$50,7282.5×82026-02-28
Multicare Deaconess Hospital Spokane$51,6862.6×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$52,1382.7×62026-04-01
St Clare Hospital Lakewood$53,9602.6×92026-02-28
St Joseph Medical Center Tacoma$53,9602.6×92026-02-28
St Francis Community Hospital Federal Way$53,9602.6×92026-02-28
St Anthony Hospital Gig Harbor$53,9992.6×92026-02-28
Multicare Auburn Medical Center Auburn$54,0182.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$54,0182.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$54,0182.6×92026-08-27
Multicare Covington Medical Center Covington$54,0182.6×92026-08-27
Swedish Edmonds Hospital Edmonds$55,1412.8×72026-04-01
Virginia Mason Medical Center Seattle$56,5132.8×72026-01-01
Providence Regional Medical Center Everett Everett$56,8662.9×72026-04-01
Swedish Issaquah Issaquah$58,7702.9×62026-04-01
St Michael Medical Center Bremerton$64,2563.2×32026-02-28
Mary Bridge Children'S Hospital Tacoma$68,6203.3×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$68,9023.4×72026-04-01
Swedish Medical Center Seattle$68,9023.4×72026-04-01
Providence Centralia Hospital Centralia$103,0505.3×22026-04-01

Questions

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

31 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 28 hospitals is $29,606, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.