220.4 — Major Stomach, Esophageal And Duodenal Procedures
Cite this view
HANK Price Transparency. (n.d.). MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (CPT 220.4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220.4?code_type=CPT
“MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (CPT 220.4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220.4?code_type=CPT. Accessed .
“MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (CPT 220.4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220.4?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $70,157–$152,912 (25th–75th percentile) across 2 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 220.4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $70,157.20 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $70,301.95 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $70,301.95 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $70,301.95 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $70,301.95 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Inpatient | Tufts | Tufts Medicaid | $89,276.50 | $96,673.84 | $58,004.30 | 2026-05-14 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus | Excellus Commercial | $128,318.49 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus | Excellus Commercial | $134,734.41 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus | Excellus Commercial | $134,734.41 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp | Cdphp Hmo | $150,365.56 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp | Cdphp Hmo | $150,365.56 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp | Cdphp Hmo | $150,365.56 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Blue Access Lg/Sm | $153,760.56 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Blue Access Lg/Sm | $153,760.56 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Blue Access Lg/Sm | $153,760.56 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Inpatient | Blue Cross | Blue Cross Commercial | $172,956.13 | $96,673.84 | $58,004.30 | 2026-05-14 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Hmo/Epo/Pos | $175,484.36 | $70,059.08 | $50,253.60 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Hmo/Epo/Pos | $175,484.36 | $70,059.08 | $50,253.60 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Hmo/Epo/Pos | $175,484.36 | $70,203.83 | $50,357.29 | 2026-05-09 | MRF ↗ |