43500 (HCPCS) by state — Price Transparency

HCPCS · across United States

43500 — Surgical Opening Of Stomach

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$2,264 National median

$891 – $4,908 IQR (p25 – p75)

1,541 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $1,491.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 43500 (HCPCS), with interquartile range
State	Median	p25	p75
OR	$7,920	$1,150	$14,755
KY	$7,570	$1,538	$12,667
WI	$7,041	$2,752	$17,441
ME	$7,000	$837	$13,340
OK	$5,789	$1,968	$10,554
FL	$5,395	$1,950	$13,564
AK	$4,721	$1,736	$9,660
VA	$4,673	$1,279	$5,638
MD	$4,526	$3,182	$5,000
AL	$4,380	$750	$5,723
SC	$4,273	$1,366	$20,662
RI	$3,974	$1,074	$9,139
TX	$3,700	$1,352	$4,886
AZ	$3,503	$1,472	$7,121
NH	$3,466	$2,134	$5,790
LA	$3,358	$2,458	$5,467
CT	$3,281	$1,726	$7,042
DC	$3,246	$2,287	$6,127
GA	$3,151	$2,230	$6,858
NV	$3,070	$2,516	$3,878
MN	$2,808	$1,484	$13,261
OH	$2,774	$1,642	$3,595
AR	$2,477	$704	$11,077
NE	$2,409	$667	$10,431
CO	$2,258	$789	$4,533
TN	$2,254	$1,295	$2,895
NY	$2,229	$1,465	$4,137
MA	$2,110	$856	$2,431
WA	$2,089	$1,064	$2,216
MO	$1,941	$973	$3,654
NJ	$1,937	$1,576	$2,941
NC	$1,932	$755	$4,305
MS	$1,914	$1,832	$8,217
IA	$1,798	$1,257	$2,558
IL	$1,748	$884	$3,467
ND	$1,699	$744	$13,513
WY	$1,370	$768	$1,932
DE	$1,298	$756	$1,298
AS	$1,298	$975	$1,622
NM	$1,233	$822	$1,480
ID	$1,198	$676	$1,942
MT	$1,130	$752	$2,044
CA	$1,106	$730	$4,303
PR	$1,103	$1,103	$1,103
PA	$978	$742	$2,610
IN	$848	$692	$1,610
HI	$803	$439	$827
SD	$744	$716	$1,741
VT	$735	$564	$975
MI	$689	$471	$895
WV	$680	$612	$807
KS	$638	$581	$1,622
UT	$616	$122	$8,098

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

OR	$7,920	$1,150	$14,755	$636	$36,803	13	35	119
KY	$7,570	$1,538	$12,667	$538	$20,788	22	39	448
WI	$7,041	$2,752	$17,441	$374	$25,737	61	86	666
ME	$7,000	$837	$13,340	$700	$34,606	11	14	99
OK	$5,789	$1,968	$10,554	$394	$102,441	36	49	402
FL	$5,395	$1,950	$13,564	<$1	$1,518,970	103	108	2,868
AK	$4,721	$1,736	$9,660	$1,667	$26,547	4	20	38
VA	$4,673	$1,279	$5,638	$350	$15,923	34	18	410
MD	$4,526	$3,182	$5,000	$2,042	$5,404	2 ⚠ thin data	4	10
AL	$4,380	$750	$5,723	$1	$33,344	15	38	213
SC	$4,273	$1,366	$20,662	<$1	$50,000	33	46	532
RI	$3,974	$1,074	$9,139	$480	$10,895	5	5	42
TX	$3,700	$1,352	$4,886	<$1	$30,818	191	194	5,067
AZ	$3,503	$1,472	$7,121	$722	$19,364	24	50	431
NH	$3,466	$2,134	$5,790	$247	$37,298	9	30	295
LA	$3,358	$2,458	$5,467	$107	$17,386	28	76	518
CT	$3,281	$1,726	$7,042	$800	$13,768	14	11	137
DC	$3,246	$2,287	$6,127	$1,244	$14,206	2 ⚠ thin data	4	9
GA	$3,151	$2,230	$6,858	$74	$50,000	47	55	831
NV	$3,070	$2,516	$3,878	$41	$7,328	20	100	385
MN	$2,808	$1,484	$13,261	$173	$50,000	38	61	516
OH	$2,774	$1,642	$3,595	$120	$15,689	51	45	395
AR	$2,477	$704	$11,077	$17	$170,918	9	32	198
NE	$2,409	$667	$10,431	$79	$14,269	17	54	380
CO	$2,258	$789	$4,533	$187	$35,308	51	142	1,413
TN	$2,254	$1,295	$2,895	<$1	$21,485	43	50	1,377
NY	$2,229	$1,465	$4,137	$57	$21,179	68	144	3,172
MA	$2,110	$856	$2,431	$1	$13,614	18	31	144
WA	$2,089	$1,064	$2,216	$40	$33,603	33	51	376
MO	$1,941	$973	$3,654	$130	$17,716	24	59	500
NJ	$1,937	$1,576	$2,941	$4	$16,802	32	38	967
NC	$1,932	$755	$4,305	$320	$15,675	27	53	212
MS	$1,914	$1,832	$8,217	$484	$12,565	12	51	223
IA	$1,798	$1,257	$2,558	$491	$12,765	11	40	122
IL	$1,748	$884	$3,467	$217	$47,527	62	142	680
ND	$1,699	$744	$13,513	$351	$23,928	6	23	73
WY	$1,370	$768	$1,932	<$1	$10,275	7	31	59
DE	$1,298	$756	$1,298	$756	$1,298	3	2	5
AS	$1,298	$975	$1,622	$975	$1,622	1 ⚠ thin data	1	6
NM	$1,233	$822	$1,480	$411	$4,159	2 ⚠ thin data	16	43
ID	$1,198	$676	$1,942	$300	$15,485	8	61	148
MT	$1,130	$752	$2,044	$202	$37,160	11	47	158
CA	$1,106	$730	$4,303	<$1	$27,062	116	273	2,349
PR	$1,103	$1,103	$1,103	$1,103	$1,103	1 ⚠ thin data	6	7
PA	$978	$742	$2,610	$40	$33,339	40	52	1,199
IN	$848	$692	$1,610	$173	$43,944	41	188	1,621
HI	$803	$439	$827	$342	$827	4	6	13
SD	$744	$716	$1,741	$34	$4,624	5	18	35
VT	$735	$564	$975	<$1	$16,098	4	27	154
MI	$689	$471	$895	<$1	$20,028	55	214	1,223
WV	$680	$612	$807	$122	$14,999	8	42	147
KS	$638	$581	$1,622	$265	$14,699	23	53	264
UT	$616	$122	$8,098	$122	$16,613	33	40	1,177