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Procedure price report · Other OR upper GI therapeutic procedures

Laparoscopic anti-reflux wrap surgery

CPT 43280the billing code this page is about

Through small abdominal incisions, the top of the stomach is wrapped around the lower esophagus to reduce acid reflux, including repair of the diaphragm opening when done.

Hospitals typically charge $4,219 cash for this outpatient procedure — the median across 704 hospitals that filed a usable cash price; the average of the middle 60% is $6,383. Most fall between $1,842 and $14,970 (20th–80th percentile).

Hospitals
704
States
49
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 704 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,304$2,032$4,219$13,647$23,432

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($1,304 vs $23,432).

How the prices are spread

$1,034 – $1,468: 56 hospitals$1,034$1,468 – $2,086: 86 hospitals$2,086 – $2,963: 110 hospitals$2,086$2,963 – $4,210: 62 hospitals$4,210 – $5,980: 38 hospitals$4,210$5,980 – $8,496: 34 hospitals$8,496 – $12,069: 81 hospitals$8,496$12,069 – $17,146: 82 hospitals$17,146 – $24,358: 56 hospitals$17,146$24,358 – $34,603: 29 hospitals$24,358median $4,219price bands are equal on a log scale
Hospitals per price band (634 of 704 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,034$1,46856
$1,468$2,08686
$2,086$2,963110
$2,963$4,21062
$4,210$5,98038
$5,980$8,49634
$8,496$12,06981
$12,069$17,14682
$17,146$24,35856
$24,358$34,60329

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,860
Median cash price$4,219
Cash as a multiple of Medicare0.39×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,219.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,609 across 20 hospitalsWA$2,609Idaho: median $26,271 across 13 hospitalsID$26,271Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,880 across 33 hospitalsMN$2,880Illinois: median $2,129 across 26 hospitalsIL$2,129Wisconsin: median $5,110 across 36 hospitalsWI$5,110Michigan: median $2,979 across 34 hospitalsMI$2,979New York: median $3,240 across 41 hospitalsNY$3,240Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,975 across 15 hospitalsOR$1,975Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,647 across 30 hospitalsIA$2,647Indiana: median $4,023 across 21 hospitalsIN$4,023Ohio: median $3,378 across 22 hospitalsOH$3,378Pennsylvania: median $15,732 across 16 hospitalsPA$15,732New Jersey: median $11,378 across 31 hospitalsNJ$11,378Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,424 across 51 hospitalsCA$11,424Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,345 across 24 hospitalsMO$2,345Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,741 across 21 hospitalsWV$2,741Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,100 across 20 hospitalsKS$2,100Arkansas: median $2,401 across 10 hospitalsAR$2,401Tennessee: median $1,886 across 12 hospitalsTN$1,886North Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,262 across 13 hospitalsOK$2,262Louisiana: median $9,466 across 15 hospitalsLA$9,466Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $9,487 across 13 hospitalsAL$9,487Georgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $11,191 across 31 hospitalsTX$11,191Florida: median $18,326 across 23 hospitalsFL$18,326
Cash price by state, most expensive first. National median $4,219. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID13$26,271+523%$2,367 – $26,271
Florida FL23$18,326+334%$1,766 – $18,408
Pennsylvania PA16$15,732+273%$6,841 – $21,297
California CA51$11,424+171%$3,076 – $14,907
New Jersey NJ31$11,378+170%$5,110 – $13,753
Texas TX31$11,191+165%$2,668 – $11,751
Alabama AL13$9,487+125%$1,769 – $22,081
Louisiana LA15$9,466+124%$3,680 – $22,485
Wisconsin WI36$5,110+21%$2,742 – $15,620
Indiana IN21$4,023−5%$1,321 – $23,360
Ohio OH22$3,378−20%$1,511 – $39,054
New York NY41$3,240−23%$1,654 – $12,320
Michigan MI34$2,979−29%$2,090 – $14,616
Minnesota MN33$2,880−32%$1,749 – $6,291
West Virginia WV21$2,741−35%$1,193 – $20,699
Iowa IA30$2,647−37%$2,020 – $2,748
Washington WA20$2,609−38%$1,954 – $13,871
Arkansas AR10$2,401−43%$2,087 – $13,606
Missouri MO24$2,345−44%$1,631 – $19,694
Oklahoma OK13$2,262−46%$2,262 – $14,227
Illinois IL26$2,129−50%$1,321 – $10,737
Kansas KS20$2,100−50%$1,231 – $7,022
Oregon OR15$1,975−53%$1,754 – $3,119
Tennessee TN12$1,886−55%$1,210 – $13,290
Maine ME9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,219.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care499$8,472$1,975 – $18,408
Children’s10fewer than 20 hospitals
Critical access193$2,647$1,625 – $6,291
Ownership
For-profit77$11,191$2,262 – $23,441
Government129$2,705$1,625 – $12,320
Non-profit496$4,652$1,909 – $14,907
System affiliation
Part of a system525$5,741$1,903 – $15,620
Independent179$3,050$1,697 – $10,662

Cash price vs list price

Median list price (chargemaster)$4,345
Median cash price$4,219
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 37%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

324 hospitals filed a usable inpatient cash price for this code. The median is $2,647 and the average of the middle 60% is $3,923; most fall between $1,554 and $11,424.

Cash price percentiles, inpatient, across 324 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,087$1,749$2,647$11,029$14,907

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,087 vs $14,907).

Of the 376 hospitals that filed this code inpatient, 324 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

704 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 797 hospitals that filed this code at all gave us
Usable cash price — counted704
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded26
Hospitals that filed this code797

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR upper GI therapeutic procedures family.

Hospitals file this code under descriptions such as Laps Surg Esopg/Gstr Fundoplasty.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Laparoscopic anti-reflux wrap surgery (CPT 43280) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43280-laparoscopic-anti-reflux-wrap-surgery