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Procedure price report · Other hernia repair

Keyhole repair of hiatal hernia without mesh

CPT 43281the billing code this page is about

Through small abdominal incisions, a hernia where the stomach pushes up beside the esophagus is repaired and the stomach wrapped around the esophagus, using stitches only with no mesh.

Hospitals typically charge $7,700 cash for this outpatient procedure — the median across 744 hospitals that filed a usable cash price; the average of the middle 60% is $8,156. Most fall between $2,609 and $19,438 (20th–80th percentile).

Hospitals
744
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 744 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
$1,852$2,967$7,700$15,143$33,421

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($1,852 vs $33,421).

How the prices are spread

$1,532 – $2,133: 74 hospitals$1,532$2,133 – $2,970: 77 hospitals$2,970 – $4,136: 91 hospitals$2,970$4,136 – $5,759: 60 hospitals$5,759 – $8,019: 53 hospitals$5,759$8,019 – $11,166: 65 hospitals$11,166 – $15,548: 107 hospitals$11,166$15,548 – $21,651: 50 hospitals$21,651 – $30,148: 44 hospitals$21,651$30,148 – $41,980: 51 hospitals$30,148median $7,700price bands are equal on a log scale
Hospitals per price band (672 of 744 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,532$2,13374
$2,133$2,97077
$2,970$4,13691
$4,136$5,75960
$5,759$8,01953
$8,019$11,16665
$11,166$15,548107
$15,548$21,65150
$21,651$30,14844
$30,148$41,98051

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,860
Median cash price$7,700
Cash as a multiple of Medicare0.71×

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 $7,700.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 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 $3,410 across 22 hospitalsWA$3,410Idaho: median $13,609 across 15 hospitalsID$13,609Montana: 7 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 $4,715 across 34 hospitalsMN$4,715Illinois: median $3,783 across 30 hospitalsIL$3,783Wisconsin: median $8,680 across 34 hospitalsWI$8,680Michigan: median $2,609 across 36 hospitalsMI$2,609New York: median $12,320 across 54 hospitalsNY$12,320Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,549 across 13 hospitalsOR$3,549Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,783 across 26 hospitalsIA$3,783Indiana: median $13,483 across 23 hospitalsIN$13,483Ohio: median $23,515 across 30 hospitalsOH$23,515Pennsylvania: median $16,167 across 17 hospitalsPA$16,167New Jersey: median $11,524 across 33 hospitalsNJ$11,524Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,927 across 51 hospitalsCA$12,927Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $13,785 across 31 hospitalsMO$13,785Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,709 across 17 hospitalsWV$2,709Virginia: median $21,303 across 12 hospitalsVA$21,303Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,450 across 21 hospitalsKS$2,450Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $5,085 across 12 hospitalsTN$5,085North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,227 across 14 hospitalsOK$3,227Louisiana: median $9,027 across 14 hospitalsLA$9,027Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $6,354 across 12 hospitalsAL$6,354Georgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,855 across 33 hospitalsTX$8,855Florida: median $21,535 across 15 hospitalsFL$21,535
Cash price by state, most expensive first. National median $7,700. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH30$23,515+205%$1,807 – $63,678
Florida FL15$21,535+180%$6,916 – $26,416
Virginia VA12$21,303+177%$1,022 – $30,484
Pennsylvania PA17$16,167+110%$6,841 – $22,420
Missouri MO31$13,785+79%$2,927 – $21,409
Idaho ID15$13,609+77%$3,009 – $26,271
Indiana IN23$13,483+75%$1,989 – $34,337
California CA51$12,927+68%$4,665 – $40,432
New York NY54$12,320+60%$2,539 – $13,784
New Jersey NJ33$11,524+50%$5,138 – $13,753
Louisiana LA14$9,027+17%$4,102 – $18,206
Texas TX33$8,855+15%$8,681 – $16,281
Wisconsin WI34$8,680+13%$7,857 – $15,620
Alabama AL12$6,354−17%$4,357 – $22,946
Tennessee TN12$5,085−34%$2,731 – $12,590
Minnesota MN34$4,715−39%$3,118 – $8,392
Iowa IA26$3,783−51%$2,884 – $4,332
Illinois IL30$3,783−51%$1,989 – $14,873
Oregon OR13$3,549−54%$2,802 – $4,338
Washington WA22$3,410−56%$2,207 – $12,669
Oklahoma OK14$3,227−58%$3,227 – $21,226
West Virginia WV17$2,709−65%$1,677 – $12,179
Michigan MI36$2,609−66%$1,852 – $14,616
Kansas KS21$2,450−68%$1,793 – $3,297
Arkansas AR9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not 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 $7,700.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care557$9,898$2,802 – $23,694
Children’s8fewer than 20 hospitals
Critical access177$3,722$1,989 – $8,392
Ownership
For-profit76$12,183$3,619 – $25,142
Government131$3,989$2,280 – $12,320
Non-profit535$8,019$2,609 – $19,886
System affiliation
Part of a system562$8,681$2,726 – $22,033
Independent182$3,989$2,479 – $11,293

Cash price vs list price

Median list price (chargemaster)$7,043
Median cash price$7,700
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

334 hospitals filed a usable inpatient cash price for this code. The median is $3,709 and the average of the middle 60% is $4,544; most fall between $1,948 and $11,524.

Cash price percentiles, inpatient, across 334 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
$1,022$2,194$3,709$8,681$19,618

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($1,022 vs $19,618).

Of the 388 hospitals that filed this code inpatient, 334 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

744 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 842 hospitals that filed this code at all gave us
Usable cash price — counted744
Cash price carrying a plausibility flag — shown on the compare tool, excluded here64
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded26
Hospitals that filed this code842

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 hernia repair family.

Hospitals file this code under descriptions such as Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh.

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, “Keyhole repair of hiatal hernia without mesh (CPT 43281) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43281-keyhole-repair-of-hiatal-hernia-without-mesh