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Procedure price report · Other OR upper GI therapeutic procedures

Anti-reflux stomach wrap through an abdominal incision

CPT 43327the billing code this page is about

Open abdominal surgery that wraps part of the stomach partly or completely around the lower esophagus to reduce reflux.

Hospitals typically charge $2,010 cash for this outpatient procedure — the median across 233 hospitals that filed a usable cash price; the average of the middle 60% is $2,339. Most fall between $1,145 and $4,612 (20th–80th percentile).

Hospitals
233
States
39
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 233 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
$841$1,269$2,010$4,216$6,838

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($841 vs $6,838).

How the prices are spread

$639 – $810: 8 hospitals$639$810 – $1,027: 16 hospitals$1,027 – $1,301: 28 hospitals$1,027$1,301 – $1,649: 31 hospitals$1,649 – $2,090: 31 hospitals$1,649$2,090 – $2,649: 22 hospitals$2,649 – $3,358: 11 hospitals$2,649$3,358 – $4,256: 25 hospitals$4,256 – $5,395: 16 hospitals$4,256$5,395 – $6,838: 27 hospitals$5,395median $2,010price bands are equal on a log scale
Hospitals per price band (215 of 233 — the bands cover the 5th to 95th percentile)
FromToHospitals
$639$8108
$810$1,02716
$1,027$1,30128
$1,301$1,64931
$1,649$2,09031
$2,090$2,64922
$2,649$3,35811
$3,358$4,25625
$4,256$5,39516
$5,395$6,83827

By state

The median cash price in each state, against the national median of $2,010.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,700 across 14 hospitalsIL$1,700Wisconsin: median $4,216 across 22 hospitalsWI$4,216Michigan: median $1,532 across 26 hospitalsMI$1,532New York: median $1,508 across 14 hospitalsNY$1,508Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,003 across 13 hospitalsOR$2,003Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,010 across 16 hospitalsIA$2,010Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $634 across 17 hospitalsPA$634New Jersey: median $5,110 across 14 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,838 across 24 hospitalsCA$6,838Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $1,145 across 10 hospitalsOK$1,145Louisiana: no hospital in the corpus filed a usable priceLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,010. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$6,838+240%$2,238 – $6,838
New Jersey NJ14$5,110+154%$3,986 – $6,311
Wisconsin WI22$4,216+110%$4,216 – $4,612
Iowa IA16$2,0100%$2,010 – $2,010
Oregon OR13$2,0030%$1,533 – $2,239
Illinois IL14$1,700−15%$649 – $3,383
Michigan MI26$1,532−24%$1,190 – $1,727
New York NY14$1,508−25%$745 – $2,500
Oklahoma OK10$1,145−43%$1,145 – $1,145
Pennsylvania PA17$634−68%$516 – $1,737
Ohio OH7not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Vermont VT1not 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 $2,010.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care183$1,811$1,145 – $4,627
Children’s6fewer than 20 hospitals
Critical access44$2,649$1,532 – $4,533
Ownership
For-profit18fewer than 20 hospitals
Government29$1,905$1,274 – $3,584
Non-profit186$2,010$1,170 – $4,612
System affiliation
Part of a system184$2,010$1,170 – $4,612
Independent49$2,003$963 – $4,533

Cash price vs list price

Median list price (chargemaster)$2,752
Median cash price$2,010
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

155 hospitals filed a usable inpatient cash price for this code. The median is $1,954 and the average of the middle 60% is $2,203; most fall between $1,145 and $4,216.

Cash price percentiles, inpatient, across 155 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
$841$1,273$1,954$4,216$6,838

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($841 vs $6,838).

Of the 174 hospitals that filed this code inpatient, 155 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

233 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 262 hospitals that filed this code at all gave us
Usable cash price — counted233
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded6
Hospitals that filed this code262

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 PR Esopg/Gstr Fundoplasty W/Laparotomy.

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, “Anti-reflux stomach wrap through an abdominal incision (CPT 43327) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43327-anti-reflux-stomach-wrap-through-an-abdominal-incision