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Procedure price report · Laparoscopy

Unlisted keyhole procedure on the stomach

CPT 43659the billing code this page is about

Used when a laparoscopic stomach operation has no specific billing code of its own; the surgeon's report describes what was done.

Hospitals typically charge $5,590 cash for this outpatient procedure — the median across 519 hospitals that filed a usable cash price; the average of the middle 60% is $5,512. Most fall between $1,318 and $13,665 (20th–80th percentile).

Hospitals
519
States
46
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 519 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
$622$1,584$5,590$10,404$22,737

The most expensive tenth of hospitals charges at least 37× what the cheapest tenth charges ($622 vs $22,737).

How the prices are spread

$487 – $757: 37 hospitals$487$757 – $1,176: 25 hospitals$1,176 – $1,828: 55 hospitals$1,176$1,828 – $2,841: 36 hospitals$2,841 – $4,414: 65 hospitals$2,841$4,414 – $6,859: 74 hospitals$6,859 – $10,658: 76 hospitals$6,859$10,658 – $16,562: 45 hospitals$16,562 – $25,736: 40 hospitals$16,562$25,736 – $39,991: 19 hospitals$25,736median $5,590price bands are equal on a log scale
Hospitals per price band (472 of 519 — the bands cover the 5th to 95th percentile)
FromToHospitals
$487$75737
$757$1,17625
$1,176$1,82855
$1,828$2,84136
$2,841$4,41465
$4,414$6,85974
$6,859$10,65876
$10,658$16,56245
$16,562$25,73640
$25,736$39,99119

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$5,590
Cash as a multiple of Medicare0.91×

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 $5,590.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,410 across 10 hospitalsWA$3,410Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $8,973 across 20 hospitalsMN$8,973Illinois: median $2,874 across 18 hospitalsIL$2,874Wisconsin: median $8,874 across 16 hospitalsWI$8,874Michigan: median $10,735 across 13 hospitalsMI$10,735New York: median $6,904 across 30 hospitalsNY$6,904Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,924 across 20 hospitalsOR$1,924Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,318 across 21 hospitalsIA$1,318Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $6,827 across 29 hospitalsOH$6,827Pennsylvania: median $4,024 across 21 hospitalsPA$4,024New Jersey: median $6,458 across 34 hospitalsNJ$6,458Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $937 across 46 hospitalsCA$937Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $13,288 across 16 hospitalsMO$13,288Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $962 across 12 hospitalsWV$962Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $19,429 across 13 hospitalsSC$19,429Oklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,395 across 12 hospitalsAL$5,395Georgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,664 across 40 hospitalsTX$3,664Florida: median $16,178 across 19 hospitalsFL$16,178
Cash price by state, most expensive first. National median $5,590. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC13$19,429+248%$8,064 – $19,429
Florida FL19$16,178+189%$11,403 – $21,683
Missouri MO16$13,288+138%$3,894 – $33,797
Michigan MI13$10,735+92%$8,313 – $38,504
Minnesota MN20$8,973+61%$1,017 – $13,027
Wisconsin WI16$8,874+59%$8,162 – $10,039
New York NY30$6,904+24%$1,450 – $7,176
Ohio OH29$6,827+22%$1,089 – $27,539
New Jersey NJ34$6,458+16%$5,110 – $8,242
Alabama AL12$5,395−3%$622 – $22,926
Pennsylvania PA21$4,024−28%$330 – $11,934
Texas TX40$3,664−34%$3,664 – $3,664
Washington WA10$3,410−39%$541 – $14,372
Illinois IL18$2,874−49%$1,786 – $51,249
Oregon OR20$1,924−66%$1,584 – $3,154
Iowa IA21$1,318−76%$1,298 – $2,147
West Virginia WV12$962−83%$962 – $9,944
California CA46$937−83%$487 – $6,448
Arkansas AR9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $5,590.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care428$6,329$1,450 – $16,178
Children’s5fewer than 20 hospitals
Critical access85$2,231$962 – $8,874
Ownership
For-profit52$9,329$3,664 – $22,660
Government83$3,154$1,231 – $8,758
Non-profit383$5,678$1,318 – $13,027
System affiliation
Part of a system415$6,416$1,318 – $14,677
Independent104$3,188$1,359 – $8,902

Cash price vs list price

Median list price (chargemaster)$6,106
Median cash price$5,590
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

255 hospitals filed a usable inpatient cash price for this code. The median is $3,332 and the average of the middle 60% is $3,348; most fall between $813 and $6,827.

Cash price percentiles, inpatient, across 255 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
$487$1,201$3,332$6,448$13,773

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($487 vs $13,773).

Of the 300 hospitals that filed this code inpatient, 255 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

519 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 590 hospitals that filed this code at all gave us
Usable cash price — counted519
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded21
Hospitals that filed this code590

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 Laparoscopy family.

Hospitals file this code under descriptions such as PR Laparoscopic Gastrorrahphy C/T43840.

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, “Unlisted keyhole procedure on the stomach (CPT 43659) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43659-unlisted-keyhole-procedure-on-the-stomach