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Procedure price report · Gastric bypass and volume reduction

Open gastric bypass with short Roux-en-Y limb

CPT 43846the billing code this page is about

Open weight-loss surgery that creates a small stomach pouch and connects it to a short rerouted segment of small intestine.

Hospitals typically charge $3,986 cash for this outpatient procedure — the median across 193 hospitals that filed a usable cash price; the average of the middle 60% is $3,708. Most fall between $2,312 and $6,243 (20th–80th percentile).

Hospitals
193
States
40
Filings dated
Mar 2023 – 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 193 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
$1,615$2,342$3,986$5,419$13,259

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($1,615 vs $13,259).

How the prices are spread

$656 – $901: 3 hospitals$656$901 – $1,237: 4 hospitals$1,237 – $1,700: 7 hospitals$1,237$1,700 – $2,336: 22 hospitals$2,336 – $3,209: 41 hospitals$2,336$3,209 – $4,408: 35 hospitals$4,408 – $6,056: 33 hospitals$4,408$6,056 – $8,320: 12 hospitals$8,320 – $11,430: 4 hospitals$8,320$11,430 – $15,702: 17 hospitals$11,430median $3,986price bands are equal on a log scale
Hospitals per price band (178 of 193 — the bands cover the 5th to 95th percentile)
FromToHospitals
$656$9013
$901$1,2374
$1,237$1,7007
$1,700$2,33622
$2,336$3,20941
$3,209$4,40835
$4,408$6,05633
$6,056$8,32012
$8,320$11,4304
$11,430$15,70217

By state

The median cash price in each state, against the national median of $3,986.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,403 across 11 hospitalsIL$2,403Wisconsin: median $13,690 across 13 hospitalsWI$13,690Michigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $2,631 across 12 hospitalsNY$2,631Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $3,431 across 11 hospitalsOR$3,431Nevada: 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 $3,987 across 15 hospitalsIA$3,987Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $537 across 16 hospitalsPA$537New 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: 6 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 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: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 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 $2,716 across 10 hospitalsOK$2,716Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,986. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI13$13,690+243%$13,690 – $15,702
New Jersey NJ14$5,110+28%$3,986 – $5,855
Iowa IA15$3,9870%$3,987 – $3,987
Oregon OR11$3,431−14%$3,030 – $4,502
Oklahoma OK10$2,716−32%$2,716 – $2,716
New York NY12$2,631−34%$1,943 – $5,003
Illinois IL11$2,403−40%$2,312 – $3,987
Pennsylvania PA16$537−87%$421 – $5,660
Michigan MI8not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not 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
South Dakota SD1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Washington WA1not 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 $3,986.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care156$3,431$2,312 – $5,660
Children’s4fewer than 20 hospitals
Critical access31$3,987$2,312 – $13,690
Ownership
For-profit16fewer than 20 hospitals
Government28$3,991$2,482 – $6,413
Non-profit147$3,986$2,312 – $5,801
System affiliation
Part of a system148$3,986$2,312 – $6,311
Independent45$3,915$2,248 – $5,660

Cash price vs list price

Median list price (chargemaster)$4,984
Median cash price$3,986
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

123 hospitals filed a usable inpatient cash price for this code. The median is $3,030 and the average of the middle 60% is $3,300; most fall between $2,308 and $4,902.

Cash price percentiles, inpatient, across 123 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
$1,514$2,312$3,030$4,494$6,413

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($1,514 vs $6,413).

Of the 142 hospitals that filed this code inpatient, 123 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

193 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 228 hospitals that filed this code at all gave us
Usable cash price — counted193
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 — excluded12
Hospitals that filed this code228

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 Gastric bypass and volume reduction family.

Hospitals file this code under descriptions such as Gastric Rstcv W/Byp W/Short Limb 150 Cm/<.

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, “Open gastric bypass with short Roux-en-Y limb (CPT 43846) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43846-open-gastric-bypass-with-short-roux-en-y-limb