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Portal Vein To Vena Cava Shunt

South Dakota rates for HCPCS 37140

Surgery that joins the large vein draining the digestive organs directly to the main vein returning blood to the heart, so blood bypasses a scarred liver. Relieving the back-pressure lowers the risk of heavy bleeding from swollen veins in the stomach and food pipe. It is major open abdominal surgery.

Rates data updated October 2026.

How much does Portal Vein To Vena Cava Shunt cost?

$5,880

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $5,880 for this procedure. That total is two separate charges: $4,677 to the doctor who performs it, and $1,202 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$4,677$3,467 to $5,495
Facility feeThe hospital or surgery center$1,202$759 to $3,715

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $3,981Professionalmedian $4,677 · 10th to 90th $2,239 to $6,310
$1K$2K$5K$10Kfacility $1,202professional $4,677

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$5,128.61
Typical High
$6,309.57
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,290.87
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$5,888.44
Typical High
$16,595.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,248.07
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,801.89
Typical High
$4,466.84
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$4,897.79
Typical High
$6,165.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$5,495.41
Typical High
$5,495.41

Where South Dakota sits

The same service costs 7.3 times more in Alaska than in Washington. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 21st of 51

$5,880

$4,677 physician + $1,202 facility

AK $21,355WA $2,929

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.