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Vein-To-Vein Shunt In The Abdomen

Missouri rates for HCPCS 37145

Surgery that joins two large veins in the abdomen so blood from the digestive organs can bypass a diseased liver and return to the heart by a shorter route. Relieving the back-pressure lowers the risk of bleeding from swollen veins in the stomach and food pipe and can reduce fluid build-up in the belly. It is major open surgery, used when medication and endoscopic treatment have not controlled the problem.

Rates data updated July 2026.

How much does Vein-To-Vein Shunt In The Abdomen cost?

$3,090

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $4,467 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,630$2,239 to $3,020
FacilityA hospital or hospital-owned outpatient department$4,467$2,692 to $6,026

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,042 to $9,550Professionalmedian $2,630 · 10th to 90th $1,862 to $4,467
$100.0$500.0$2.0K$10.0Kfacility $4,467professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,630.27
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,884.03
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,754.23
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,467.37
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$5,754.40

Where Missouri sits

The same service costs 4.9 times more in California than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $3,090 · 20th of 51
CA $8,913VT $1,820

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.