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Splenorenal Shunt for High Portal Pressure

Iowa rates for HCPCS 37181

Surgery that joins the vein draining the spleen to the vein draining the left kidney, relieving dangerously high pressure in the veins of the digestive system caused by liver disease. Diverting some blood away from those veins lowers the risk of bleeding from swollen veins in the gullet and stomach. It is a major open abdominal operation.

Rates data updated July 2026.

How much does Splenorenal Shunt for High Portal Pressure cost?

$4,074

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $6,026 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 7 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$3,467$2,455 to $6,166
FacilityA hospital or hospital-owned outpatient department$6,026$3,631 to $6,761

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,951 to $7,943Professionalmedian $3,467 · 10th to 90th $2,042 to $13,183
$100.0$500.0$2.0K$10.0Kfacility $6,026professional $3,467

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
$3,467.37
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,370.32
Typical High
$6,309.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,128.61
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$4,265.80
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,370.32
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$7,079.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,466.84
Typical High
$5,248.07

Where Iowa sits

The same service costs 4.6 times more in California than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $4,074 · 14th of 51
CA $8,913VT $1,950

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.