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Neck Food Pipe Repair With Intestine Transfer

Pennsylvania rates for HCPCS 43116

Removes a diseased section of the esophagus in the neck and replaces it with a short piece of the patient's own intestine. The transferred segment is sewn in at both ends, and its small artery and vein are reconnected to vessels in the neck under a microscope so that the transplanted piece stays alive.

Rates data updated July 2026.

How much does Neck Food Pipe Repair With Intestine Transfer cost?

$5,248

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $5,370 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 9 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$5,248$4,786 to $5,888
FacilityA hospital or hospital-owned outpatient department$5,370$2,818 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511Professionalmedian $5,248 · 10th to 90th $4,365 to $7,413
$100.0$1.0K$10.0Kfacility $5,370professional $5,248

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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,128.61
Typical High
$6,760.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$7,585.78
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,089.30
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$5,370.32
Typical High
$9,772.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,760.83
Typical High
$9,120.11
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,754.40
Typical High
$9,120.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$5,248.07
Typical High
$7,762.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,630.27
Typical High
$11,748.98
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,011.87
Typical High
$7,762.47
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,897.79
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,344.23
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,370.32
Typical High
$9,549.93

Where Pennsylvania sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $5,248 · 42nd of 51
MN $10,965KY $4,786

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.