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Reconstruction Where Food Pipe Meets The Stomach

Illinois rates for HCPCS 43320

Surgery that opens up and rebuilds the junction where the food pipe joins the stomach so food passes through again. It can be carried out through the abdomen or through the chest, whichever gives the surgeon better access. Steps to help the stomach empty, such as cutting the nerve that drives acid production or widening the stomach outlet, may be done at the same time.

Rates data updated July 2026.

How much does Reconstruction Where Food Pipe Meets The Stomach cost?

$1,622

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $2,692 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$1,585$1,380 to $2,291
FacilityA hospital or hospital-owned outpatient department$2,692$1,514 to $5,129

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,148 to $9,772Professionalmedian $1,585 · 10th to 90th $1,259 to $3,311
$100.0$1.0K$10.0Kfacility $2,692professional $1,585

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
$1,148.15
Median
$2,691.53
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$16,595.87
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,862.09
Typical High
$3,090.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$7,762.47
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,754.23
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$3,019.95

Where Illinois 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.

Illinois $1,622 · 27th of 51
MN $3,162KY $1,380

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.