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Open Repair of a Hiatal Hernia With a Wrap

North Carolina rates for HCPCS 43335

Open surgery to repair a hiatal hernia, in which part of the stomach has pushed up through the opening in the diaphragm into the chest. The stomach is returned to the abdomen and the opening in the diaphragm is closed, usually together with wrapping the top of the stomach around the lower food pipe to control reflux. It is carried out through a full incision rather than through keyhole ports.

Rates data updated July 2026.

How much does Open Repair of a Hiatal Hernia With a Wrap cost?

$3,950

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,950 for this procedure. That total is two separate charges: $2,291 to the doctor who performs it, and $1,660 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$2,291$1,585 to $2,754
Facility feeThe hospital or surgery center$1,660$1,288 to $2,455

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,202 to $5,012Professionalmedian $2,291 · 10th to 90th $1,318 to $3,802
$500$1K$2K$5Kfacility $1,660professional $2,291

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
$1,288.25
Median
$4,677.35
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,041.74
Typical High
$3,548.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$2,630.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,548.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,630.27
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$8,128.31
Typical High
$8,128.31
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$11,220.18

Where North Carolina sits

The same service costs 11.6 times more in Indiana than in Maryland. 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

North Carolina· 35th of 50

$3,950

$2,291 physician + $1,660 facility

IN $21,365MD $1,849

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.