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Surgical Opening From The Food Pipe, Through Abdomen

Wisconsin rates for HCPCS 43350

An operation that brings the esophagus — the tube carrying food from the throat to the stomach — out to an opening on the body surface, reached through an incision in the abdomen. The opening provides a route for drainage or for feeding when the normal path onward cannot be used.

Rates data updated July 2026.

How much does Surgical Opening From The Food Pipe, Through Abdomen cost?

$2,239

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $1,738 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$2,239$1,950 to $5,495
FacilityA hospital or hospital-owned outpatient department$1,738$1,479 to $3,236

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,349 to $4,266Professionalmedian $2,239 · 10th to 90th $1,950 to $5,495
$2K$5Kfacility $1,738professional $2,239

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,311.31
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$2,290.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,265.80
Typical High
$4,265.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,495.41
Typical High
$5,495.41

Where Wisconsin sits

The same service costs 32.4 times more in California than in Illinois. 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.

Wisconsin· 26th of 43

$2,239

CA $11,220IL $347

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.