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Closure Of A Food Pipe Opening, Chest Or Abdomen

Montana rates for HCPCS 43425

Surgery to close an abnormal opening or channel involving the food pipe, reached through the chest or through the abdomen. The edges are freed from surrounding tissue and stitched closed, often with healthy tissue laid over the repair to reinforce it. It is done to close an opening that was created deliberately at an earlier operation, or a leak that has formed between the food pipe and a neighbouring structure.

Rates data updated July 2026.

How much does Closure Of A Food Pipe Opening, Chest Or Abdomen cost?

$2,138

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $2,455 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 5 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$2,042$1,445 to $2,455
FacilityA hospital or hospital-owned outpatient department$2,455$2,042 to $2,570

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,622 to $2,951Professionalmedian $2,042 · 10th to 90th $1,318 to $3,548
$100$200$500$1K$2K$5Kfacility $2,455professional $2,042

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
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$4,265.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,754.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$3,630.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,238.72
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$3,019.95

Where Montana sits

The same service costs 2.2 times more in Minnesota than in Kentucky. 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.

Montana· 11th of 51

$2,138

MN $3,236KY $1,445

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.