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Surgical Opening of the Stomach

California rates for HCPCS 43500

An open operation in which the surgeon opens the stomach to explore its interior or to remove a foreign object. It is done through an abdominal incision rather than with a scope.

Rates data updated July 2026.

How much does Surgical Opening of the Stomach cost?

$8,710

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $8,710 for this service. Most negotiated rates run $4,266 to $13,490.

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.

How much rates vary

Facilitymedian $9,550 · 10th to 90th $1,380 to $17,378Professionalmedian $813 · 10th to 90th $589 to $1,698
$100$500$2K$10Kfacility $9,550professional $813

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
$3,715.35
Median
$9,332.54
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,715.19
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$3,311.31
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$2,290.87
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,737.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$4,897.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,623.41
Typical High
$17,378.01

Where California sits

The same service costs 17.0 times more in Maine than in North Dakota. 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.

California· 4th of 50

$8,710

ME $13,183ND $776

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.