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Surgical Opening of the Stomach

Washington, DC 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?

$1,778

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $912 to $4,074.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $912 to $7,762Professionalmedian $832 · 10th to 90th $794 to $1,778
$1K$2K$5K$10Kfacility $2,138professional $832

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,137.96
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,041.74
Typical High
$16,218.10

Where Washington, DC 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.

Washington, DC· 28th of 50

$1,778

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.