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Surgical Opening of the Stomach

Illinois 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?

$1,622

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,096 to $3,090.

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.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $832 to $8,511Professionalmedian $1,413 · 10th to 90th $794 to $3,090
$200$500$1K$2K$5K$10Kfacility $1,862professional $1,413

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
$831.76
Median
$1,621.81
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$9,120.11
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$3,090.30
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,754.23
Typical High
$7,413.10

Where Illinois 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.

Illinois· 29th of 50

$1,622

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.