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Surgical Opening of the Stomach

Virginia 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?

$1,318

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $891 to $7,079.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $776 to $12,023Professionalmedian $912 · 10th to 90th $741 to $1,288
$500$1K$2K$5K$10Kfacility $1,380professional $912

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
$891.25
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,548.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,884.03
Typical High
$6,309.57

Where Virginia 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.

Virginia· 35th of 50

$1,318

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.