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Open Stitch Repair Of A Stomach Junction Tear

South Carolina rates for HCPCS 43502

Open surgery in which the stomach is opened so the surgeon can stitch a tear at the junction where the food pipe joins the stomach. Such tears are usually caused by forceful retching or vomiting and can bleed heavily. Surgery is used when the bleeding cannot be controlled by less invasive means.

Rates data updated July 2026.

How much does Open Stitch Repair Of A Stomach Junction Tear cost?

$1,778

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $2,138 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 6 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$1,698$1,479 to $1,995
FacilityA hospital or hospital-owned outpatient department$2,138$1,738 to $3,548

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,514 to $12,303Professionalmedian $1,698 · 10th to 90th $1,349 to $2,570
$50$200$1K$5K$20Kfacility $2,138professional $1,698

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
$1,778.28
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$3,715.35
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,344.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,905.46
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,884.03

Where South Carolina sits

The same service costs 2.3 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.

South Carolina· 30th of 51

$1,778

MN $3,467KY $1,479

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.