go back

Pyloric Muscle Cutting Surgery For Infants

Maryland rates for HCPCS 43520

A surgery performed most often on infants to relieve a blockage at the outlet of the stomach caused by an abnormally thickened ring of muscle, a condition that prevents food from moving normally into the small intestine and can cause forceful vomiting. The surgeon carefully cuts through the thickened muscle to widen the passage, without opening the lining of the stomach or intestine.

Rates data updated July 2026.

How much does Pyloric Muscle Cutting Surgery For Infants cost?

$1,178

Typical total for the visit. In Maryland, July 2026.

Insurers have agreed to pay about $1,178 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $437 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$676 to $813
Facility feeThe hospital or surgery center$437$331 to $603

How much rates vary

Facilitymedian $437 · 10th to 90th $302 to $1,380Professionalmedian $741 · 10th to 90th $617 to $1,072
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $437professional $741

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
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,445.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,023.29

Where Maryland sits

The same service costs 11.9 times more in Maine than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMaryland $1,178 · 50th of 50
ME $14,054MD $1,178

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.