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Total Stomach Removal With Y-Shaped Rerouting

Iowa rates for HCPCS 43621

Removes the entire stomach and reconnects the esophagus straight to the small intestine, using a loop of bowel rearranged in a Y shape so that food and digestive juices meet further downstream. It is done mainly for stomach cancer.

Rates data updated July 2026.

How much does Total Stomach Removal With Y-Shaped Rerouting cost?

$5,012

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $2,951 to $6,761.

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 $5,012 · 10th to 90th $2,239 to $7,943Professionalmedian $5,012 · 10th to 90th $2,089 to $9,333
$200$500$1K$2K$5K$10K$20Kfacility $5,012professional $5,012

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
$3,715.35
Median
$6,456.54
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78

Where Iowa sits

The same service costs 10.2 times more in Maine than in Wyoming. 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.

Iowa· 15th of 50

$5,012

ME $13,183WY $1,288

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.