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Total Stomach Removal With Y-Shaped Rerouting

South Dakota 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?

$3,631

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $2,818 to $4,467.

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 $3,236 · 10th to 90th $1,995 to $5,888Professionalmedian $3,802 · 10th to 90th $2,570 to $4,677
$2K$5K$10Kfacility $3,236professional $3,802

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
$2,238.72
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,090.30
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,128.61
Typical High
$5,128.61
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,630.78
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota 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.

South Dakota· 24th of 50

$3,631

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.