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Total Stomach Removal With Y-Shaped Rerouting

Washington 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?

$4,365

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $3,090 to $5,495.

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.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,291 to $7,586
$1K$2K$5K$10K$20Kfacility $4,365

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
$3,019.95
Median
$5,754.40
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$3,715.35
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,168.69
Typical High
$6,025.60
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$4,466.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$3,715.35

Where Washington 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.

Washington· 18th of 50

$4,365

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.