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Total Stomach Removal With Intestinal Pouch Reconstruction

New Hampshire rates for HCPCS 43622

This surgery removes the entire stomach and reconstructs a new digestive pathway by shaping a section of intestine into a pouch that takes over some of the stomach's storage function. It is typically performed for stomach cancer or other serious stomach conditions.

Rates data updated July 2026.

How much does Total Stomach Removal With Intestinal Pouch Reconstruction cost?

$12,668

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $12,668 for this procedure. That total is two separate charges: $3,548 to the doctor who performs it, and $9,120 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$3,548$2,630 to $4,786
Facility feeThe hospital or surgery center$9,120$5,248 to $14,791

How much rates vary

Facilitymedian $9,120 · 10th to 90th $2,399 to $16,596Professionalmedian $3,548 · 10th to 90th $2,188 to $5,623
$100$500$2K$10Kfacility $9,120professional $3,548

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
$100.00
Median
$7,943.28
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,964.78
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$4,570.88
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$3,388.44
Typical High
$5,754.40
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,630.78
Typical High
$6,606.93
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$2,691.53

Where New Hampshire sits

The same service costs 5.4 times more in Maine than in Maryland. 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.

Physician feeFacility fee

New Hampshire· 3rd of 50

$12,668

$3,548 physician + $9,120 facility

ME $16,001MD $2,948

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.