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Partial Stomach Removal With Intestinal Pouch

Rhode Island rates for HCPCS 43634

Removes the lower portion of the stomach and rebuilds the digestive path by fashioning a pouch out of intestine to take over some of the stomach's storage job. The pouch is then connected so food can pass through and be held briefly before moving on.

Rates data updated July 2026.

How much does Partial Stomach Removal With Intestinal Pouch cost?

$2,630

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,548 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,630$2,089 to $2,630
FacilityA hospital or hospital-owned outpatient department$3,548$1,660 to $5,129

How much rates vary

Facilitymedian $3,548 · 10th to 90th $603 to $6,607Professionalmedian $2,630 · 10th to 90th $1,950 to $3,162
$200$500$1K$2K$5Kfacility $3,548professional $2,630

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. Small sample; interpret with caution. 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
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,691.53
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,238.72
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$4,466.84

Where Rhode Island sits

The same service costs 2.3 times more in Alaska than in Kentucky. 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.

Rhode Island· 21st of 51

$2,630

AK $4,677KY $2,042

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.