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Partial Stomach Removal With Intestinal Pouch

Utah 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?

$2,818

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $3,388 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 7 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$2,818$2,188 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,388$2,818 to $4,571

How much rates vary

Facilitymedian $3,388 · 10th to 90th $2,818 to $6,026Professionalmedian $2,818 · 10th to 90th $1,905 to $6,026
$50$200$1K$5Kfacility $3,388professional $2,818

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
$2,818.38
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$2,691.53
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$4,265.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,548.13
Typical High
$4,073.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,090.30
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$3,715.35

Where Utah 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.

Utah· 16th of 51

$2,818

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.