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Selective Stomach Nerve Cutting With Outlet Widening

Montana rates for HCPCS 43641

An operation that divides the nerve branches feeding the acid-producing part of the stomach while sparing the branches to the rest of it, so that acid production falls and a stubborn ulcer can heal. The outlet of the stomach is widened in the same operation so that the stomach continues to empty freely. It is used for ulcer disease that has not settled with medication or that has caused bleeding or perforation.

Rates data updated July 2026.

How much does Selective Stomach Nerve Cutting With Outlet Widening cost?

$1,738

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $2,042 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 5 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$1,585$1,175 to $2,042
FacilityA hospital or hospital-owned outpatient department$2,042$1,660 to $2,138

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,349 to $2,512Professionalmedian $1,585 · 10th to 90th $1,122 to $3,020
$100$200$500$1K$2K$5Kfacility $2,042professional $1,585

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
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,659.59
Typical High
$3,630.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,290.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,951.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,905.46
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,949.84
Typical High
$2,511.89

Where Montana sits

The same service costs 2.3 times more in California 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.

Montana· 10th of 51

$1,738

CA $2,818KY $1,202

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.