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Stomach-Reducing Weight Loss Surgery

Montana rates for HCPCS 43843

Open weight-loss surgery that makes the stomach smaller, so that a smaller amount of food brings a feeling of fullness, without rerouting the intestine. It covers stomach-reducing techniques other than the vertical banded approach.

Rates data updated July 2026.

How much does Stomach-Reducing Weight Loss Surgery cost?

$1,862

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $2,188 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$1,698$1,230 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,188$1,738 to $2,291

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,445 to $2,630Professionalmedian $1,698 · 10th to 90th $1,175 to $3,236
$100$200$500$1K$2K$5Kfacility $2,188professional $1,698

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
$1,174.90
Median
$1,258.93
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$3,801.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,187.76
Typical High
$2,454.71
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,187.76
Typical High
$2,454.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$3,162.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,041.74
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$2,691.53

Where Montana sits

The same service costs 2.5 times more in California than in Vermont. 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· 12th of 51

$1,862

CA $3,236VT $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.