go back

Stomach-Reducing Weight Loss Surgery

Ohio 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?

$1,380

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $6,457 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 8 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$1,349$1,202 to $1,660
FacilityA hospital or hospital-owned outpatient department$6,457$3,311 to $10,715

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,445 to $12,589Professionalmedian $1,349 · 10th to 90th $1,122 to $2,042
$50$200$1K$5K$20Kfacility $6,457professional $1,349

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
$1,445.44
Median
$7,079.46
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$6,606.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$2,137.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,258.93
Typical High
$1,584.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,818.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,187.76
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,621.81
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,897.79
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,454.71

Where Ohio 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.

Ohio· 38th of 51

$1,380

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.