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Stomach-Reducing Weight Loss Surgery

Rhode Island 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?

$1,585

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $4,898 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$1,585$1,259 to $1,585
FacilityA hospital or hospital-owned outpatient department$4,898$3,548 to $8,710

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,230 to $12,589Professionalmedian $1,585 · 10th to 90th $1,175 to $1,905
$1K$2K$5K$10Kfacility $4,898professional $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
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,698.24
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,659.59
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,025.60
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,754.23

Where Rhode Island 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.

Rhode Island· 23rd of 51

$1,585

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.