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Weight-Loss Surgery With Duodenal Switch

Pennsylvania rates for HCPCS 43845

A weight-loss operation that both shrinks the stomach and shortens the path food takes through the intestine. Part of the stomach is removed to leave a narrow tube, then the small intestine is divided and rerouted so food and digestive juices only mix along a short final stretch, which limits how many calories are absorbed. The valve at the stomach outlet is kept intact.

Rates data updated July 2026.

How much does Weight-Loss Surgery With Duodenal Switch cost?

$6,166

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $2,512 to $8,511.

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.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,047 to $36,308
$500$1K$2K$5K$10K$20K$50Kfacility $6,166

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
$1,412.54
Median
$7,244.36
Typical High
$53,703.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,089.30
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,370.32
Typical High
$22,387.21
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,344.23
Typical High
$6,760.83

Where Pennsylvania sits

The same service costs 18.6 times more in Delaware than in Wyoming. 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.

Pennsylvania· 14th of 50

$6,166

DE $23,988WY $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.