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Gastric Bypass Surgery (Standard Roux-en-Y)

New Jersey rates for HCPCS 43846

A weight-loss operation for severe obesity in which the surgeon creates a small pouch from the upper stomach and connects it directly to a section of the small intestine, so food bypasses most of the stomach and the first part of the intestine. This reduces how much food can be eaten at one time and how many calories and nutrients the body absorbs. It is the standard version of this operation, using a shorter rerouted segment of intestine than the extended version reserved for the highest-weight patients.

Rates data updated July 2026.

How much does Gastric Bypass Surgery (Standard Roux-en-Y) cost?

$10,249

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $10,249 for this procedure. That total is two separate charges: $1,738 to the doctor who performs it, and $8,511 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,738$1,514 to $2,344
Facility feeThe hospital or surgery center$8,511$4,786 to $11,749

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,455 to $28,184Professionalmedian $1,738 · 10th to 90th $1,380 to $3,715
$100.0$500.0$2.0K$10.0K$50.0Kfacility $8,511professional $1,738

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
$4,365.16
Median
$9,332.54
Typical High
$28,840.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,882.50
Typical High
$67,608.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,949.84
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$3,467.37
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$3,467.37

Where New Jersey sits

The same service costs 7.1 times more in Maine than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Jersey $10,249 · 6th of 50
ME $15,224MD $2,135

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.