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Stomach Procedure With No Standard Listing

Michigan rates for HCPCS 43999

Covers an operation or procedure on the stomach that does not match any of the standard named services, typically because the technique is new, rare, or performed in an unusual way. A written report describing exactly what was done accompanies it. It is not a specific operation in itself, but a placeholder for stomach surgery that has no established description.

Rates data updated October 2026.

How much does Stomach Procedure With No Standard Listing cost?

$132

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $676 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$102 to $135
FacilityA hospital or hospital-owned outpatient department$676$676 to $1,047

How much rates vary

Facilitymedian $676 · 10th to 90th $501 to $1,950Professionalmedian $120 · 10th to 90th $102 to $145
$100$200$500$1K$2K$5Kfacility $676professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$2,884.03
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
BCBS
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$302.00
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$120.23
Typical High
$144.54
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$2,951.21

Where Michigan sits

The same service costs 177.8 times more in Oklahoma than in Hawaii. 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.

Michigan· 47th of 51

$132

OK $5,248HI $29.51

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.