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Stomach Procedure With No Standard Listing

Pennsylvania 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?

$3,467

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $58,884 from a physician practice, and about $832 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58,884$58,884 to $58,884
FacilityA hospital or hospital-owned outpatient department$832$537 to $2,455

How much rates vary

Facilitymedian $832 · 10th to 90th $380 to $5,129Professionalmedian $58,884 · 10th to 90th $1,318 to $58,884
$100$1K$10Kfacility $832professional $58,884

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
$724.44
Median
$2,511.89
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$707.95
Typical High
$6,165.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Capital Blue Cross
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$41,686.94
Median
$43,651.58
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$645.65
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$3,235.94
Typical High
$6,025.60
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$371.54
Typical High
$776.25
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$2,454.71
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$676.08
Typical High
$6,165.95
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$63.10
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$724.44
Typical High
$2,630.27

Where Pennsylvania 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.

Pennsylvania· 3rd of 51

$3,467

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.