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Whipple Operation on Pancreas and Duodenum

Pennsylvania rates for HCPCS 48152

A major abdominal operation, commonly called a Whipple procedure, that removes the head of the pancreas together with the duodenum (the first stretch of small intestine), a portion of the stomach, and the bile duct. The remaining digestive organs are then joined back together so that food and bile can flow again. It is most often done for a growth at the head of the pancreas or in the structures immediately around it.

Rates data updated July 2026.

How much does Whipple Operation on Pancreas and Duodenum cost?

$8,390

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $8,390 for this procedure. That total is two separate charges: $3,020 to the doctor who performs it, and $5,370 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,020$2,754 to $3,467
Facility feeThe hospital or surgery center$5,370$2,818 to $8,318

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,047 to $53,703Professionalmedian $3,020 · 10th to 90th $2,570 to $4,677
$500$1K$2K$5K$10K$20K$50Kfacility $5,370professional $3,020

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
$6,165.95
Typical High
$53,703.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,019.95
Typical High
$4,265.80
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,290.87
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$5,754.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$5,495.41
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$5,011.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$5,754.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$6,309.57
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,943.28
Typical High
$8,317.64
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,344.23
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$5,623.41

Where Pennsylvania sits

The same service costs 4.7 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Pennsylvania· 20th of 50

$8,390

$3,020 physician + $5,370 facility

ME $16,731MD $3,527

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.