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Whipple Procedure Without Pancreatic Duct Reconnection

Montana rates for HCPCS 48154

This is a major operation, commonly known as the Whipple procedure, to remove the head of the pancreas along with the adjoining first part of the small intestine and part of the bile duct, most often to treat pancreatic or nearby cancer. In this version, the surgeon reconnects the bile duct and intestine but does not reconnect the pancreatic duct to the digestive tract.

Rates data updated July 2026.

How much does Whipple Procedure Without Pancreatic Duct Reconnection cost?

$8,700

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

Insurers have agreed to pay about $8,700 for this procedure. That total is two separate charges: $3,802 to the doctor who performs it, and $4,898 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$3,802$2,818 to $5,012
Facility feeThe hospital or surgery center$4,898$3,890 to $5,129

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,236 to $5,888Professionalmedian $3,802 · 10th to 90th $2,630 to $7,244
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,898professional $3,802

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
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,818.38
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,981.07
Typical High
$8,511.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,011.87
Typical High
$5,495.41
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,011.87
Typical High
$5,495.41
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,981.07
Typical High
$7,079.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$4,570.88
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$6,165.95

Where Montana sits

The same service costs 4.7 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 feeMontana $8,700 · 17th of 50
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.