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Selective Stomach Nerve Cutting For Ulcers

Montana rates for HCPCS 64755

An operation that divides the small nerve branches supplying the acid-producing upper part of the stomach, so the stomach makes less acid and ulcers can heal. The branches serving the rest of the stomach are deliberately left intact so that the stomach still empties normally.

Rates data updated October 2026.

How much does Selective Stomach Nerve Cutting For Ulcers cost?

$1,445

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,479 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$955 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,479$1,318 to $1,514

How much rates vary

Facilitymedian $1,479 · 10th to 90th $955 to $1,698Professionalmedian $1,445 · 10th to 90th $85 to $1,585
$100$200$500$1K$2Kfacility $1,479professional $1,445

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
Professional
Modifier
None
Typical Low
$812.83
Median
$954.99
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,318.26
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$1,698.24

Where Montana sits

The same service costs 24.0 times more in Alaska than in Texas. 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.

Montana· 11th of 51

$1,445

AK $3,715TX $155

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.