CPT 43327 · 808 hospitals reporting

Esoph fundoplasty lap

The same procedure costs $189 at one hospital and $12,980 at another — a 69× spread for what's billed under the same code. Median: $2,010.

Cheapest published

$189

1 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 808 hospitals

$2,010

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$12,980

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

92 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
TRINITY ROCK ISLAND	IL	$2,513	$2,010	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$2,513	$2,010	—	—	5 insurers
TRINITY MUSCATINE	IA	$2,513	$2,010	—	—	3 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$2,513	$2,010	—	—	3 insurers
ST LUKES HOSPITAL	IA	$2,513	$2,010	—	—	3 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$2,513	$2,010	—	—	3 insurers
TRINITY - BETTENDORF	IA	$2,513	$2,010	—	—	4 insurers
ALLEN HOSPITAL	IA	$2,513	$2,010	—	—	4 insurers
FINLEY HOSPITAL	IA	$2,513	$2,010	—	—	5 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$2,513	$2,010	—	—	3 insurers
GRINNELL REGIONAL MEDICAL CENTER	IA	$2,513	$2,010	—	—	5 insurers
GRUNDY COUNTY MEMORIAL HOSPITAL	IA	$2,513	$2,010	—	—	4 insurers
JONES REGIONAL MEDICAL CENTER	IA	$2,513	$2,010	—	—	5 insurers
SOUTHWESTERN VERMONT MEDICAL CENTER	VT	$2,800	$1,960	—	—	0 insurers
DELTA MEMORIAL HOSPITAL	AR	$2,324	$1,859	—	—	5 insurers
CODY REGIONAL HEALTH	WY	$2,765	$2,350	—	—	5 insurers
JOHN H STROGER JR HOSPITAL	IL	$2,365	$1,656	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$2,365	$1,656	—	—	5 insurers
ALTRU HOSPITAL	ND	$2,679	$1,634	—	—	0 insurers
JACKSON COUNTY REGIONAL HEALTH CENTER	IA	$2,473	$2,473	—	—	5 insurers
CHEYENNE REGIONAL MEDICAL CENTER	WY	$3,583	$2,508	—	—	4 insurers
VALLEY MEDICAL CENTER	WA	$2,063	$1,444	$823	$2,871	0 insurers
WASHINGTON REGIONAL MEDICAL CENTER	AR	$1,858	$1,394	—	—	0 insurers
FLUSHING HOSPITAL MEDICAL CENTER	NY	$2,666	$2,666	—	—	5 insurers
PENOBSCOT VALLEY HOSPITAL	ME	$3,373	$2,698	—	—	5 insurers
TUG VALLEY ARH REGIONAL MEDICAL CENTER	KY	$2,165	$1,299	—	—	5 insurers
UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER	MD	$2,752	$2,752	—	—	1 insurers
ELLIS HOSPITAL	NY	$2,418	$1,209	—	—	2 insurers
ELLIS HOSPITAL	NY	$2,418	$1,209	—	—	4 insurers
AMBERWELL ATCHISON ASSOCIATION	KS	$1,450	$1,015	$789	—	2 insurers
UNITYPOINT HEALTH - MERITER	WI	$3,935	$3,148	—	—	5 insurers
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON	MI	$1,679	$840	—	—	1 insurers
EATON RAPIDS MEDICAL CENTER	MI	$1,679	$840	—	—	1 insurers
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON	MI	$1,679	$840	—	—	1 insurers
BAPTIST HEALTH DEACONESS MADISONVILLE	KY	$1,780	$837	—	—	4 insurers
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$3,238	$3,238	—	—	5 insurers
CARTERET GENERAL HOSPITAL	NC	$741	$741	—	—	2 insurers
MARION GENERAL HOSPITAL	MS	$1,106	$664	—	—	0 insurers
MARION GENERAL HOSPITAL	MS	$1,106	$664	—	—	0 insurers
DEACONESS ILLINOIS CROSSROADS	IL	$1,855	$649	—	—	2 insurers