Partial removal of stomach for weight loss using an endoscope
Medicare pricing data for 2,366 providers across 47 states
This procedure has a 7.0x markup — hospitals charge $5,087 but Medicare allows only $728.02. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. Prices vary significantly by location — from $409 in Rhode Island to $1,100 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Partial removal of stomach for weight loss using an endoscope (HCPCS code 43775) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $728.02, but hospitals typically charge $5,087 — a 7.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $728.02, your out-of-pocket cost would be approximately $145.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $578.86 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,100 | $3,707 | 9 | 25 | +51.2% |
| Illinois | $870 | $5,193 | 89 | 248 | +19.6% |
| Massachusetts | $843 | $3,729 | 85 | 267 | +15.8% |
| Connecticut | $834 | $4,559 | 43 | 98 | +14.6% |
| New Hampshire | $807 | $5,133 | 29 | 71 | +10.8% |
| New York | $801 | $8,982 | 186 | 460 | +10.0% |
| Tennessee | $794 | $5,031 | 37 | 110 | +9.1% |
| Pennsylvania | $779 | $3,094 | 113 | 262 | +7.0% |
| Mississippi | $777 | $3,922 | 25 | 156 | +6.7% |
| Maryland | $776 | $3,083 | 43 | 109 | +6.5% |
| Colorado | $775 | $3,009 | 34 | 94 | +6.5% |
| Florida | $770 | $3,859 | 164 | 519 | +5.7% |
| Missouri | $766 | $4,147 | 50 | 162 | +5.2% |
| Maine | $755 | $2,358 | 14 | 31 | +3.8% |
| South Carolina | $753 | $3,854 | 27 | 130 | +3.5% |
| Ohio | $741 | $3,350 | 74 | 199 | +1.8% |
| Georgia | $741 | $4,990 | 61 | 189 | +1.7% |
| New Jersey | $727 | $22,235 | 83 | 275 | -0.1% |
| Virginia | $719 | $3,484 | 56 | 177 | -1.2% |
| California | $713 | $4,688 | 183 | 619 | -2.1% |
| West Virginia | $712 | $4,885 | 12 | 39 | -2.2% |
| Oklahoma | $711 | $2,361 | 24 | 83 | -2.3% |
| New Mexico | $709 | $2,157 | 8 | 18 | -2.6% |
| Michigan | $705 | $2,955 | 93 | 301 | -3.2% |
| North Carolina | $704 | $4,234 | 75 | 185 | -3.3% |
| Oregon | $703 | $3,334 | 32 | 125 | -3.5% |
| Texas | $701 | $4,906 | 180 | 615 | -3.7% |
| Louisiana | $700 | $4,533 | 42 | 144 | -3.8% |
| Nevada | $700 | $4,922 | 21 | 89 | -3.8% |
| Wisconsin | $700 | $10,390 | 47 | 98 | -3.9% |
| Kentucky | $693 | $3,149 | 39 | 158 | -4.8% |
| Delaware | $690 | $4,263 | 12 | 19 | -5.3% |
| Alabama | $687 | $3,966 | 40 | 101 | -5.6% |
| Arkansas | $664 | $2,981 | 24 | 146 | -8.9% |
| Minnesota | $658 | $4,829 | 39 | 128 | -9.6% |
| Arizona | $649 | $3,711 | 36 | 104 | -10.9% |
| Washington | $636 | $2,924 | 39 | 101 | -12.6% |
| Indiana | $617 | $3,360 | 52 | 117 | -15.3% |
| Iowa | $600 | $3,768 | 22 | 79 | -17.5% |
| Nebraska | $591 | $3,002 | 21 | 49 | -18.8% |
| South Dakota | $570 | $3,401 | 15 | 51 | -21.7% |
| Kansas | $568 | $3,002 | 23 | 97 | -22.0% |
| Montana | $538 | $1,454 | 5 | 25 | -26.1% |
| Utah | $535 | $3,894 | 22 | 50 | -26.5% |
| Idaho | $524 | $3,086 | 18 | 84 | -28.0% |
| Alaska | $506 | $13,185 | 3 | 17 | -30.5% |
| Rhode Island | $409 | $2,125 | 8 | 22 | -43.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber