Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh
The hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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78 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1,172 | $913.00 – $1,430 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $1,172 | $913.00 – $1,430 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $285.93 | $285.93 – $285.93 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $1,388 | $1,388 – $1,388 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $4,325 | $4,325 – $4,325 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $1,327 | $1,327 – $1,327 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $346.17 | $65.22 – $627.12 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $407.26 | $76.73 – $737.79 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · outpatient | 1 | $401.86 | $401.86 – $401.86 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · outpatient | 2 | $4,632 | $4,211 – $5,054 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · outpatient | 2 | $442.04 | $401.86 – $482.22 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · outpatient | 2 | $442.04 | $401.86 – $482.22 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $1,105 | $1,105 – $1,105 |
| 14 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $3,866 | $3,866 – $3,866 |
| 15 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $13,876 | $13,876 – $13,876 |
| 16 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $1,404 | $1,404 – $1,404 |
| 17 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $40.00 | $40.00 – $40.00 |
| 18 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $4,325 | $4,325 – $4,325 |
| 19 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,165 | $597.12 – $3,732 |
| 20 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $8,448 | $8,448 – $8,448 |
| 21 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $4,325 | $4,325 – $4,325 |
| 22 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $1,327 | $1,327 – $1,327 |
| 23 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $26,103 | $26,103 – $26,103 |
| 24 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · fee schedule · outpatient | 1 | $8,875 | $8,875 – $8,875 |
| 25 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $65.00 | $65.00 – $65.00 |
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