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
Removal of stomach partial
Low
$1
Average
$5.2k
Median
$4.1k
High
$33.5k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 10.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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44 hospital rates
iThe hospitals that file a Medical Mutual 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 5 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.7k | $362 | 22% | — | $976 – $2.0k |
| 6 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.7k | $362 | 22% | — | $976 – $2.0k |
| 7 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 10 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $8.8k | $8.8k | $87 | 1% | — | $8.8k – $9.0k |
| 11 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $6.0k | $6.2k | $707 | 11% | — | $5.5k – $7.2k |
| 12 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $5.2k | $7.0k | $2.5k | 36% | — | $5.2k – $10.5k |
| 13 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $5.2k | $7.0k | $2.5k | 36% | — | $5.2k – $10.5k |
| 14 | Mayo Clinic Health System Bloomer, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $5.2k | $7.0k | $2.5k | 36% | — | $5.2k – $10.5k |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $5.2k | $6.8k | $2.4k | 35% | — | $5.1k – $10.3k |
| 16 | Mayo Clinic Health System Barron, WI professional · percent of total billed charges · outpatientfrom % of charges | 3 | $5.2k | $7.0k | $2.5k | 36% | — | $5.2k – $10.5k |
| 17 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 18 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $706 | $706 | — | — | — | $706 – $706 |
| 19 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $706 | $706 | — | — | — | $706 – $706 |
| 20 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 1 | $422 | $422 | $305 | 72% | — | $116 – $727 |
| 21 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $422 | $422 | $305 | 72% | — | $116 – $727 |
| 22 | St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | $840 | 74% | — | $298 – $2.0k |
| 23 | St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $882 | 72% | — | $345 – $2.1k |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 25 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
← Payers reporting CPT 43631 · Snapshot 20261113T090226Z-3ce6c0b8