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 Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm
The hospitals that file a Aetna Better Health 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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56 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $1,097 | $248.11 – $1,551 |
| 2 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $3,970 | $3,970 – $3,970 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $3,970 | $3,970 – $3,970 |
| 4 | Broaddus Hospital Association Inc Philippi, WV facility · fee schedule · outpatient | 1 | $1,357 | $1,357 – $1,357 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1,270 | $1,270 – $1,270 |
| 6 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $1,798 | $1,798 – $1,798 |
| 7 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $1,798 | $1,798 – $1,798 |
| 8 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $1,798 | $1,798 – $1,798 |
| 9 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $1,798 | $1,798 – $1,798 |
| 10 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 1 | $5,571 | $5,571 – $5,571 |
| 11 | Charleston Area Medical Center Charleston, WV fee schedule · both | 1 | $1,356 | $1,356 – $1,356 |
| 12 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $1,557 | $1,401 – $1,712 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · fee schedule · outpatient | 1 | $1,382 | $1,382 – $1,382 |
| 14 | Davis Medical Center Elkins, WV facility · fee schedule · outpatient | 1 | $1,357 | $1,357 – $1,357 |
| 15 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1,270 | $1,270 – $1,270 |
| 16 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $1,776 | $1,776 – $1,776 |
| 17 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $1,561 | $1,561 – $1,561 |
| 18 | Henry Ford Health System West Bloomfield, MI professional · fee schedule · outpatient | 2 | $1,053 | $1,053 – $1,053 |
| 19 | Henry Ford Health System Plymouth, MI professional · fee schedule · outpatient | 2 | $1,053 | $1,053 – $1,053 |
| 20 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · fee schedule · outpatient | 2 | $1,053 | $1,053 – $1,053 |
| 21 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · fee schedule · outpatient | 2 | $1,053 | $1,053 – $1,053 |
| 22 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $1,798 | $1,798 – $1,798 |
| 23 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $1,798 | $1,798 – $1,798 |
| 24 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $1,196 | $1,196 – $1,196 |
| 25 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $1,798 | $1,798 – $1,798 |
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